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Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy

BACKGROUND: Traumatic spinal cord injury (SCI) can continue and transform long after the time of initial injury. Preventing secondary injury after SCI is one of the most significant challenges, and early intervention to return the blood flow at the injury site can minimize the likelihood of secondar...

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Autores principales: Alshorman, Jamal, Wang, Yulong, Huang, Guixiong, Serebour, Tracy Boakye, Guo, Xiaodong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668361/
https://www.ncbi.nlm.nih.gov/pubmed/34912448
http://dx.doi.org/10.1155/2021/8560668
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author Alshorman, Jamal
Wang, Yulong
Huang, Guixiong
Serebour, Tracy Boakye
Guo, Xiaodong
author_facet Alshorman, Jamal
Wang, Yulong
Huang, Guixiong
Serebour, Tracy Boakye
Guo, Xiaodong
author_sort Alshorman, Jamal
collection PubMed
description BACKGROUND: Traumatic spinal cord injury (SCI) can continue and transform long after the time of initial injury. Preventing secondary injury after SCI is one of the most significant challenges, and early intervention to return the blood flow at the injury site can minimize the likelihood of secondary injury. OBJECTIVE: The purpose of this study is to investigate whether laminectomy can achieve the spinal cord blood flow by measuring the spinal blood oxygen saturation intraoperatively without the presence of light. METHODS: Between June and August 2021, eight patients were admitted after traumatic spinal cord injury for surgical treatment. We explored the effectiveness of laminectomy and whether the patients required further procedures or not. We used a brain oxygen saturation monitor at the spine injury site under dark conditions. RESULTS: Eight cervical trauma patients, six males and two females, underwent laminectomy decompression. Three patients' ASIA grade improved by one level, and one patient showed slight motor-sensory improvement. Oxygen saturation was in the normal range. CONCLUSION: Performing bony decompression can show good results. Therefore, finding an examination method to confirm the improvement of blood perfusion by measuring oxygen saturation at the injury site after laminectomy is essential to avoid other complications.
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spelling pubmed-86683612021-12-14 Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy Alshorman, Jamal Wang, Yulong Huang, Guixiong Serebour, Tracy Boakye Guo, Xiaodong Comput Intell Neurosci Research Article BACKGROUND: Traumatic spinal cord injury (SCI) can continue and transform long after the time of initial injury. Preventing secondary injury after SCI is one of the most significant challenges, and early intervention to return the blood flow at the injury site can minimize the likelihood of secondary injury. OBJECTIVE: The purpose of this study is to investigate whether laminectomy can achieve the spinal cord blood flow by measuring the spinal blood oxygen saturation intraoperatively without the presence of light. METHODS: Between June and August 2021, eight patients were admitted after traumatic spinal cord injury for surgical treatment. We explored the effectiveness of laminectomy and whether the patients required further procedures or not. We used a brain oxygen saturation monitor at the spine injury site under dark conditions. RESULTS: Eight cervical trauma patients, six males and two females, underwent laminectomy decompression. Three patients' ASIA grade improved by one level, and one patient showed slight motor-sensory improvement. Oxygen saturation was in the normal range. CONCLUSION: Performing bony decompression can show good results. Therefore, finding an examination method to confirm the improvement of blood perfusion by measuring oxygen saturation at the injury site after laminectomy is essential to avoid other complications. Hindawi 2021-12-06 /pmc/articles/PMC8668361/ /pubmed/34912448 http://dx.doi.org/10.1155/2021/8560668 Text en Copyright © 2021 Jamal Alshorman et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Alshorman, Jamal
Wang, Yulong
Huang, Guixiong
Serebour, Tracy Boakye
Guo, Xiaodong
Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy
title Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy
title_full Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy
title_fullStr Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy
title_full_unstemmed Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy
title_short Detection and Analysis of Perfusion Pressure through Measuring Oxygen Saturation and Requirement of Dural Incision Decompression after Laminectomy
title_sort detection and analysis of perfusion pressure through measuring oxygen saturation and requirement of dural incision decompression after laminectomy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8668361/
https://www.ncbi.nlm.nih.gov/pubmed/34912448
http://dx.doi.org/10.1155/2021/8560668
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