{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T06:02:33Z","timestamp":1778220153086,"version":"3.51.4"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,6]]},"abstract":"\n Study Design:<\/jats:title>\n A study using intraoperative sonography (IOS) was conducted for evaluating neural mobility in anterior cervical decompression surgery.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To analyze decompression status and mobility of the spinal cord and the nerve root during anterior cervical decompression and to clarify its relevance to the postoperative neurological recovery.<\/jats:p>\n <\/jats:sec>\n \n Summary of Background Data:<\/jats:title>\n Several papers introduced the usefulness of IOS assessments; however, there have been no reports systematically evaluating the neural mobility in anterior cervical decompression surgery.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Eighty-four consecutive patients with compressive myelopathy who underwent anterior cervical decompression procedures were studied. The decompression status of the spinal cord was evaluated with IOS and classified into 3 grades according to the restoration pattern of the space ventral to the cord. Pulsatile motion of the spinal cord in cranio-caudal direction was named \u201csliding pulsation\u201d and graded into 3 groups. The nerve root pulsation was also assessed using the IOS short-axis views. This study analyzed whether those neural mobility in anterior cervical decompression surgery had relevance to postoperative neurological recovery, which was assessed by the Japan Orthopaedic Association score.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The mean recovery rate of the Japan Orthopaedic Association score was 59.1% in total. According to the decompression status in IOS, 67 patients who acquired space ventral to the spinal cord indicated 64.3% of the recovery rate which was significantly higher than 36.6% of the other patients on an average. As to the sliding pulsation of the cord, 10 patients who failed to show this particular motion indicated significantly lower recovery rate as 36.9%. In addition, 6 patients who did not exhibit nerve root pulsation indicated just 29.3% of recovery rate, and 4 of them failed to show the cord sliding motion.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Sonographic evaluation during anterior cervical decompression surgery provided very useful information of neural decompression status that had significant correlation with postoperative neurological recovery.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/bsd.0b013e318271b4e0","type":"journal-article","created":{"date-parts":[[2012,9,6]],"date-time":"2012-09-06T10:37:40Z","timestamp":1346927860000},"page":"212-216","source":"Crossref","is-referenced-by-count":11,"title":["Intraoperative Neural Mobility and Postoperative Neurological Recovery in Anterior Cervical Decompression Surgery"],"prefix":"10.1097","volume":"29","author":[{"given":"Hisanori","family":"Mihara","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soichi","family":"Kondo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinya","family":"Katoh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"Ono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Hachiya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230831","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/0090-3019(81)90279-2","article-title":"Use of ultrasound in neurosurgical operations: a preliminary report","volume":"16","author":"Dohrmann","year":"1981","journal-title":"Surg 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