Intraoperative Neurological Monitoring in Lower Limb Surgery for Patients With Mucopolysaccharidoses

Conclusions: Patients with MPS undergoing LE orthopaedic surgery may be at risk for SCI, particularly if the procedures are long or are expected to have large EBL. One hypothesis for the etiology of SCI in this setting is hypoperfusion of the upper thoracic spinal cord due to prolonged intraoperative or postoperative hypotension. IONM during these procedures may mitigate the risk of SCI by identifying real-time changes in spinal cord function during surgery, inciting a change in the surgical plan. Level of Evidence: Level III—retrospective comparative series.
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Metabolic Source Type: research