[Effects of caudal traction of the spinal cord on evoked spinal cord potentials in the cat].
This study attempts clarify the mechanism of neurological deficits in tethered cord syndrome using evoked spinal cord potentials (ESCPs). ESCPs in response to both sciatic nerve (SN-ESCP) and spinal cord stimulation (SC-DESCP) were recorded from the dorsal epidural space. With a fixed degree of caudal traction on the spinal cord in ten cats for 2-4 hours, ESCPs were increased in amplitude in the N1 and N2 deflections of the SC-DESCPs to 158% and 154% at L5 and decreased to 91% and 76% after transient augmentation at L3. On the other hand, the amplitude in the N1 deflection of the SN-ESCPs at L3 and L5 was decreased to 40% and 68%. These findings suggest that not only the force but also the duration of traction influence the degree of the spinal cord dysfunction. When the spinal cords of 17 cats received compression with traction and without traction, the SN-ESCPs of the former became positive earlier than that of the latter. The extent of the recovery in amplitude of both SC-DESCPs and SN-ESCPs propagated over compression site was far limited in the former than in the latter. These results would indicate that the spinal cord subjected to traction is vulnerable to compression.
Ikai
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Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan.
D000818:Animals; D002415:Cats; D005071:Evoked Potentials; D012584:Sciatic Nerve / Q000503:physiopathology; D016136:Spina Bifida Occulta / Q000209:etiology*; D013116:Spinal Cord / Q000503:physiopathology*; D013117:Spinal Cord Compression / Q000209:etiology; D013997:Time Factors; D014143:Traction / Q000009:adverse effects*