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J Bone Joint Surg Br · Nov 1984
Case ReportsIntra-operative awakening to monitor spinal cord function during scoliosis surgery. Description of the technique and report of four cases.
- J C Dorgan, T R Abbott, and G Bentley.
- J Bone Joint Surg Br. 1984 Nov 1; 66 (5): 716-9.
AbstractWe used a modification of the wake-up test to monitor spinal cord function in 102 consecutive scoliotic patients undergoing Harrington instrumentation. Four patients were found to have a neural deficit when they were awakened during the operation. Three recovered immediately after partial release of the distracting force; one required immediate removal of the rod and was left with a slight neural deficit. Using our method, we have encountered no problem in performing the wake-up test, although attention is drawn to the difficulty in repeating the test if the patient is re-anaesthetised with diazepam. There were no false negative results in this series.
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