Intraoperative neuromonitoring allows surgeons to safely perform more aggressive deformity correction and tumor resection and can provide an assessment of spinal cord functionality in real time when combined with somatosensory-evoked potentials and motor-evoked potentials, according to a study published in Spine.
Researchers used the MEDLINE database and reviewed reports on IOM, finding that the baseline data varied from 70 percent to 98 percent for SSEP and 66 percent to 100 percent for MEP. Multimodality intraoperative neuromonitoring provided false negatives in 0 percent to 0.79 percent of the cases, whereas SSEP monitoring alone provided false negatives in 0.063 percent to 2.7 percent of the cases.
The researchers recommended that the MIOM may prove useful in preservation of neurologic function where and alteration of approach is possible. They also concluded the IOM is valuable for optimizing the outcome of complex spine surgery.
Read the abstract for "Intraoperative Electrophysiological Monitoring in Spine Surgery."
Read other coverage on spine surgery studies:
- Study: Long fusion to the Sacrum Among the Most Common Reasons for Instrumentation-Related Complications During Spine Surgery
- Study: DePuy's SCOLIOSCORE 99% Accuracy in Identifying Low-Risk Patients
- Study: Treating Severe Spinal Deformity Should Have a Multidisciplinary Approach
Researchers used the MEDLINE database and reviewed reports on IOM, finding that the baseline data varied from 70 percent to 98 percent for SSEP and 66 percent to 100 percent for MEP. Multimodality intraoperative neuromonitoring provided false negatives in 0 percent to 0.79 percent of the cases, whereas SSEP monitoring alone provided false negatives in 0.063 percent to 2.7 percent of the cases.
The researchers recommended that the MIOM may prove useful in preservation of neurologic function where and alteration of approach is possible. They also concluded the IOM is valuable for optimizing the outcome of complex spine surgery.
Read the abstract for "Intraoperative Electrophysiological Monitoring in Spine Surgery."
Read other coverage on spine surgery studies:
- Study: Long fusion to the Sacrum Among the Most Common Reasons for Instrumentation-Related Complications During Spine Surgery
- Study: DePuy's SCOLIOSCORE 99% Accuracy in Identifying Low-Risk Patients
- Study: Treating Severe Spinal Deformity Should Have a Multidisciplinary Approach