Effect of laminectomy and anesthesia upon spinal cord blood flow

View More View Less
  • 1 Department of Surgery, Division of Neurosurgery, and Department of Neurology, University of Iowa Hospital, Iowa City, Iowa
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
Print or Print + Online

✓ Spinal cord blood flow (SCBF) in 10 sheep subjected to laminectomy at L6–7, T6–7, and C7–T1 was compared to that of 10 control sheep subjected to anesthesia alone. Blood flow was measured using the radioactive microsphere technique, with the PaCO2 maintained at 40 ± 2 mm Hg. Both laminectomy and control animals showed a decrease in SCBF at a rate of 7% to 16%/hr for the 3 hours following the first blood flow determination. When prelaminectomy and postlaminectomy SCBF values were compared to their counterparts in the control animals, there were no significant differences. Laminectomy does not appear to alter SCBF from control values. Spinal evoked potentials (SEP's) were elicited in the laminectomy group by direct cord stimulation at C-7 and L-7. No changes were noted in amplitude or latency of SEP's over time in either caudal or rostral conduction.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
  • 1.

    Anderson DK, , Means ED, & Waters TR: Spinal cord energy metabolism in normal and postlaminectomy cats. J Neurosurg 52:387391, 1980 Anderson DK, Means ED, Waters TR: Spinal cord energy metabolism in normal and postlaminectomy cats. J Neurosurg 52:387–391, 1980

    • Search Google Scholar
    • Export Citation
  • 2.

    Anderson DK, , Nicolosi GR, & Means ED, et al: Effects of laminectomy on spinal cord blood flow. J Neurosurg 48:232238, 1978 Anderson DK, Nicolosi GR, Means ED, et al: Effects of laminectomy on spinal cord blood flow. J Neurosurg 48:232–238, 1978

    • Search Google Scholar
    • Export Citation
  • 3.

    Carter LP: Laminectomy and spinal cord blood flow. J Neurosurg 49:156, 1978 (Letter) Carter LP: Laminectomy and spinal cord blood flow. J Neurosurg 49:156, 1978 (Letter)

    • Search Google Scholar
    • Export Citation
  • 4.

    Cracco RQ: Spinal evoked response: peripheral nerve stimulation in man. Electroencephalogr Clin Neurophysiol 35:379386, 1973 Cracco RQ: Spinal evoked response: peripheral nerve stimulation in man. Electroencephalogr Clin Neurophysiol 35:379–386, 1973

    • Search Google Scholar
    • Export Citation
  • 5.

    Cracco RQ, & Evans B: Spinal evoked potential in the cat: effects of asphyxia, strychnine, cord section and compression. Electroencephalogr Clin Neurophysiol 44:187201, 1978 Cracco RQ, Evans B: Spinal evoked potential in the cat: effects of asphyxia, strychnine, cord section and compression. Electroencephalogr Clin Neurophysiol 44:187–201, 1978

    • Search Google Scholar
    • Export Citation
  • 6.

    Cusick JF, , Myklebust J, & Larson SJ, et al: Spinal evoked potentials in the primate: neural substrate. J Neurosurg 49:551557, 1978 Cusick JF, Myklebust J, Larson SJ, et al: Spinal evoked potentials in the primate: neural substrate. J Neurosurg 49:551–557, 1978

    • Search Google Scholar
    • Export Citation
  • 7.

    Griffiths IR: Spinal cord blood flow in dogs: the effect of blood pressure. J Neurol Neurosurg Psychiatry 36:914920, 1973 Griffiths IR: Spinal cord blood flow in dogs: the effect of blood pressure. J Neurol Neurosurg Psychiatry 36:914–920, 1973

    • Search Google Scholar
    • Export Citation
  • 8.

    Griffiths IR: Spinal cord blood flow in dogs. 2. The effect of the blood gases. J Neurol Neurosurg Psychiatry 36:4249, 1973 Griffiths IR: Spinal cord blood flow in dogs. 2. The effect of the blood gases. J Neurol Neurosurg Psychiatry 36:42–49, 1973

    • Search Google Scholar
    • Export Citation
  • 9.

    Hales JRS, , Yeo JD, & Stabback S, et al: Effects of anesthesia and laminectomy on regional spinal cord blood flow in conscious sheep. J Neurosurg 54:620626, 1981 Hales JRS, Yeo JD, Stabback S, et al: Effects of anesthesia and laminectomy on regional spinal cord blood flow in conscious sheep. J Neurosurg 54:620–626, 1981

    • Search Google Scholar
    • Export Citation
  • 10.

    Hitchon PW, , Kassell NF, & Hill TR, et al: The response of spinal cord blood flow to high-dose barbiturates. Spine 7:4145, 1982 Hitchon PW, Kassell NF, Hill TR, et al: The response of spinal cord blood flow to high-dose barbiturates. Spine 7:41–45, 1982

    • Search Google Scholar
    • Export Citation
  • 11.

    Kobrine AI, , Doyle TF, & Rizzoli HV: Spinal cord blood flow as affected by changes in systemic arterial blood pressure. J Neurosurg 44:1215, 1976 Kobrine Al, Doyle TF, Rizzoli HV: Spinal cord blood flow as affected by changes in systemic arterial blood pressure. J Neurosurg 44:12–15, 1976

    • Search Google Scholar
    • Export Citation
  • 12.

    Lueders H, , Hahn J, & Gurd A, et al: Surgical monitoring of spinal cord function: cauda equina stimulation technique. Neurosurgery 11:482485, 1982 Lueders H, Hahn J, Gurd A, et al: Surgical monitoring of spinal cord function: cauda equina stimulation technique. Neurosurgery 11:482–485, 1982

    • Search Google Scholar
    • Export Citation
  • 13.

    Marcus ML, , Heistad DD, & Ehrhardt JC, et al: Regulation of total and regional spinal cord blood flow. Circ Res 41:128134, 1977 Marcus ML, Heistad DD, Ehrhardt JC, et al: Regulation of total and regional spinal cord blood flow. Circ Res 41:128–134, 1977

    • Search Google Scholar
    • Export Citation
  • 14.

    Marcus ML, , Heistad DD, & Ehrhardt JC, et al: Total and regional cerebral blood flow measurement with 7–10-, 15-, 25-, and 50-µm microspheres. J Appl Physiol 40:501507, 1976 Marcus ML, Heistad DD, Ehrhardt JC, et al: Total and regional cerebral blood flow measurement with 7–10-, 15-, 25-, and 50-µm microspheres. J Appl Physiol 40:501–507, 1976

    • Search Google Scholar
    • Export Citation
  • 15.

    McDowall DG, & Harper AM: Blood flow and oxygen uptake of the cerebral cortex of the dog during anaesthesia with different volatile agents. Acta Neurol Scand Suppl 14:146151, 1965 McDowall DG, Harper AM: Blood flow and oxygen uptake of the cerebral cortex of the dog during anaesthesia with different volatile agents. Acta Neurol Scand Suppl 14:146–151, 1965

    • Search Google Scholar
    • Export Citation
  • 16.

    Powers SK, , Bolger CA, & Edwards MSB: Spinal cord pathways mediating somatosensory evoked potentials. J Neurosurg 57:472482, 1982 Powers SK, Bolger CA, Edwards MSB: Spinal cord pathways mediating somatosensory evoked potentials. J Neurosurg 57:472–482, 1982

    • Search Google Scholar
    • Export Citation
  • 17.

    Raichle ME, , Posner JB, & Plum F: Cerebral blood flow during and after hyperventilation. Arch Neurol 23:394403, 1970 Raichle ME, Posner JB, Plum F: Cerebral blood flow during and after hyperventilation. Arch Neurol 23:394–403, 1970

    • Search Google Scholar
    • Export Citation
  • 18.

    Sakabe T, , Kuramoto T, & Inoue S, et al: Cerebral effects of nitrous oxide in the dog. Anesthesiology 48:195200, 1978 Sakabe T, Kuramoto T, Inoue S, et al: Cerebral effects of nitrous oxide in the dog. Anesthesiology 48:195–200, 1978

    • Search Google Scholar
    • Export Citation
  • 19.

    Sarnowski RJ, , Cracco RQ, & Vogel HB, et al: Spinal evoked response in the cat. J Neurosurg 43:329336, 1975 Sarnowski RJ, Cracco RQ, Vogel HB, et al: Spinal evoked response in the cat. J Neurosurg 43:329–336, 1975

    • Search Google Scholar
    • Export Citation
  • 20.

    Smith AL, , Pender JW, & Alexander SC: Effects of Pco2 on spinal cord blood flow. Am J Physiol 216:11581163, 1969 Smith AL, Pender JW, Alexander SC: Effects of Pco2 on spinal cord blood flow. Am J Physiol 216:1158–1163, 1969

    • Search Google Scholar
    • Export Citation
  • 21.

    Smith DR, , Smith HJ, & Rajjoub RK: Measurement of spinal cord blood flow by the microsphere technique. Neurosurgery 2:2730, 1978 Smith DR, Smith HJ, Rajjoub RK: Measurement of spinal cord blood flow by the microsphere technique. Neurosurgery 2:27–30, 1978

    • Search Google Scholar
    • Export Citation
  • 22.

    Takeshita H, , Michenfelder JD, & Theye RA: The effects of morphine and N-allylnormorphine on canine cerebral metabolism and circulation. Anesthesiology 37:605612, 1972 Takeshita H, Michenfelder JD, Theye RA: The effects of morphine and N-allylnormorphine on canine cerebral metabolism and circulation. Anesthesiology 37:605–612, 1972

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 246 74 11
Full Text Views 159 1 0
PDF Downloads 58 2 0
EPUB Downloads 0 0 0