文章简介

出版社:Clinical Neurology and Neurosurgery

作   者:George M. Ghobrial, Kim A. Williams Jr , Paul Arnold, Michael Fehlings, James S. Harrop

编   号:10.1016/j.clineuro.2015.08.022.

年   份:2015    点击量:1200

文章摘要 全文翻译

     Iatrogenic neurologic deficits after lumbar spine surgery are rare complications, but important to recognize and manage. Complications such as radiculopathy, spinal cord compression, motor deficits (i.e. foot drop with L5 radiculopathy), and new onset radiculitis, while uncommon do occur. Attempts at mitigating these complications with the use of neuromonitoring have been successful. Guidance in the literature as to the true rate of iatrogenic neurologic deficit is limited to several case studies and retrospective designed studies describing the management, prevention and treatment of these deficits. The authors review the lumbar spinal surgery literature to examine the incidence of iatrogenic neurologic deficit in the lumbar spinal surgery literature.

        腰椎手术后医源性神经功能障碍是罕见的并发症,对于其辨别和处理很重要。并发症有神经根病、脊髓压迫、运动障碍(即L5神经根型足下垂)以及新的神经根炎发作,然而它们并不常见。使用神经监测技术来减轻这些并发症的尝试已成功。文献中,关于医源性神经功能障碍真实发病率仅限于几个病例研究和报道这些障碍的处理、预防及治疗的回顾性设计研究。本文作者回顾腰椎脊柱手术文献以观察腰椎脊柱手术文献中医源性神经功能障碍的发生率。