臨床整形外科57巻10号

2022年10月発行

症例報告

術中脊髄モニタリングの使用により腰椎Pedicle Subtraction Osteotomy併用矯正固定術後の重篤な神経麻痺を回避できた1例

著者： 冨田貴裕¹ 松本富哉¹ 長本行隆¹ 奥田眞也¹ 髙橋佳史¹ 古家雅之¹ 岩﨑幹季¹

所属機関： ¹大阪ろうさい病院整形外科

ページ範囲：P.1273 - P.1277

症例は69歳女性．矢状面アライメント不良と高度の後弯変形を伴った成人脊柱変形に対し，術中脊髄モニタリングを使用して第4腰椎(L4)PSOと第9胸椎から骨盤までの矯正固定術を施行した．L4PSO後の矯正操作の際に両下肢のモニタリング波形の消失を認めたが，すぐに矯正の解除と骨切り部周囲の除圧を追加したことで波形の回復を得ることができた．術中波形の変化に対して適切に対応したことで重篤な神経麻痺を回避できたという点で，術中脊髄モニタリングが有用であった1例と考えた．

参考文献

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