Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery
Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of n...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Andras, Lindsay [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2014 |
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| Schlagwörter: |
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| Anmerkung: |
© Scoliosis Research Society 2014 |
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| Übergeordnetes Werk: |
Enthalten in: Spine deformity - Amsterdam [u.a.] : Elsevier, 2013, 2(2014), 3 vom: Mai, Seite 198-202 |
|---|---|
| Übergeordnetes Werk: |
volume:2 ; year:2014 ; number:3 ; month:05 ; pages:198-202 |
| Links: |
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| DOI / URN: |
10.1016/j.jspd.2014.02.002 |
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SPR038867559 |
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| 520 | |a Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of neuromonitoring and the potential for development of delayed deficits, the literature has paid relatively little attention to the postoperative evaluation and monitoring of neurologic integrity after correction of spinal deformity. Methods A retrospective, single-center review of 1,274 consecutive spinal deformity surgeries from 2003 to 2011 was performed. Patients with limited neurologic function or an inability to undergo an examination preoperatively were excluded. A total of 1,023 patients were included in the analysis. Records were analyzed for postoperative motor deficit. Results A total of 12 patients had a motor deficit in the perioperative period. Eight had a deficit on the immediate postoperative exam; 6 had absent ankle dorsiflexion and 2 had weak ankle dorsiflexion; And 4 developed a delayed motor deficit: 3 with absent ankle dorsiflexion and 1 with weak ankle dorsiflexion. There were no cases of a motor deficit in which ankle dorsiflexion was not weak or absent. Of the 12 patients with a deficit, 8 had complete loss of motor function. Of the 4 patients with incomplete neurologic injury, loss of ankle dorsiflexion was the only common physical examination finding. In this review, ankle dorsiflexion was 100% sensitive (12 of 12) and 100% specific (1,011 of 1,011) for neurologic injury. Conclusions Ankle dorsiflexion was the most sensitive test for lower extremity motor function after spinal deformity surgery, both for immediate and delayed deficits. Without testing ankle dorsiflexion specifically, neurologic motor deficits may be missed. | ||
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10.1016/j.jspd.2014.02.002 doi (DE-627)SPR038867559 (SPR)j.jspd.2014.02.002-e DE-627 ger DE-627 rakwb eng Andras, Lindsay verfasserin aut Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2014 Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of neuromonitoring and the potential for development of delayed deficits, the literature has paid relatively little attention to the postoperative evaluation and monitoring of neurologic integrity after correction of spinal deformity. Methods A retrospective, single-center review of 1,274 consecutive spinal deformity surgeries from 2003 to 2011 was performed. Patients with limited neurologic function or an inability to undergo an examination preoperatively were excluded. A total of 1,023 patients were included in the analysis. Records were analyzed for postoperative motor deficit. Results A total of 12 patients had a motor deficit in the perioperative period. Eight had a deficit on the immediate postoperative exam; 6 had absent ankle dorsiflexion and 2 had weak ankle dorsiflexion; And 4 developed a delayed motor deficit: 3 with absent ankle dorsiflexion and 1 with weak ankle dorsiflexion. There were no cases of a motor deficit in which ankle dorsiflexion was not weak or absent. Of the 12 patients with a deficit, 8 had complete loss of motor function. Of the 4 patients with incomplete neurologic injury, loss of ankle dorsiflexion was the only common physical examination finding. In this review, ankle dorsiflexion was 100% sensitive (12 of 12) and 100% specific (1,011 of 1,011) for neurologic injury. Conclusions Ankle dorsiflexion was the most sensitive test for lower extremity motor function after spinal deformity surgery, both for immediate and delayed deficits. Without testing ankle dorsiflexion specifically, neurologic motor deficits may be missed. Neurologic injury (dpeaa)DE-He213 Spinal deformity (dpeaa)DE-He213 Neuromonitoring (dpeaa)DE-He213 Louie, Kristin aut Skaggs, David L. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 2(2014), 3 vom: Mai, Seite 198-202 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:2 year:2014 number:3 month:05 pages:198-202 https://dx.doi.org/10.1016/j.jspd.2014.02.002 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_74 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 2 2014 3 05 198-202 |
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10.1016/j.jspd.2014.02.002 doi (DE-627)SPR038867559 (SPR)j.jspd.2014.02.002-e DE-627 ger DE-627 rakwb eng Andras, Lindsay verfasserin aut Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2014 Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of neuromonitoring and the potential for development of delayed deficits, the literature has paid relatively little attention to the postoperative evaluation and monitoring of neurologic integrity after correction of spinal deformity. Methods A retrospective, single-center review of 1,274 consecutive spinal deformity surgeries from 2003 to 2011 was performed. Patients with limited neurologic function or an inability to undergo an examination preoperatively were excluded. A total of 1,023 patients were included in the analysis. Records were analyzed for postoperative motor deficit. Results A total of 12 patients had a motor deficit in the perioperative period. Eight had a deficit on the immediate postoperative exam; 6 had absent ankle dorsiflexion and 2 had weak ankle dorsiflexion; And 4 developed a delayed motor deficit: 3 with absent ankle dorsiflexion and 1 with weak ankle dorsiflexion. There were no cases of a motor deficit in which ankle dorsiflexion was not weak or absent. Of the 12 patients with a deficit, 8 had complete loss of motor function. Of the 4 patients with incomplete neurologic injury, loss of ankle dorsiflexion was the only common physical examination finding. In this review, ankle dorsiflexion was 100% sensitive (12 of 12) and 100% specific (1,011 of 1,011) for neurologic injury. Conclusions Ankle dorsiflexion was the most sensitive test for lower extremity motor function after spinal deformity surgery, both for immediate and delayed deficits. Without testing ankle dorsiflexion specifically, neurologic motor deficits may be missed. Neurologic injury (dpeaa)DE-He213 Spinal deformity (dpeaa)DE-He213 Neuromonitoring (dpeaa)DE-He213 Louie, Kristin aut Skaggs, David L. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 2(2014), 3 vom: Mai, Seite 198-202 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:2 year:2014 number:3 month:05 pages:198-202 https://dx.doi.org/10.1016/j.jspd.2014.02.002 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_74 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 2 2014 3 05 198-202 |
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10.1016/j.jspd.2014.02.002 doi (DE-627)SPR038867559 (SPR)j.jspd.2014.02.002-e DE-627 ger DE-627 rakwb eng Andras, Lindsay verfasserin aut Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2014 Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of neuromonitoring and the potential for development of delayed deficits, the literature has paid relatively little attention to the postoperative evaluation and monitoring of neurologic integrity after correction of spinal deformity. Methods A retrospective, single-center review of 1,274 consecutive spinal deformity surgeries from 2003 to 2011 was performed. Patients with limited neurologic function or an inability to undergo an examination preoperatively were excluded. A total of 1,023 patients were included in the analysis. Records were analyzed for postoperative motor deficit. Results A total of 12 patients had a motor deficit in the perioperative period. Eight had a deficit on the immediate postoperative exam; 6 had absent ankle dorsiflexion and 2 had weak ankle dorsiflexion; And 4 developed a delayed motor deficit: 3 with absent ankle dorsiflexion and 1 with weak ankle dorsiflexion. There were no cases of a motor deficit in which ankle dorsiflexion was not weak or absent. Of the 12 patients with a deficit, 8 had complete loss of motor function. Of the 4 patients with incomplete neurologic injury, loss of ankle dorsiflexion was the only common physical examination finding. In this review, ankle dorsiflexion was 100% sensitive (12 of 12) and 100% specific (1,011 of 1,011) for neurologic injury. Conclusions Ankle dorsiflexion was the most sensitive test for lower extremity motor function after spinal deformity surgery, both for immediate and delayed deficits. Without testing ankle dorsiflexion specifically, neurologic motor deficits may be missed. Neurologic injury (dpeaa)DE-He213 Spinal deformity (dpeaa)DE-He213 Neuromonitoring (dpeaa)DE-He213 Louie, Kristin aut Skaggs, David L. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 2(2014), 3 vom: Mai, Seite 198-202 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:2 year:2014 number:3 month:05 pages:198-202 https://dx.doi.org/10.1016/j.jspd.2014.02.002 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_74 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 2 2014 3 05 198-202 |
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10.1016/j.jspd.2014.02.002 doi (DE-627)SPR038867559 (SPR)j.jspd.2014.02.002-e DE-627 ger DE-627 rakwb eng Andras, Lindsay verfasserin aut Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2014 Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of neuromonitoring and the potential for development of delayed deficits, the literature has paid relatively little attention to the postoperative evaluation and monitoring of neurologic integrity after correction of spinal deformity. Methods A retrospective, single-center review of 1,274 consecutive spinal deformity surgeries from 2003 to 2011 was performed. Patients with limited neurologic function or an inability to undergo an examination preoperatively were excluded. A total of 1,023 patients were included in the analysis. Records were analyzed for postoperative motor deficit. Results A total of 12 patients had a motor deficit in the perioperative period. Eight had a deficit on the immediate postoperative exam; 6 had absent ankle dorsiflexion and 2 had weak ankle dorsiflexion; And 4 developed a delayed motor deficit: 3 with absent ankle dorsiflexion and 1 with weak ankle dorsiflexion. There were no cases of a motor deficit in which ankle dorsiflexion was not weak or absent. Of the 12 patients with a deficit, 8 had complete loss of motor function. Of the 4 patients with incomplete neurologic injury, loss of ankle dorsiflexion was the only common physical examination finding. In this review, ankle dorsiflexion was 100% sensitive (12 of 12) and 100% specific (1,011 of 1,011) for neurologic injury. Conclusions Ankle dorsiflexion was the most sensitive test for lower extremity motor function after spinal deformity surgery, both for immediate and delayed deficits. Without testing ankle dorsiflexion specifically, neurologic motor deficits may be missed. Neurologic injury (dpeaa)DE-He213 Spinal deformity (dpeaa)DE-He213 Neuromonitoring (dpeaa)DE-He213 Louie, Kristin aut Skaggs, David L. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 2(2014), 3 vom: Mai, Seite 198-202 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:2 year:2014 number:3 month:05 pages:198-202 https://dx.doi.org/10.1016/j.jspd.2014.02.002 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_74 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 2 2014 3 05 198-202 |
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10.1016/j.jspd.2014.02.002 doi (DE-627)SPR038867559 (SPR)j.jspd.2014.02.002-e DE-627 ger DE-627 rakwb eng Andras, Lindsay verfasserin aut Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2014 Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of neuromonitoring and the potential for development of delayed deficits, the literature has paid relatively little attention to the postoperative evaluation and monitoring of neurologic integrity after correction of spinal deformity. Methods A retrospective, single-center review of 1,274 consecutive spinal deformity surgeries from 2003 to 2011 was performed. Patients with limited neurologic function or an inability to undergo an examination preoperatively were excluded. A total of 1,023 patients were included in the analysis. Records were analyzed for postoperative motor deficit. Results A total of 12 patients had a motor deficit in the perioperative period. Eight had a deficit on the immediate postoperative exam; 6 had absent ankle dorsiflexion and 2 had weak ankle dorsiflexion; And 4 developed a delayed motor deficit: 3 with absent ankle dorsiflexion and 1 with weak ankle dorsiflexion. There were no cases of a motor deficit in which ankle dorsiflexion was not weak or absent. Of the 12 patients with a deficit, 8 had complete loss of motor function. Of the 4 patients with incomplete neurologic injury, loss of ankle dorsiflexion was the only common physical examination finding. In this review, ankle dorsiflexion was 100% sensitive (12 of 12) and 100% specific (1,011 of 1,011) for neurologic injury. Conclusions Ankle dorsiflexion was the most sensitive test for lower extremity motor function after spinal deformity surgery, both for immediate and delayed deficits. Without testing ankle dorsiflexion specifically, neurologic motor deficits may be missed. Neurologic injury (dpeaa)DE-He213 Spinal deformity (dpeaa)DE-He213 Neuromonitoring (dpeaa)DE-He213 Louie, Kristin aut Skaggs, David L. aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 2(2014), 3 vom: Mai, Seite 198-202 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:2 year:2014 number:3 month:05 pages:198-202 https://dx.doi.org/10.1016/j.jspd.2014.02.002 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_74 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2190 GBV_ILN_2336 AR 2 2014 3 05 198-202 |
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Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery |
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Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery |
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Andras, Lindsay |
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Andras, Lindsay Louie, Kristin Skaggs, David L. |
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10.1016/j.jspd.2014.02.002 |
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weak or absent ankle dorsiflexion: the most sensitive indicator of motor deficits following spinal deformity surgery |
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Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery |
| abstract |
Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of neuromonitoring and the potential for development of delayed deficits, the literature has paid relatively little attention to the postoperative evaluation and monitoring of neurologic integrity after correction of spinal deformity. Methods A retrospective, single-center review of 1,274 consecutive spinal deformity surgeries from 2003 to 2011 was performed. Patients with limited neurologic function or an inability to undergo an examination preoperatively were excluded. A total of 1,023 patients were included in the analysis. Records were analyzed for postoperative motor deficit. Results A total of 12 patients had a motor deficit in the perioperative period. Eight had a deficit on the immediate postoperative exam; 6 had absent ankle dorsiflexion and 2 had weak ankle dorsiflexion; And 4 developed a delayed motor deficit: 3 with absent ankle dorsiflexion and 1 with weak ankle dorsiflexion. There were no cases of a motor deficit in which ankle dorsiflexion was not weak or absent. Of the 12 patients with a deficit, 8 had complete loss of motor function. Of the 4 patients with incomplete neurologic injury, loss of ankle dorsiflexion was the only common physical examination finding. In this review, ankle dorsiflexion was 100% sensitive (12 of 12) and 100% specific (1,011 of 1,011) for neurologic injury. Conclusions Ankle dorsiflexion was the most sensitive test for lower extremity motor function after spinal deformity surgery, both for immediate and delayed deficits. Without testing ankle dorsiflexion specifically, neurologic motor deficits may be missed. © Scoliosis Research Society 2014 |
| abstractGer |
Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of neuromonitoring and the potential for development of delayed deficits, the literature has paid relatively little attention to the postoperative evaluation and monitoring of neurologic integrity after correction of spinal deformity. Methods A retrospective, single-center review of 1,274 consecutive spinal deformity surgeries from 2003 to 2011 was performed. Patients with limited neurologic function or an inability to undergo an examination preoperatively were excluded. A total of 1,023 patients were included in the analysis. Records were analyzed for postoperative motor deficit. Results A total of 12 patients had a motor deficit in the perioperative period. Eight had a deficit on the immediate postoperative exam; 6 had absent ankle dorsiflexion and 2 had weak ankle dorsiflexion; And 4 developed a delayed motor deficit: 3 with absent ankle dorsiflexion and 1 with weak ankle dorsiflexion. There were no cases of a motor deficit in which ankle dorsiflexion was not weak or absent. Of the 12 patients with a deficit, 8 had complete loss of motor function. Of the 4 patients with incomplete neurologic injury, loss of ankle dorsiflexion was the only common physical examination finding. In this review, ankle dorsiflexion was 100% sensitive (12 of 12) and 100% specific (1,011 of 1,011) for neurologic injury. Conclusions Ankle dorsiflexion was the most sensitive test for lower extremity motor function after spinal deformity surgery, both for immediate and delayed deficits. Without testing ankle dorsiflexion specifically, neurologic motor deficits may be missed. © Scoliosis Research Society 2014 |
| abstract_unstemmed |
Study Design A retrospective, single-center review of all spinal deformity surgeries at the authors’ institution. Objectives To determine the most sensitive physical examination finding as a test for motor deficits after spinal deformity surgery. Background Despite both reported false negatives of neuromonitoring and the potential for development of delayed deficits, the literature has paid relatively little attention to the postoperative evaluation and monitoring of neurologic integrity after correction of spinal deformity. Methods A retrospective, single-center review of 1,274 consecutive spinal deformity surgeries from 2003 to 2011 was performed. Patients with limited neurologic function or an inability to undergo an examination preoperatively were excluded. A total of 1,023 patients were included in the analysis. Records were analyzed for postoperative motor deficit. Results A total of 12 patients had a motor deficit in the perioperative period. Eight had a deficit on the immediate postoperative exam; 6 had absent ankle dorsiflexion and 2 had weak ankle dorsiflexion; And 4 developed a delayed motor deficit: 3 with absent ankle dorsiflexion and 1 with weak ankle dorsiflexion. There were no cases of a motor deficit in which ankle dorsiflexion was not weak or absent. Of the 12 patients with a deficit, 8 had complete loss of motor function. Of the 4 patients with incomplete neurologic injury, loss of ankle dorsiflexion was the only common physical examination finding. In this review, ankle dorsiflexion was 100% sensitive (12 of 12) and 100% specific (1,011 of 1,011) for neurologic injury. Conclusions Ankle dorsiflexion was the most sensitive test for lower extremity motor function after spinal deformity surgery, both for immediate and delayed deficits. Without testing ankle dorsiflexion specifically, neurologic motor deficits may be missed. © Scoliosis Research Society 2014 |
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Weak or Absent Ankle Dorsiflexion: The Most Sensitive Indicator of Motor Deficits Following Spinal Deformity Surgery |
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