Transient Monoplegia as a Result of Unilateral Femoral Artery Ischemia Detected by Multimodal Intraoperative Neuromonitoring in Posterior Scoliosis Surgery: A Case Report.

This is to report a case of 16-year-old girl with transient right lower limb monoplegia as a result of femoral artery ischemia detected by multimodal intraoperative spinal cord neuromonitoring (MISNM) during posterior correction surgery of adolescent idiopathic scoliosis.A patient with a marfanoid body habitus and LENKE IA type scoliosis with the right thoracic curve of 48° of Cobb angle was admitted for posterior spinal fusion from Th6 to L2. After selective pedicle screws instrumentation and corrective maneuvers motor evoked potentials (MEP) began to decrease with no concomitant changes in somato-sensory evoked potentials recordings.

Direct Vertebral Rotation Versus Single Concave Rod Rotation: Low-dose Intraoperative Computed Tomography Evaluation of Spine Derotation in Adolescent Idiopathic Scoliosis Surgery.

Study Design: A comparative clinical study of two main corrective manoeuvres in scoliosis surgery.

Objective: To compare the effectiveness of two main corrective manoeuvres: single concave rod rotation (SCRR) and direct vertebral rotation (DVR) in regard to apical vertebral rotation (AVR) and rib hump correction in adolescent idiopathic scoliosis (AIS) surgery.

Summary Of Background Data: It remains unclear whether SCRR manoeuvre alone causes apical vertebral derotation (AVD) and rib hump correction.