Neurophysiologic monitoring can predict iatrogenic injury during acetabular and pelvic fracture fixation.

ABSTRACT:

Background

Nerve injury during acetabular and pelvic fracture fixation can have devastating consequences for trauma patients already in a compromised situation.

Questions/purposes

This study aims to evaluate the efficacy of multimodality intraoperative neurophysiologic monitoring during acetabular and pelvic fracture fixation in identifying emerging iatrogenic nerve injury.

Methods

Sixty patients were retrospectively identified after surgical fixation following acetabular or pelvic fracture. Neuromonitoring during surgery was performed using three different modalities, transcranial electric motor evoked potential (tceMEP), somatosensory evoked potential (SSEP), and electromyographic (EMG) monitoring. Each modality was evaluated for sensitivity and specificity of detec

SUBMITTER: Porat M 

PROVIDER: S-EPMC3772159 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature