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Identification of injury type using somatosensory and motor evoked potentials in a rat spinal cord injury model

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收录情况: ◇ SCIE ◇ 统计源期刊 ◇ CSCD-C ◇ 卓越:梯队期刊

机构: [1]Department of Orthopedics and Traumatology, The University of Hong Kong -Shenzhen Hospital, Shenzhen, Guangdong Provinve, China [2]Department of Neurosurgery, Neuroscience Center, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong Provinve, China [3]Institute of Biomedical Engineering, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China [4]Shenzhen Engineering Laboratory of Orthopedic Regenerative Technologies, Department of Spine Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong Provinve, China [5]Department of Orthopedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, China
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关键词: contusion injury dislocation injury distraction injury electrophysiology heterogeneity histopathology injury mechanism motor evoked potential somatosensory evoked potential spinal cord injury

摘要:
The spinal cord is at risk of injury during spinal surgery. If intraoperative spinal cord injury is identified early, irreversible impairment or loss of neurological function can be prevented. Different types of spinal cord injury result in damage to different spinal cord regions, which may cause different somatosensory and motor evoked potential signal responses. In this study, we examined electrophysiological and histopathological changes between contusion, distraction, and dislocation spinal cord injuries in a rat model. We found that contusion led to the most severe dorsal white matter injury and caused considerable attenuation of both somatosensory and motor evoked potentials. Dislocation resulted in loss of myelinated axons in the lateral region of the injured spinal cord along the rostrocaudal axis. The amplitude of attenuation in motor evoked potential responses caused by dislocation was greater than that caused by contusion. After distraction injury, extracellular spaces were slightly but not significantly enlarged; somatosensory evoked potential responses slightly decreased and motor evoked potential responses were lost. Correlation analysis showed that histological and electrophysiological findings were significantly correlated and related to injury type. Intraoperative monitoring of both somatosensory and motor evoked potentials has the potential to identify iatrogenic spinal cord injury type during surgery.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 神经科学 2 区 细胞生物学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 细胞生物学 2 区 神经科学
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出版当年[2021]版:
Q1 NEUROSCIENCES Q2 CELL BIOLOGY
最新[2023]版:
Q1 NEUROSCIENCES Q2 CELL BIOLOGY

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第一作者:
第一作者机构: [1]Department of Orthopedics and Traumatology, The University of Hong Kong -Shenzhen Hospital, Shenzhen, Guangdong Provinve, China [2]Department of Neurosurgery, Neuroscience Center, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong Provinve, China
通讯作者:
通讯机构: [1]Department of Orthopedics and Traumatology, The University of Hong Kong -Shenzhen Hospital, Shenzhen, Guangdong Provinve, China [5]Department of Orthopedics and Traumatology, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, China
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