Intraoperative assesment of spinal cord conduction during surgical decompression in patients with cervical spondylotic myelopathy

• Main Authors: M. A. Hit’, E. M. Troshina, S. S. Nikitin, A. O. Gushcha
• Format: Article
• Language: Russian
• Published: ABV-press 2015-02-01
• Series: Nervno-Myšečnye Bolezni
• Subjects: cervical spondylotic myelopathy; intraoperative monitoring
• Online Access: https://nmb.abvpress.ru/jour/article/view/80

The previous studies have data concerning surgery and diagnostic methods of cervical spondylotic myelopathy (CSM). The aim of this case was to study the on‑line assessment of the functions of corticospinal and somatosensory pathways changed due to surgical decompression of cervical spinal cord. Our study included 11 patients (6 men and 5 women, mean age 59,3 ± 9,2 years old) with MRI‑confirmed cervical spine stenosis (CSS). All of them had intraoperative neurophysiological monitoring standing for transcranial electric stimulation (TES) and recording of the median nerve somatosensory evoked potentials (SEP). Investigations were performed before and 10–15 minutes after surgical spinal cord decompression. The obtained data provides additional information about the spinal cord pathways functional status and it is a reliable predictor of neurological outcome.