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001-es BibID:	BIBFORM034528
Első szerző:	Sutter, Martin A.
Cím:	The validity of multimodal intraoperative monitoring (MIOM) in surgery of 109 spine and spinal cord tumors / Sutter Martin, Eggspuehler Andreas, Grob Dieter, Jeszenszky Dezsö, Benini Arnaldo, Porchet Francois, Mueller Alfred, Dvorak Jiri
Dátum:	2007
ISSN:	0940-6719
Megjegyzések:	In a prospective study of 109 patients with tumor of the spine MIOM was performed during the surgical procedure between March 2000 and December 2005. To determine the sensitivity and specificity of MIOM techniques used to monitor spinal cord and nerve root function during surgical procedure of spinal tumors. MIOM become an integrated procedure during surgical approach to intramedullar and extramedullar spine tumors. The combination of monitoring ascending and descending pathways may provide more sensitive and specific results than SEP alone giving immediate feedback information regarding any neurological deficit during the operation. Intraoperative sensory spinal and cerebral evoked potential combined with EMG recordings and motor evoked potential of the spinal cord and muscles were evaluated and compared with postoperative clinical neurological changes. One hundred and nine consecutive patients with spinal tumors of different aetiologies were monitored by the means of MIOM during the entire surgical procedure. Eighty-two patients presented true negative findings while two patients monitored false negative, one false positive and 24 patients true positive findings where neurological deficits after the operation were present. All patients with neurological deficit recovered completely or to pre-existing neurological situation. The sensitivity of MIOM applied during surgery of spinal tumors has been calculated of 92% and specificity 99%. Based upon the results of the study MIOM is an effective method of monitoring the spinal cord and nerve root function during surgical approach of spinal tumors and consequently can reduce or prevent the occurrence of postoperative neurological deficit.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	European Spine Journal. - 16 : S2 (2007), p. 197-208. -
További szerzők:	Eggspuehler, Andreas Grob, Dieter Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Benini, Arnaldo Porchet, Françis Mueller, Alfred Dvorak, Jiri
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM034527
Első szerző:	Sutter, Martin A.
Cím:	The diagnostic value of multimodal intraoperative monitoring (MIOM) during spine surgery : a prospective study of 1,017 patients / Sutter Martin, Eggspuehler Andreas, Grob Dieter, Jeszenszky Dezsoe, Benini Arnaldo, Porchet Francois, Mueller Alfred, Dvorak Jiri
Dátum:	2007
ISSN:	0940-6719
Megjegyzések:	A prospective study of 1,017 patients who received MIOM during spine surgery procedures between March 2000 and December 2005. To determine the sensitivity and specificity of MIOM techniques used to monitor spinal cord and nerve roots function during spine surgery. MIOM has become a widely used method of monitoring neural function during spine surgery. Several techniques only monitor either ascending or descending pathways and thus may not provide sensitive or specific results. MIOM aims to monitor both ascending and descending pathways therefore giving immediate feedback information regarding any neurological deficits during the operation. Intraoperative sensory spinal and cortical evoked potentials, combined with monitoring of EMG and motor evoked potentials recorded from the spinal cord and muscles elicited by electrical motor cortex, spinal cord, cauda equina and nerve root stimulation, was evaluated and compared with post-operative clinical neurological changes. One thousand and seventeen consecutive patients underwent a total of 4,731 h of MIOM to evaluate any neural deficits that may have occurred during spine surgery. Of these, 935 were true negative cases, 8 were false negative cases, 66 were true positive cases and 8 were false positive cases, resulting in a sensitivity of 89% and a specificity of 99%. Based on the results of this study, MIOM is an effective method of monitoring the spinal cord functional integrity during spine surgery and therefore can lead to reduction of neurological deficit and consequently improve postoperative results.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	European Spine Journal. - 16 : S2 (2007), p. 162-170. -
További szerzők:	Eggspuehler, Andreas Grob, Dieter Jeszenszky Dezső (1954-) (idegsebész, ortopédus) Benini, Arnaldo Porchet, Françis Mueller, Alfred Dvorak, Jiri
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon: