• Since, there was less posterior movement of the spinal cord in selective ELAP than that in C3-7ELAP, minute concerns about size of anterior compression mass is necessary to decide the number of expanded laminae. (fujita-hu.ac.jp)
  • In the neutral position there was no spinal cord compression, but in flexion the spinal cord was displaced anteriorly and was compressed by the posterior surfaces or margins of the vertebrae and/or any herniated disks in all cases. (elsevierpure.com)
  • In flexion, compression of the cord was exaggerated in seven patients by the anterior displacement of the posterior margin of the thecal sac, which was accompanied by dilated posterior internal vertebral veins. (elsevierpure.com)
  • Inter-spinous process distance: a novel parameter predicting segmental lordosis during posterior cervical spine deformity surgery. (cornell.edu)
  • Computed tomography scan after emergency transport revealed no fractures, but a narrow canal between C4 and C5 (11 mm) and ossification of the posterior longitudinal ligament of the segmental type on the posterior walls of C4 and C5 (Figure 1A ). (breathinglabs.com)
  • The spinal circulation comprises two paired posterior spinal arteries running down the dorsum of the cord and a single anterior artery found in the median fissure. (biomedcentral.com)
  • Arteriosclerosis or an embolism can restrict the blood supply to the anterior (belly) located anterior spinal artery and the posterior (back) located spinal artery. (medicinelearners.com)
  • The disc and adjacent endplates are evacuated into the created void followed by the posterior vertebral wall and disc within the spinal canal. (aofoundation.org)
  • Immediate care Trauma to the spine may cause injuries involving the spinal cord, vertebrae, or both. (msdmanuals.com)
  • The clinico-radiologic definition of SSD includes segmental agenesis or dysgenesis of the spine, segmental abnormality of the underlying spinal cord and nerve roots, congenital paraplegia or paraparesis and congenital lower limb deformities. (bioline.org.br)
  • segmental spinal dysgenesis (SSD) and caudal regression syndrome (CRS) represent two facets of a single spectrum of segmental malformation of the spine and spinal cord. (bioline.org.br)
  • If you're not familiar with lumbar spinal stenosis, allow us to bring you up to speed: this condition is often the result of aging and "wear and tear" on the spine from everyday activities. (wispineandpain.com)
  • The vertebrae that form the spine in the back are cushioned by small discs, which are located between each of the vertebrae and act as shock absorbers for the spinal bones. (newyorkpaindoctors.com)
  • These nerves are located at the lower end of the spinal cord in the lumbosacral spine. (vetcan.org)
  • The spinal cord ends at the upper portion of the lumbar (lower back) spine. (vetcan.org)
  • And I am going to actually, I don't want to bring out terms like revolution and things like that, but I want to give a message to neurosurgeons and spine surgeons who in general think about compression as a problem and decompression as the treatment. (neurosurgicalatlas.com)
  • The reported number of spinal procedures was compared to the ACGME minimum requirements for each surgical category pertaining to adult spine surgery. (thejns.org)
  • Rarely, nonunion of Type II odontoid fractures may be hypertrophic where both instability and compression cause neurological morbidity. (surgicalneurologyint.com)
  • Although conservative treatment is often adopted as the first choice owing to the absence of fractures and spinal column instability, whether some patients deserve to be treated surgically with the aim of significant function recovery needs further investigation. (breathinglabs.com)
  • Osseous destruction is often associated with mechanical instability, intractable pain, radiculopathy, and symptoms of cord compression. (ajnr.org)
  • Congenital vertebral anomalies can cause compression of the spinal cord by deforming the vertebral canal or causing instability. (newyorkpaindoctors.com)
  • Most, around 85%, are not clinically significant, but they can cause compression of the spinal cord by deforming the vertebral canal or causing instability. (newyorkpaindoctors.com)
  • The surgeries did not resolve her problems of spinal instability and neurologic complications. (scienceopen.com)
  • Radiologic evaluation is used to confirm the diagnosis and estimate the degree of spinal instability. (boneandspine.com)
  • Nature protects the human spinal cord and body from potential and manifest instability by doing various maneuvers as I had talked in my last lecture, and this is the slide showing chronic atlantoaxial instability can be a cause of chiari, syringomyelia, syringobulbia, short head, basilar invagination, and thing like that. (neurosurgicalatlas.com)
  • Cervical spinal motion during intubation: efficacy of stabilization maneuvers in the setting of complete segmental instability. (wikem.org)
  • Spinal imaging studies revealed hypertrophic nonunion and craniocervical kyphotic deformity with significant subaxial stenosis and segmental kyphosis. (surgicalneurologyint.com)
  • The radicular LBP caused by spinal stenosis is probably related to the inhibition of normal nerve root vascular flow with resultant nerve root nutrition, nerve root edema, and nerve root dysfunction. (medscape.com)
  • In summary, clinical practice and animal research suggest that radicular pain is the result of inflammation of the nerve root in the epidural space provoked by leakage of disk material, compression of the nerve root vasculature, and/or irritation of dorsal root ganglia from spinal stenosis. (medscape.com)
  • Due to degenerative spinal stenosis of L3-L4 and L2-L3, she had decompression with instrumented fusion from L5 to L1 at the previous hospital. (scienceopen.com)
  • Sexual dysfunction that comes on suddeâ ¦ Herniated discs can occur with advanced age or can be caused by a spinal injury.Cauda equina syndrome can also be caused by trauma, a spinal tumor, spinal stenosis or a severe infection. (vetcan.org)
  • Spinal cord injury (SCI) is an insult to the spinal cord resulting in a change, either temporary or permanent, in the cord's normal motor, sensory, or autonomic function. (medscape.com)
  • Acute spinal cord ischemia syndrome with atypical patterns of sensory deficit is uncommon. (biomedcentral.com)
  • The classic presentation for anterior spinal artery ischemia or infarct is sensory deficits in the following pattern: distal to the lesion, pain and temperature are lost bilaterally (owing to the involvement of anterolateral spinothalamic tracts), but light touch, vibration and position sense are preserved (owing to sparing of dorsal columns). (biomedcentral.com)
  • Muscle weakness (involvement of the corticospinal tract) and sensory loss occur at the spinal cord segmental levels of infarct. (biomedcentral.com)
  • Peri-acute intraspinal grafting of HSSC can represent an effective therapy which ameliorates motor and sensory deficits after traumatic spinal cord injury. (biomedcentral.com)
  • The degree and type of sensory loss will depend upon the extent of the involvement of the various sensory tracts, but there is often a "sensory level" (at the sensory segmental level of the spinal cord below which sensation to pin or light touch is impaired). (bionity.com)
  • Considerable pain often occurs in the back, extending laterally to involve the sensory distribution of the diseased spinal segments-so-called "radicular pain. (bionity.com)
  • Sensory dermatome by spinal cord levels . (wikem.org)
  • The American Spinal Injury Association (ASIA) defines a complete neurologic lesion as an absence of sensory and motor function below the level of injury including the lowest sacral segment2. (jortho.org)
  • Vertebral Compression Fractures Most vertebral compression fractures are a consequence of osteoporosis, are asymptomatic or minimally symptomatic, and occur with no or minimal trauma. (msdmanuals.com)
  • Prophylactic vertebroplasty for adjacent vertebra has been reported to reduce the complications of junctional compression fractures but has raised a new problem of vertebral subluxation. (scienceopen.com)
  • This patient had various complications including adjacent segmental disease, vertebral subluxation, and junctional fractures on radiographs and magnetic resonance images. (scienceopen.com)
  • Diabetics are also often affected by neurological deficits caused by an infarction in the spinal cord. (medicinelearners.com)
  • Here we characterized the effect of intraspinal grafting of clinical grade human fetal spinal cord-derived neural stem cells (HSSC) on the recovery of neurological function in a rat model of acute lumbar (L3) compression injury. (biomedcentral.com)
  • Extensive experimental and clinical data show that the mechanisms leading to a clinically-defined loss of neurological function after spinal trauma can in general be considered in two categories. (biomedcentral.com)
  • Transverse myelitis is a neurological disorder caused by an inflammatory process of the grey and white matter of the spinal cord, and can cause axonal demyelination. (bionity.com)
  • Although corticosteroids have been shown to improve neurological recovery of patients with spinal cord injuries16, the primary treatment of patients with thoracolumbar injuries is surgical reduction, decompression, and stabilization. (jortho.org)
  • Myelopathy is a clinical diagnosis with localization of the neurological findings to the spinal cord, rather than the brain or the peripheral nervous system, and then to a particular segment of the spinal cord. (bvsalud.org)
  • Predictably, the syndrome of symptoms varies with the level of the spinal cord in which the lesion occurs. (biomedcentral.com)
  • The symptoms and signs depend upon the level of the spinal cord involved and the extent of the involvement of the various long tracts. (bionity.com)
  • There may be a history of trauma, a recent spinal procedure and/or the patient may be on anticoagulant therapy. (patient.info)
  • Compression by intervertebral discs or embolization of disc fragments can also cause ischemia (often without a history of trauma). (biomedcentral.com)
  • Intraspinal grafting of human neural stem cells represents a promising approach to promote recovery of function after spinal trauma. (biomedcentral.com)
  • F S B T stands for Fellow in Spinal Biomechanics and Trauma. (chirosecure.com)
  • The usual indications for spinal fusion or spinal deformity surgery include neurologic compromise or pain arising from trauma, scoliosis, malignancy, or infection. (renalandurologynews.com)
  • [1] reported that no significant difference was observed in the American Spinal Cord Injury Association (ASIA) motor scores between surgery and conservative treatment groups at two, three, and six months and one year postoperatively in patients with CSCIw. (breathinglabs.com)
  • Size of anterior compression mass, postoperative spinal cord positions and decompression conditions were evaluated using preoperative or postoperative MRI in 50 of 64 patients. (fujita-hu.ac.jp)
  • There was a positive correlation between number of expanded laminae and maximum anterior spaces of spinal cord. (fujita-hu.ac.jp)
  • Mean size of anterior compression mass at incomplete decompression levels was significantly greater than that at complete decompression levels. (fujita-hu.ac.jp)
  • Anterior surgical decompression and stabilization are the treatments of choice for radiation-resistant metastatic spinal tumors, resulting in improved neurologic function and pain reduction in more than 80% of patients (4, 5) . (ajnr.org)
  • Global spinal alignment procedures allow the spinal cord to migrate dorsally away from areas of anterior compression. (wispineandpain.com)
  • Acute spinal cord ischemia syndrome (ASCIS) is predictably due primarily to pathology in the anterior spinal artery, its feeders or its branches. (biomedcentral.com)
  • First described by Spiller in 1909 [ 2 ], thrombosis of the anterior spinal artery is often due to fracture of a cervical vertebra or a cervical hyperextension injury. (biomedcentral.com)
  • Up to eight radicular arteries are established during development and supply the anterior spinal artery, the largest of which is the artery of Adamkiewicz between T9 and T11. (biomedcentral.com)
  • Mid-thoracic levels are most vulnerable to ischemia (for example, as a result of thrombosis) as there is only one radicular artery supplying the anterior spinal artery in this region, and sparse anastomoses. (biomedcentral.com)
  • The territory of the anterior spinal artery covers the anterolateral and corticospinal tracts, but not the dorsal columns. (biomedcentral.com)
  • It should be borne in mind that certain segments of the spinal cord are particularly susceptible to ischemia due to the sometimes low collateral supply to the anterior spinal artery. (medicinelearners.com)
  • Incomplete lesions of the spinal cord: Central cord syndrome (top), Anterior cord syndrome (middle), and Brown-Séquard syndrome (bottom). (wikem.org)
  • Segmental procedures are mainly performed by the distraction between two vertebrae, which lead to the opening of the neural foramen and increases the epidural space. (wispineandpain.com)
  • FIGURE 6-3 Epidural tumor in Hodgkin's disease, showing compression of the thoracic spinal cord (Weil stain). (neupsykey.com)
  • Myelopathy can be the result of primary intrinsic disorders of the spinal cord or from secondary conditions, which result in extrinsic compression of the spinal cord. (bvsalud.org)
  • Cervical spinal cord injury (CSCI) without major bone injury (CSCIw) is described as a spinal cord injury without evidence of spinal fracture or dislocation on plain radiography or computed tomography [1-4] . (breathinglabs.com)
  • Adjacent segmental disease, junctional fracture, and vertebral subluxation are familiar complications following instrumented spinal fusion surgeries for osteoporotic spines. (scienceopen.com)
  • Spinal fracture classifications systems have been developed to aid in the understanding of fracture stability and help direct treatment. (jortho.org)
  • Acute myelopathy in patients with cancer can also be caused by irradiation, paraneoplastic necrotising myelitis, ruptured intervertebral disc and meningeal carcinomatosis with spinal cord involvement. (patient.info)
  • Transitory diffuse paresis that may progress to myelopathy to complete spinal cord injury. (boneandspine.com)
  • 6. Morio Y, Teshima R, Nagashima H, Nawata K, Yamasaki D, Nanjo Y. Correlation between operative outcomes of cervical compression myelopathy and MRI of the spinal cord. (backbonejournal.com)
  • Incidence of axial symptoms and segmental motor paralysis in selective ELAP was significantly lower than those in the C3-7 ELAP. (fujita-hu.ac.jp)
  • Overall, selective ELAP was less invasive and useful in reducing axial symptoms and segmental motor paralysis. (fujita-hu.ac.jp)
  • These symptoms are based on a lack of or insufficient blood flow, which means that the spinal cord can no longer transmit signals from the brain. (medicinelearners.com)
  • The degree and type of present symptoms depend on the affected part of the spinal cord. (intechopen.com)
  • Symptoms can develop gradually or very suddenly, but in any case, prompt spinal decompression surgery is essential to relieve pressure and prevent long-lasting nerve damage. (vetcan.org)
  • Cauda equina syndrome refers to a characteristic pattern of neuromuscular and urogenital symptoms resulting from the simultaneous compression of multiple lumbosacral nerve roots below the level of the conus medullaris (see the image below). (vetcan.org)
  • CES is accompanied by a range of symptoms, the severity of which depend on the degree of compression and the precise nerve roots that are being compressed. (vetcan.org)
  • Occasionally, the spinal nerves are affected. (msdmanuals.com)
  • FIGURE 6-1 Schematic illustration of the relationships between the spinal cord, spinal nerves, and vertebral column (lateral view), showing the termination of the dura (dura mater spinalis) and its continuation as the filum terminale externum. (neupsykey.com)
  • Each of the other spinal nerves (T1-12, L1-5, S1-5, and normally two coccygeal nerves, Co1 and Co2) emerges from the intervertebral foramen below the respective vertebra. (neupsykey.com)
  • Clinical practice and research demonstrate that mechanical compression alone to the nerves causes only motor deficits and altered sensation but does not necessarily cause pain. (medscape.com)
  • Of the 31 pairs of spinal nerves and roots, five lumbar (L1-L5) and five sacral (S1-S5) nerve pairs connect beginning in the lower back area. (newyorkpaindoctors.com)
  • More than in any other part of the nervous system, pathologic lesions impinging on the spinal cord often originate in the membranes or vertebral column that surround it. (neupsykey.com)
  • Twenty spinal metastases from renal origin (17 patients) treated by preoperative embolization with polyvinyl alcohol particles were analyzed retrospectively. (ajnr.org)
  • Preoperative embolization of spinal metastases of renal origin with polyvinyl alcohol particles is safe and might reduce intraoperative blood loss significantly. (ajnr.org)
  • There is, however, limited data about the effect of preoperative embolization on intraoperative blood loss in spinal metastases of renal origin (6, 7, 15) . (ajnr.org)
  • This retrospective study included 18 consecutive patients with 21 symptomatic spinal metastases who underwent preoperative spinal angiography and embolization at our institution between October 1995 and August 1999. (ajnr.org)
  • The control group consisted of 10 consecutive patients with 11 spinal metastases of renal carcinoma, which were treated surgically without preoperative embolization between April 1994 and April 1997. (ajnr.org)
  • Twenty-four patients underwent preoperative transarterial embolization of hyper-vascular spinal metastases. (123dok.net)
  • Injury above the level of C3, C4, C5 (the segmental level of the phrenic nerve) cause paralysis of the diaphragm and artificial ventilation is required. (patient.info)
  • [1] Characteristic findings are a normal upper spinal cord that abruptly changes in caliber resulting in a wedge shape, a markedly thinned out or indiscernible middle cord segment devoid of nerve roots and a bulky, low-lying, thickened cord caudally. (bioline.org.br)
  • Indirect decompression in spinal surgery means decompression of spinal nerve tissues, such as spinal cord and nerve, without resecting the compressing tissue. (wispineandpain.com)
  • Understanding the indirect spinal decompression procedures may broaden the options for surgical treatment and decrease the risk of spinal nerve tissue injury. (wispineandpain.com)
  • As the ventral and dorsal roots (on each side) at each segmental level converge to become a spinal nerve, they are enclosed in sleeves of arachnoidal and dural tissue (see Fig 6-2 ). (neupsykey.com)
  • The dorsal root sleeve contains the dorsal root ganglion near the point at which both sleeves merge to become the connective tissue sheath (perineurium) of a spinal nerve. (neupsykey.com)
  • Chronic nerve root compression can induce axon ischemia, impede venous return, promote plasma protein extravasation, and cause local inflammation. (medscape.com)
  • The terminology, "cauda equina," literally means tail of horse and refers to the normal anatomy of the end of the spinal cord in the low back where it divides into many bundles of nerve tracts resembling a horse's tail. (vetcan.org)
  • As an index of morphological changes in the spinal cord during the early postoperative period, the change rate of CR (CrCR, %) was calculated as CR within 4 weeks postoperatively /CR preoperatively × 100. (thejns.org)
  • The signal transmitted by the brain is routed through 2 intermediate segments (the brainstem and the sacral spinal cord) prior to reaching the bladder. (medscape.com)
  • Spinal neoplastic lesions of metastatic origin severely affect patient quality of life. (123dok.net)
  • A lesion of the thoracic spinal cord (T1-12) will produce a spastic paraplegia. (bionity.com)
  • A lesion of the lower part of the spinal cord (L1-S5) often produces a combination of upper and lower motor neuron signs in the lower limbs. (bionity.com)
  • Because of the acuteness of this lesion, signs of spinal shock may be evident, in which the lower limbs will be flaccid and areflexic, rather than spastic and hyperreflexic as they should be in upper motor neuron paralysis. (bionity.com)
  • If a vertebral body or a disc lesion compresses the spinal cord, it should be removed with the respective decompression technique. (aofoundation.org)
  • The development of pathology at the mobile segment next to a lumbar or lumbosacral spinal fusion has been termed adjacent segment disease. (scienceopen.com)
  • Spinal Cord Arteriovenous Malformations (AVMs) Arteriovenous malformations (AVMs) in or around the spinal cord can cause cord compression, ischemia, parenchymal hemorrhage, subarachnoid hemorrhage, or a combination. (msdmanuals.com)
  • Acute spinal cord ischemia syndrome is a rare condition comprising a small fraction of neurovascular accidents, the majority of which occur within the cerebral circulation. (biomedcentral.com)
  • In this case report, we review acute spinal cord ischemia syndrome and consider the pathophysiology, diagnostic measures and prognostic factors associated with patient recovery. (biomedcentral.com)
  • Indirect spinal decompression procedures largely can be divided into segmental procedures and global spinal alignment procedures. (wispineandpain.com)
  • This survey of best practices in emergency neurology provides succinct and crucial clinical information for all emergency physicians who diagnose and manage neurologic disorders such as headache, seizure, and spinal cord injury. (cambridge.org)
  • Embolization has been used as a presurgical maneuver in the treatment of a variety of primary and secondary spinal tumors (6-22) . (ajnr.org)
  • Various pathological conditions, including surgical treatments, traumatic injuries, embolism, malformations and tumors, result in severe changes in the arterial blood supply to the spinal cord [ 1 ]. (intechopen.com)
  • Metastasizing tumors show spinal manifestation in 30-70% of cases [2]. (123dok.net)
  • Diseases of the cervical spinal cord (CSC) have a special importance among the central nervous system diseases of the horse because of their high prevalence, clinical signs and often poor prognosis [ 16 , 17 ]. (hindawi.com)
  • Clinical features depend upon the extent and rate of development of spinal cord compression. (patient.info)
  • Tortori-Donati P, Fondelli MP, Rossi A, Raybaud CA, Cama A, Capra V. Segmental spinal dysgenesis: Neuroradiologic findings with clinical and embryologic correlation. (bioline.org.br)
  • The circulation of the spinal cord has several unique features that determine the clinical presentation. (biomedcentral.com)
  • Three-month-old female Sprague-Dawley rats received L3 spinal compression injury. (biomedcentral.com)
  • Several animal models exist to examine physiological and functional changes after the spinal cord injury with aim to explain knowledge about the spinal cord injury in human. (intechopen.com)
  • This chapter compares the arterial spinal cord blood supply of the frequently used species (pig, dog, cat, rabbit and rat) in experimental spinal cord injury and in human. (intechopen.com)
  • Spinal cord injury is associated with sustainable disability and results in loss of bladder, respiratory, cardiac, or sexual functions, and in varying degree of paralysis [ 2 ]. (intechopen.com)
  • Eventually, the patient remained with a Frankel Grade C spinal cord injury. (scienceopen.com)
  • But it can occur in children who have a spinal birth defect or have had a spinal injury. (vetcan.org)
  • Causes of Cauda Equina Syndrome :-Cauda equina syndrome occurs more often in adults than in children, but it can occur in children who have a spinal birth defect or have had a spinal injury. (vetcan.org)
  • Although the cervical spinal cord (CSC) of the horse has particular importance in diseases of CNS, there is very little information about its segmental morphometry. (hindawi.com)
  • Pedicle screw instrumentation for treating spinal disorder is becoming increasingly widespread. (scienceopen.com)
  • How do additional rods reduce loads on the primary rods in adult spinal instrumentation with pedicle subtraction osteotomy? (polymtl.ca)
  • One of the most distinctive adaptive changes seen in human spinal column has been the assumption of a gentle 'S' curve in sagittal plane with thoracic kyphosis [TK] interposed between cervical and lumbar lordosis [LL]. (ijsonline.co.in)
  • Spinal fusion and spinal deformity surgery appear at first to be the simple placement of screws with rods, cages and or spacers. (renalandurologynews.com)
  • Acute compression may follow subacute and chronic compression, especially if the cause is abscess or tumor. (msdmanuals.com)
  • Abstract The aim of this study was to evaluate the impact of preopera-tive devascularization of spinal metastases in relation to the pre-embolization tumor vascularization degree and in relation to the intra-operative blood loss. (123dok.net)
  • In some cases, the disease is presumedly caused by viral infections or vaccinations and has also been associated with spinal cord injuries, immune reactions, schistosomiasis and insufficient blood flow through spinal cord vessels. (bionity.com)
  • This presented originally with neck pain and was detected on spinal radiographs, with conservative management in a soft cervical orthosis implemented. (surgicalneurologyint.com)
  • The dentate ligament is a long flange of whitish, mostly pial tissue that runs along both lateral margins of the spinal cord between the dorsal and ventral rootlets (see Fig 6-2 ). (neupsykey.com)
  • The more quickly treatment (via surgical decompression of the spinal cord) is received, the better the chances are that you will recover fully. (vetcan.org)
  • Conclusion: This study concluded that kalten born segmental traction(KST) shows more satisfactory results than mechanical cervical traction (MCT) in subjects of cervical spondylosis for resuming their functional status in terms of NDI. (annalskemu.org)
  • A complete understanding of the anatomy of the arterial blood supply to the spinal cord is critical for the anatomists and clinicians to determinate the advantages and disadvantages of each animal model for next studies. (intechopen.com)
  • This study reveals that severe compression of the spinal cord and its greater morphological restoration during the early postoperative period affect C5P development. (thejns.org)
  • Overview of Spinal Cord Disorders Spinal cord disorders can cause permanent severe neurologic disability. (msdmanuals.com)
  • The knowledge of the arterial blood supply to the spinal cord is very important in planning the procedures of the spinal cord treatment as well as in animal experiments. (intechopen.com)
  • The filum terminale stabilizes the cord and dura lengthwise. (neupsykey.com)
  • The aim of this study was to examine whether spinal cord morphology and morphological restoration after surgery affect C5P development. (thejns.org)
  • [2] , [3] Surgery is indicated when significant compression of the spinal cord is demonstrated on radiological examination. (bioline.org.br)
  • A control group of 10 patients with 11 spinal metastases of renal origin underwent surgery without embolization. (ajnr.org)
  • Rarely, sagittal imbalance may be seen following spinal fusion surgery through an area of pseudarthrosis or through a degenerated segment adjacent to a previous fusion. (ijsonline.co.in)
  • He really is one of the most, I would say, innovative spirits in neurosurgery who really brings up a new perspective to surgical management of craniovertebral junction, as we had during the last lecture, and today he's going to talk to us about how we can look at spinal surgery differently, and way beyond decompression. (neurosurgicalatlas.com)
  • Improvement of motor-evoked potentials by ketamine and spatial facilitation during spinal surgery in a young child. (wikem.org)
  • Effects of dexmedetomidine on intraoperative motor and somatosensory evoked potential monitoring during spinal surgery in adolescents. (wikem.org)