Surveillance per-operatoire des scolioses chez l'adulte jeune par les potentiels evoques somesthesiques: A propos de 33 cas
Identifieur interne : 001887 ( Istex/Corpus ); précédent : 001886; suivant : 001888Surveillance per-operatoire des scolioses chez l'adulte jeune par les potentiels evoques somesthesiques: A propos de 33 cas
Auteurs : F. Cheliout-Heraut ; J. M. Vital ; J. C. Pouliquen ; Z. Bitar ; L. A. HerautSource :
- Neurophysiologie Clinique / Clinical Neurophysiology [ 0987-7053 ] ; 1989.
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- KwdEn :
Abstract
La chirurgie de la scoliose comporte un risque potentiel non négligeable de complications neurologiques graves. Les potentiels évoqués somesthésiques fournissent un moyen électrophysiologique de contrôle per-opératoire. Chez 33 sujets opérés de scoliose, les enregistrements ont été pratiqués, avant l'intervention, pendant l'intervention et après l'intervention. En cours d'intervention, 4 temps opératoires ont été plus spécialement étudiés: l'induction, la mise en place des crochets, l'élongation-dérotation et la fermeture, le but du travail étant de déterminer des critères d'alarme. L'analyse statistique des résultats montre une augmentation significative des latences à la mise en place des crochets et lors de l'élongation-dérotation. Les critères d'alarme retenus sont : un allongement de plus de 5 msec de l'onde P1 par rapport à l'induction, accompagné d'une baisse d'amplitude anormale (plus de 75%). La persistance éventuelle de ces anomalies amène à pratiquer un réveil sur table. En pratique, cette surveillance a permis le plus souvent de réduire le temps opératoire, en réservant le « réveil sur tableà un nombre limité de cas sélectionnés.
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DOI: 10.1016/S0987-7053(89)80102-9
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ISTEX:97551E0CDCAFF6D97EEC08A0849AEF1092DF2D53Le document en format XML
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Les potentiels évoqués somesthésiques fournissent un moyen électrophysiologique de contrôle per-opératoire. Chez 33 sujets opérés de scoliose, les enregistrements ont été pratiqués, avant l'intervention, pendant l'intervention et après l'intervention. En cours d'intervention, 4 temps opératoires ont été plus spécialement étudiés: l'induction, la mise en place des crochets, l'élongation-dérotation et la fermeture, le but du travail étant de déterminer des critères d'alarme. L'analyse statistique des résultats montre une augmentation significative des latences à la mise en place des crochets et lors de l'élongation-dérotation. Les critères d'alarme retenus sont : un allongement de plus de 5 msec de l'onde P1 par rapport à l'induction, accompagné d'une baisse d'amplitude anormale (plus de 75%). La persistance éventuelle de ces anomalies amène à pratiquer un réveil sur table. En pratique, cette surveillance a permis le plus souvent de réduire le temps opératoire, en réservant le « réveil sur tableà un nombre limité de cas sélectionnés.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>F. Cheliout-Heraut</name><affiliations><json:string>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</json:string><json:string>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</json:string><json:string>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</json:string></affiliations></json:item><json:item><name>J.M. Vital</name><affiliations><json:string>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</json:string><json:string>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</json:string><json:string>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</json:string></affiliations></json:item><json:item><name>J.C. 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Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation></author><author><persName><forename type="first">J.M.</forename><surname>Vital</surname></persName><affiliation>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</affiliation><affiliation>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation></author><author><persName><forename type="first">J.C.</forename><surname>Pouliquen</surname></persName><affiliation>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</affiliation><affiliation>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation></author><author><persName><forename type="first">Z.</forename><surname>Bitar</surname></persName><affiliation>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</affiliation><affiliation>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation></author><author><persName><forename type="first">L.A.</forename><surname>Heraut</surname></persName><affiliation>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</affiliation><affiliation>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation></author></analytic><monogr><title level="j">Neurophysiologie Clinique / Clinical Neurophysiology</title><title level="j" type="abbrev">NEUCLI</title><idno type="pISSN">0987-7053</idno><idno type="PII">S0987-7053(89)X8099-6</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1989"></date><biblScope unit="volume">19</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="297">297</biblScope><biblScope unit="page" to="310">310</biblScope></imprint></monogr><idno type="istex">97551E0CDCAFF6D97EEC08A0849AEF1092DF2D53</idno><idno type="DOI">10.1016/S0987-7053(89)80102-9</idno><idno type="PII">S0987-7053(89)80102-9</idno><idno type="ArticleID">89801029</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1989</date></creation><langUsage><language ident="fr">fr</language></langUsage><abstract xml:lang="fr"><p>La chirurgie de la scoliose comporte un risque potentiel non négligeable de complications neurologiques graves. Les potentiels évoqués somesthésiques fournissent un moyen électrophysiologique de contrôle per-opératoire. Chez 33 sujets opérés de scoliose, les enregistrements ont été pratiqués, avant l'intervention, pendant l'intervention et après l'intervention. En cours d'intervention, 4 temps opératoires ont été plus spécialement étudiés: l'induction, la mise en place des crochets, l'élongation-dérotation et la fermeture, le but du travail étant de déterminer des critères d'alarme. L'analyse statistique des résultats montre une augmentation significative des latences à la mise en place des crochets et lors de l'élongation-dérotation. Les critères d'alarme retenus sont : un allongement de plus de 5 msec de l'onde P1 par rapport à l'induction, accompagné d'une baisse d'amplitude anormale (plus de 75%). La persistance éventuelle de ces anomalies amène à pratiquer un réveil sur table. En pratique, cette surveillance a permis le plus souvent de réduire le temps opératoire, en réservant le « réveil sur tableà un nombre limité de cas sélectionnés.</p></abstract><abstract xml:lang="en"><p>The risk of serious neurologic complications in spinal surgery for scoliosis is not insignificant. The recording of cortical somatosensory evoked potentials (CSEP) is an electrophysiological method of monitoring during surgery. Measurement of CSEPs was carried out before, during and after surgery in a preliminary series of 33 patients. These recordings were made: after induction of anesthesia and exposure of the spine; after instrumentation but without correction; after maximum traction; and at termination of surgery. The aim of this work was to establish alarm criteria. Statistical analysis showed a significant increase in latencies after instrumentation without correction, and after maximum traction. The alarm criteria were determined as an increase of more than 5 msec in the first positive deflection associated with an unusual drop in amplitude (over 75%). If these anomalies persist, the “wake-up test” must be used. In practice, this monitoring has often aided in reducing the period of surgery by using the “wake-up test” in a few selected cases.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>scoliose</term></item><item><term>chirurgie</term></item><item><term>potentiels évoqués somesthésiques</term></item><item><term>contrôle per-opératoire</term></item></list></keywords></textClass><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>scoliosis</term></item><item><term>surgery</term></item><item><term>cortical somatosensory evoked potentials</term></item><item><term>monitoring during surgery</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1989-05-22">Registration</change><change when="1989">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier doc found" wicri:toSee="Elsevier, no converted or simple article"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 5.0.1//EN//XML" URI="art501.dtd" name="istex:docType"></istex:docType><istex:document><article version="5.0" xml:lang="fr" docsubtype="fla"><item-info><jid>NEUCLI</jid><aid>89801029</aid><ce:pii>S0987-7053(89)80102-9</ce:pii><ce:doi>10.1016/S0987-7053(89)80102-9</ce:doi><ce:copyright type="unknown" year="1989">Editions Scientifiques Elsevier, Paris</ce:copyright></item-info><head><ce:dochead><ce:textfn>Article Original</ce:textfn></ce:dochead><ce:title>Surveillance per-operatoire des scolioses chez l'adulte jeune par les potentiels evoques somesthesiques: A propos de 33 cas</ce:title><ce:alt-title xml:lang="en">CSEP monitoring during surgery for scoliosis in young adults</ce:alt-title><ce:author-group><ce:author><ce:given-name>F.</ce:given-name><ce:surname>Cheliout-Heraut</ce:surname><ce:cross-ref refid="aff1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="aff2"><ce:sup>2</ce:sup></ce:cross-ref><ce:cross-ref refid="aff3"><ce:sup>3</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>J.M.</ce:given-name><ce:surname>Vital</ce:surname><ce:cross-ref refid="aff1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="aff2"><ce:sup>2</ce:sup></ce:cross-ref><ce:cross-ref refid="aff3"><ce:sup>3</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>J.C.</ce:given-name><ce:surname>Pouliquen</ce:surname><ce:cross-ref refid="aff1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="aff2"><ce:sup>2</ce:sup></ce:cross-ref><ce:cross-ref refid="aff3"><ce:sup>3</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Z.</ce:given-name><ce:surname>Bitar</ce:surname><ce:cross-ref refid="aff1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="aff2"><ce:sup>2</ce:sup></ce:cross-ref><ce:cross-ref refid="aff3"><ce:sup>3</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>L.A.</ce:given-name><ce:surname>Heraut</ce:surname><ce:cross-ref refid="aff1"><ce:sup>1</ce:sup></ce:cross-ref><ce:cross-ref refid="aff2"><ce:sup>2</ce:sup></ce:cross-ref><ce:cross-ref refid="aff3"><ce:sup>3</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="aff1"><ce:label>1</ce:label><ce:textfn>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</ce:textfn></ce:affiliation><ce:affiliation id="aff2"><ce:label>2</ce:label><ce:textfn>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</ce:textfn></ce:affiliation><ce:affiliation id="aff3"><ce:label>3</ce:label><ce:textfn>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</ce:textfn></ce:affiliation></ce:author-group><ce:date-received day="14" month="10" year="1988"></ce:date-received><ce:date-accepted day="22" month="5" year="1989"></ce:date-accepted><ce:abstract id="ab1" class="author" xml:lang="fr"><ce:section-title>Résumé</ce:section-title><ce:abstract-sec><ce:simple-para>La chirurgie de la scoliose comporte un risque potentiel non négligeable de complications neurologiques graves. Les potentiels évoqués somesthésiques fournissent un moyen électrophysiologique de contrôle per-opératoire. Chez 33 sujets opérés de scoliose, les enregistrements ont été pratiqués, avant l'intervention, pendant l'intervention et après l'intervention. En cours d'intervention, 4 temps opératoires ont été plus spécialement étudiés: l'induction, la mise en place des crochets, l'élongation-dérotation et la fermeture, le but du travail étant de déterminer des critères d'alarme. L'analyse statistique des résultats montre une augmentation significative des latences à la mise en place des crochets et lors de l'élongation-dérotation. Les critères d'alarme retenus sont : un allongement de plus de 5 msec de l'onde P1 par rapport à l'induction, accompagné d'une baisse d'amplitude anormale (plus de 75%). La persistance éventuelle de ces anomalies amène à pratiquer un réveil sur table. En pratique, cette surveillance a permis le plus souvent de réduire le temps opératoire, en réservant le « réveil sur tableà un nombre limité de cas sélectionnés.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:abstract id="ab2" class="author" xml:lang="en"><ce:section-title>Summary</ce:section-title><ce:abstract-sec><ce:simple-para>The risk of serious neurologic complications in spinal surgery for scoliosis is not insignificant. The recording of cortical somatosensory evoked potentials (CSEP) is an electrophysiological method of monitoring during surgery. Measurement of CSEPs was carried out before, during and after surgery in a preliminary series of 33 patients. These recordings were made: after induction of anesthesia and exposure of the spine; after instrumentation but without correction; after maximum traction; and at termination of surgery. The aim of this work was to establish alarm criteria. Statistical analysis showed a significant increase in latencies after instrumentation without correction, and after maximum traction. The alarm criteria were determined as an increase of more than 5 msec in the first positive deflection associated with an unusual drop in amplitude (over 75%). If these anomalies persist, the “wake-up test” must be used. In practice, this monitoring has often aided in reducing the period of surgery by using the “wake-up test” in a few selected cases.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords class="keyword" xml:lang="en"><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>scoliose</ce:text></ce:keyword><ce:keyword><ce:text>chirurgie</ce:text></ce:keyword><ce:keyword><ce:text>potentiels évoqués somesthésiques</ce:text></ce:keyword><ce:keyword><ce:text>contrôle per-opératoire</ce:text></ce:keyword></ce:keywords><ce:keywords class="keyword" xml:lang="en"><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>scoliosis</ce:text></ce:keyword><ce:keyword><ce:text>surgery</ce:text></ce:keyword><ce:keyword><ce:text>cortical somatosensory evoked potentials</ce:text></ce:keyword><ce:keyword><ce:text>monitoring during surgery</ce:text></ce:keyword></ce:keywords></head><tail><ce:bibliography><ce:section-title>Références</ce:section-title><ce:bibliography-sec><ce:bib-reference id="bib1"><ce:label>Croft, et al, 1972</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Croft</ce:surname><ce:given-name>T.J.</ce:given-name></sb:author><sb:author><ce:surname>Brodkey</ce:surname><ce:given-name>J.S.</ce:given-name></sb:author><sb:author><ce:surname>Nulsen</ce:surname><ce:given-name>F.E.</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Reversible spinal cord trauma. 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Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.M.</namePart><namePart type="family">Vital</namePart><affiliation>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</affiliation><affiliation>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.C.</namePart><namePart type="family">Pouliquen</namePart><affiliation>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</affiliation><affiliation>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Z.</namePart><namePart type="family">Bitar</namePart><affiliation>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</affiliation><affiliation>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L.A.</namePart><namePart type="family">Heraut</namePart><affiliation>Laboratoire d'explorations fonctionnelles (Pr de Lattre), France</affiliation><affiliation>Services chirurgie orthopédique, hôpital Raymond-Poincaré (Pr J.C. Pouliquen), France</affiliation><affiliation>hôpital du Tripode, 33000 Bordeaux (Pr J. Sénegas) France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1989</dateIssued><dateValid encoding="w3cdtf">1989-05-22</dateValid><copyrightDate encoding="w3cdtf">1989</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">fre</languageTerm><languageTerm type="code" authority="rfc3066">fr</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="fr">La chirurgie de la scoliose comporte un risque potentiel non négligeable de complications neurologiques graves. Les potentiels évoqués somesthésiques fournissent un moyen électrophysiologique de contrôle per-opératoire. Chez 33 sujets opérés de scoliose, les enregistrements ont été pratiqués, avant l'intervention, pendant l'intervention et après l'intervention. En cours d'intervention, 4 temps opératoires ont été plus spécialement étudiés: l'induction, la mise en place des crochets, l'élongation-dérotation et la fermeture, le but du travail étant de déterminer des critères d'alarme. L'analyse statistique des résultats montre une augmentation significative des latences à la mise en place des crochets et lors de l'élongation-dérotation. Les critères d'alarme retenus sont : un allongement de plus de 5 msec de l'onde P1 par rapport à l'induction, accompagné d'une baisse d'amplitude anormale (plus de 75%). La persistance éventuelle de ces anomalies amène à pratiquer un réveil sur table. En pratique, cette surveillance a permis le plus souvent de réduire le temps opératoire, en réservant le « réveil sur tableà un nombre limité de cas sélectionnés.</abstract><abstract lang="en">The risk of serious neurologic complications in spinal surgery for scoliosis is not insignificant. The recording of cortical somatosensory evoked potentials (CSEP) is an electrophysiological method of monitoring during surgery. Measurement of CSEPs was carried out before, during and after surgery in a preliminary series of 33 patients. These recordings were made: after induction of anesthesia and exposure of the spine; after instrumentation but without correction; after maximum traction; and at termination of surgery. The aim of this work was to establish alarm criteria. Statistical analysis showed a significant increase in latencies after instrumentation without correction, and after maximum traction. The alarm criteria were determined as an increase of more than 5 msec in the first positive deflection associated with an unusual drop in amplitude (over 75%). If these anomalies persist, the “wake-up test” must be used. In practice, this monitoring has often aided in reducing the period of surgery by using the “wake-up test” in a few selected cases.</abstract><note type="content">Section title: Article Original</note><subject lang="en"><genre>Keywords</genre><topic>scoliose</topic><topic>chirurgie</topic><topic>potentiels évoqués somesthésiques</topic><topic>contrôle per-opératoire</topic></subject><subject lang="en"><genre>Keywords</genre><topic>scoliosis</topic><topic>surgery</topic><topic>cortical somatosensory evoked potentials</topic><topic>monitoring during surgery</topic></subject><relatedItem type="host"><titleInfo><title>Neurophysiologie Clinique / Clinical Neurophysiology</title></titleInfo><titleInfo type="abbreviated"><title>NEUCLI</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">198909</dateIssued></originInfo><identifier type="ISSN">0987-7053</identifier><identifier type="PII">S0987-7053(89)X8099-6</identifier><part><detail type="volume"><number>19</number><caption>vol.</caption></detail><detail type="issue"><number>4</number><caption>no.</caption></detail><extent unit="issue pages"><start>271</start><end>358</end></extent><extent unit="pages"><start>297</start><end>310</end></extent></part></relatedItem><identifier type="istex">97551E0CDCAFF6D97EEC08A0849AEF1092DF2D53</identifier><identifier type="DOI">10.1016/S0987-7053(89)80102-9</identifier><identifier type="PII">S0987-7053(89)80102-9</identifier><identifier type="ArticleID">89801029</identifier><accessCondition type="use and reproduction" contentType="">© 1989Editions Scientifiques Elsevier, Paris</accessCondition><recordInfo><recordContentSource>ELSEVIER</recordContentSource><recordOrigin>Editions Scientifiques Elsevier, Paris, ©1989</recordOrigin></recordInfo></mods></metadata><enrichments><istex:catWosTEI uri="https://api.istex.fr/document/97551E0CDCAFF6D97EEC08A0849AEF1092DF2D53/enrichments/catWos"><teiHeader><profileDesc><textClass><classCode scheme="WOS">CLINICAL NEUROLOGY</classCode><classCode scheme="WOS">NEUROSCIENCES</classCode><classCode scheme="WOS">PHYSIOLOGY</classCode></textClass></profileDesc></teiHeader></istex:catWosTEI></enrichments><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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