规范化脊柱外科术中神经电生理监测技术的专家共识

Expert consensus on standardized intraoperative neuroelectro- physiological monitoring during spinal surgery

中文摘要:

  为脊柱外科术中神经电生理监测的应用提出一套实用技术规范，以便监测脊髓神经功能的完整性，为脊柱外科手术提供重要的安全信息。本共识参考国际类似规范和近年研究结果，经过对具有术中脊髓监护经验的脊柱外科专家咨询调查和充分讨论，提出基于专家共识的术中神经电生理监测临床技术规范。描述了术中神经电生理监测所使用的各种体感诱发电位、运动诱发电位和肌电监测的技术要求和临床操作规范，阐明了脊柱外科手术中神经监测的基本原则。基于专家共识的临床实用规范草案，将有力地推广神经电生理监测技术在脊柱外科手术中的应用，为提高脊柱外科手术的安全性提供有效的手段。

英文摘要:

  Intraoperative neurophysiology monitoring (IONM) can measure the integrity of spinal cord function, and provide essential information for surgical safety. This paper is to propose a set of practical technical specifications for IONM clinical application in spine surgery. With consideration of relative norms and recently reported results, a consensus-based survey and discussion were conducted among a group of senior and experienced spine surgeons. A clinical guideline of IONM was suggested with consensus, which described the technical requirements and practical guideline of various monitoring techniques, including somatosensory evoked potentials, motor evoked potentials and electromyography. It elaborates the basic principle of IONM in different spinal surgeries. The draft IONM guideline is the consensus of a group of senior and experienced spine surgeons. It will greatly promote the application of IONM in spine surgery, providing a useful tool to enhance the safety of spinal operation.