A modified wake-up test for use in very young children undergoing spinal surgery

David W. Polly, William R. Klemme, John L. Fontana, Michael D. Sterbis

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

In a consecutive series of five very young children undergoing hemivertebrectomy and fusion, a modified intraoperative wake-up test was used to confirm neurologic integrity. Standard leads attached to a nerve stimulator and positioned over the plantar aspect of each foot were used to apply tetanic electrical stimulation at the time of intraoperative wake-up. Four children responded vigorously with flexion and extension of the knees and ankles after only minimal delay. One neurologically intact child did not respond because of technical issues. This report describes our favorable preliminary experience with this technique.

Original languageEnglish (US)
Pages (from-to)64-65
Number of pages2
JournalJournal of Pediatric Orthopaedics
Volume20
Issue number1
DOIs
StatePublished - Jan 1 2000

Keywords

  • Children
  • Spinal surgery
  • Wake-up test

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