000			03255cam a2200349 a 4500
003			EG-GiCUC
005			20250223032127.0
008			181202s2016 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.20.Ph.D.2016.Mo.R
100	0		_aMohamed Wahid Mohamed Fathy
245	1	0	_aRole of intraoperative evoked potential monitoring in avoiding complications during spine surgery / _cMohamed Wahid Mohamed Fathy ; Supervised Mohamed Lotfy Mohamed Ibrahim , Essam Mohamed Rashad , Ann Ali AbdelQader
246	1	5	_aمتانعة (متابعة) الجهد اثناء الجراحة لتفادي مضاعفات جراحة العمود الفقري
260			_aCairo : _bMohamed Wahid Mohamed Fathy , _c2016
300			_a125 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neurosurgery
520			_aAlthough rare, neurologic deficit is one of the most devastating complications of spine surgery (Fehlings et al, 2009). ). The incidence of severe postoperative neurologic sequelae has been reported to be 0.46% for anterior cervical discectomy (Clark, 1998), and 20-65.4% for decompression of spinal cord tumours or trauma (Cristante et al, 1994; Constantini et al, 2000; Husian et al, 2008). Thus, within the past two decades, increased emphasis has been placed on developing intraoperative neurophysiologic methods to accurately monitor the integrity of the spinal cord during spinal surgery. Currently, one such widely used technique is SSEP. SSEP monitoring has been utilized with great success in scoliosis and thoracolumbar spine surgery where it has been credited with reducing the incidence of neurological complications from 4{u2013}6.9% to 0{u2013}0.7% (Deutch et al, 2009) (Epstein et al, 1993) (Fehlings et al, 2009) (Gonzalez et al, 2009). The combined use of transcranial electric motor evoked potentials (tceMEP) in conjunction with SSEPs increases the ability to detect intraoperatively possible spinal cord compromise. In single or multilevel anterior cervical decompression and fusion for cervical radiculopathy without myelopathy,the use of tceMEP in conjunction with SSEP monitoring increases the sensitivity (from 33.3 to 100%), specificity (from 95.6 to 98.1%), positive predictive value (from 33.3 to 75.0%), negative predictive value (from 97.7 to 100%), and efficiency (from 91.7 to 98.2%) of detecting truly clinically significant events compared to SSEP monitoring alone. Due to this and other reports of SSEP's low sensitivity and positive predictive value, some have more recently suggested using tceMEP monitoring in conjunction with SSEP tracings during cervical spine surgery (McDonald et al, 2007)
530			_aIssued also as CD
653		4	_aAvoiding complications
653		4	_aIntraoperative evoked potential monitoring
653		4	_aSpine surgery
700	0		_aAnn Ali AbdelQader , _eSupervisor
700	0		_aEssam Mohamed Rashad , _eSupervisor
700	0		_aMohamed Lotfy Mohamed Ibrahim , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aEnas _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c68870 _d68870