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Background A model of ischcmic injury to the spinal cord was established in pigs by clamping the thoracic descending aorta.The feasibility of monitoring spinal-cord ischemia using the cortical somatosensory evoked potential (CSEP) was evaluated.Outcomes between the simple clamp (SC) group and left-heart bypass (LHB) group were compared.Methods Twelve mini-pigs were randomly divided into two groups SC group and LHB group randomly.The left intercostal incision was adopted.The thoracic descending aorta was clamped under the left irmominate artery outlet.CSEP was recorded to monitor the function of the spinal cord.The behavior score was observed every day after surgery.Mini-pigs were killed on the seventh postoperative day.Ultrastructural changes were observed by transmission electron microscopy.