Aim: A quantitative evaluation of the relationship between the level of postoperative motor deficit and the intensity of reaction of pyramidal tract to the correction of spinal deformity.
Material And Methods: The correction of spinal deformities of different etiology was performed under neurophysiological control for 87 patients (30 men, 57 women), aged 15.6±0.6 years. Reaction intensity of pyramidal tract was evaluated using the scale developed by the authors.
Results: The relationship between the intensity of intraoperative reaction of somatic motor system and EMG-signs of postoperative subclinical motor deficit in temperature-and-pain sensitivity disorders was shown.
Conclusion: EMG evaluation of the level of intensity of subclinical motor deficit in combination with changes in temperature-and-pain sensitivity after the spinal deformity correction complies the reaction intensity of somatic motor system to surgical aggression. Neurologists should pay more attention to the patients with V type reaction not only during postoperative period, but before the next stage of surgery.
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