Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty
Introduction: Percutaneous cement discoplasty is a minimally invasive procedure to treat low back pain due to advanced degenerative disc disease in elderly patients. Complications of this procedure has been described such as infection, vertebral fracture, cement leakage and nerve injury. Intraoperat...
Guardado en:
| Autores principales: | , , , , , , , , , |
|---|---|
| Formato: | Artículo revista |
| Lenguaje: | Inglés |
| Publicado: |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
|
| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/32619 |
| Aporte de: |
| id |
I10-R10-article-32619 |
|---|---|
| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-10 |
| container_title_str |
Revistas de la UNC |
| language |
Inglés |
| format |
Artículo revista |
| topic |
scoliosis back pain spinal diseases escoliosis dolor de espalda enfermedades de la columna vertebral escoliose dor nas costas doenças da coluna vertebral |
| spellingShingle |
scoliosis back pain spinal diseases escoliosis dolor de espalda enfermedades de la columna vertebral escoliose dor nas costas doenças da coluna vertebral Camino Willhuber, Gaston Oscar Bendersky, Mariana Vilte, Carolina Kido, Gonzalo Pereira Duarte, Matias Estefan, Martin Bassani, Julio Petracchi, Matias Gruenberg, Marcelo Sola, Carlos Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty |
| topic_facet |
scoliosis back pain spinal diseases escoliosis dolor de espalda enfermedades de la columna vertebral escoliose dor nas costas doenças da coluna vertebral |
| author |
Camino Willhuber, Gaston Oscar Bendersky, Mariana Vilte, Carolina Kido, Gonzalo Pereira Duarte, Matias Estefan, Martin Bassani, Julio Petracchi, Matias Gruenberg, Marcelo Sola, Carlos |
| author_facet |
Camino Willhuber, Gaston Oscar Bendersky, Mariana Vilte, Carolina Kido, Gonzalo Pereira Duarte, Matias Estefan, Martin Bassani, Julio Petracchi, Matias Gruenberg, Marcelo Sola, Carlos |
| author_sort |
Camino Willhuber, Gaston Oscar |
| title |
Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty |
| title_short |
Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty |
| title_full |
Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty |
| title_fullStr |
Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty |
| title_full_unstemmed |
Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty |
| title_sort |
accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty |
| description |
Introduction: Percutaneous cement discoplasty is a minimally invasive procedure to treat low back pain due to advanced degenerative disc disease in elderly patients. Complications of this procedure has been described such as infection, vertebral fracture, cement leakage and nerve injury. Intraoperative neuromonitoring is used to detect the latter. The objective of this study was to assess the usefulness of neuromonitoring during discoplasty to detect new neurological compromise.
Methods: 100 consecutive patients were included in this retrospective study, (30 males and 70 females, mean age of 76.3 ± 5.71 years) with mechanical low back pain who underwent percutaneous cement discoplasty.
Results: Sensitivity to detect neurological injury was 82% (CI 95% 66-98), specificity was of 99% (CI 95%98-100) with a positive predictive value of 0.95 (CI 95% 85-100) and a negative predictive value of 0.97 (CI 95% 95-99). In 5 patients neurological compromise was not detected by neuromonitoring.
Discussion: Our study showed high sensitivity and specificity of neuromonitoring to detect neurological irritation during percutaneous discoplasty. Intraoperative neuromonitoring resulted an effective assistance during this minimally invasive procedure.
|
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/32619 |
| work_keys_str_mv |
AT caminowillhubergastonoscar accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT benderskymariana accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT viltecarolina accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT kidogonzalo accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT pereiraduartematias accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT estefanmartin accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT bassanijulio accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT petracchimatias accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT gruenbergmarcelo accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT solacarlos accuracyofintraoperativeneuromonitoringduringpercutaneouscementdiscoplasty AT caminowillhubergastonoscar precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT benderskymariana precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT viltecarolina precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT kidogonzalo precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT pereiraduartematias precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT estefanmartin precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT bassanijulio precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT petracchimatias precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT gruenbergmarcelo precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT solacarlos precisiondelneuromonitoreointraoperatorioduranteladiscoplastiapercutaneaconcemento AT caminowillhubergastonoscar precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo AT benderskymariana precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo AT viltecarolina precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo AT kidogonzalo precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo AT pereiraduartematias precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo AT estefanmartin precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo AT bassanijulio precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo AT petracchimatias precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo AT gruenbergmarcelo precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo AT solacarlos precisaodoneuromonitoramentointraoperatoriodurantediscoplastiacomcimentopercutaneo |
| first_indexed |
2022-08-20T01:27:47Z |
| last_indexed |
2022-08-20T01:27:47Z |
| _version_ |
1770719096845893632 |
| spelling |
I10-R10-article-326192021-11-18T12:43:09Z Accuracy of intraoperative neuromonitoring during percutaneous cement discoplasty Precisión del neuromonitoreo intraoperatorio durante la discoplastia percutánea con cemento Precisão do neuromonitoramento intraoperatório durante discoplastia com cimento percutâneo Camino Willhuber, Gaston Oscar Bendersky, Mariana Vilte, Carolina Kido, Gonzalo Pereira Duarte, Matias Estefan, Martin Bassani, Julio Petracchi, Matias Gruenberg, Marcelo Sola, Carlos scoliosis back pain spinal diseases escoliosis dolor de espalda enfermedades de la columna vertebral escoliose dor nas costas doenças da coluna vertebral Introduction: Percutaneous cement discoplasty is a minimally invasive procedure to treat low back pain due to advanced degenerative disc disease in elderly patients. Complications of this procedure has been described such as infection, vertebral fracture, cement leakage and nerve injury. Intraoperative neuromonitoring is used to detect the latter. The objective of this study was to assess the usefulness of neuromonitoring during discoplasty to detect new neurological compromise. Methods: 100 consecutive patients were included in this retrospective study, (30 males and 70 females, mean age of 76.3 ± 5.71 years) with mechanical low back pain who underwent percutaneous cement discoplasty. Results: Sensitivity to detect neurological injury was 82% (CI 95% 66-98), specificity was of 99% (CI 95%98-100) with a positive predictive value of 0.95 (CI 95% 85-100) and a negative predictive value of 0.97 (CI 95% 95-99). In 5 patients neurological compromise was not detected by neuromonitoring. Discussion: Our study showed high sensitivity and specificity of neuromonitoring to detect neurological irritation during percutaneous discoplasty. Intraoperative neuromonitoring resulted an effective assistance during this minimally invasive procedure. Introducción: La Discoplastia percutánea con cemento es un procedimiento mínimamente invasivo para tratar el dolor lumbar debido a la enfermedad degenerativa del disco avanzada en pacientes ancianos. Se han descrito complicaciones de este procedimiento como infección, fractura vertebral, fuga de cemento y lesión nerviosa. El neuromonitoreo intraoperatorio se utiliza para detectar este último. El objetivo de este estudio fue evaluar la utilidad del neuromonitoreo intraoperatorio durante la Discoplastia para detectar un nuevo compromiso neurológico. Materiales y Métodos: se incluyeron en este estudio retrospectivo 100 pacientes consecutivos (30 varones y 70 mujeres, edad media 76,3 ± 5,71 años) con lumbalgia mecánica sometidos a Discoplastia percutánea con cemento. Resultados: La sensibilidad para detectar lesión neurológica fue del 82% (IC 95% 66-98), la especificidad fue del 99% (IC 95% 98-100) con un valor predictivo positivo de 0,95 (IC 95% 85-100) y un valor predictivo negativo. valor predictivo de 0,97 (IC 95% 95-99). En 5 pacientes no se detectó compromiso neurológico mediante neuromonitoreo. Discusión: Nuestro estudio mostró una alta sensibilidad y especificidad del neuromonitoreo intraoperatorio para detectar irritación neurológica durante la discoplastia percutánea. El neuromonitoreo intraoperatorio resultó una ayuda eficaz durante este procedimiento mínimamente invasivo. Introdução: A discoplastia percutânea com cimento é um procedimento minimamente invasivo para o tratamento da lombalgia por doença degenerativa discal avançada em pacientes idosos. As complicações desse procedimento foram descritas, como infecção, fratura vertebral, vazamento de cimento e lesão nervosa. O neuromonitoramento intraoperatório é usado para detectar o último. O objetivo deste estudo foi avaliar a utilidade do neuromonitoramento durante a discoplastia para detectar novos comprometimentos neurológicos. Métodos: 100 pacientes consecutivos foram incluídos neste estudo retrospectivo, (30 homens e 70 mulheres, idade média de 76,3 ± 5,71 anos) com lombalgia mecânica, submetidos à discoplastia percutânea com cimento. Resultados: A sensibilidade para detectar lesão neurológica foi de 82% (IC 95% 66-98), a especificidade foi de 99% (IC 95% 98-100) com um valor preditivo positivo de 0,95 (IC 95% 85-100) e negativo valor preditivo de 0,97 (IC 95% 95-99). Em 5 pacientes, o comprometimento neurológico não foi detectado por neuromonitoramento. Discussão: Nosso estudo mostrou alta sensibilidade e especificidade do neuromonitoramento para detectar irritação neurológica durante a discoplastia percutânea. O neuromonitoramento intraoperatório resultou em uma assistência eficaz durante esse procedimento minimamente invasivo. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-08-23 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/32619 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. 3 (2021); 257-263 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. 3 (2021); 257-263 Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. 3 (2021); 257-263 1853-0605 0014-6722 10.31053/1853.0605.v78.n3 eng https://revistas.unc.edu.ar/index.php/med/article/view/32619/34909 https://revistas.unc.edu.ar/index.php/med/article/view/32619/34910 Derechos de autor 2021 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |