Intraoperative Neuromonitoring in Patients with Intradural Extramedullary Spinal Cord Tumor: A Single-Center Case Series

Intradural extramedullary spinal cord tumors (ID-EMSCT) make up 40% of all neoplasms. Resection these is mostly conducted using intraoperative neuromonitoring (IONM). However, the literature shows heterogenous data on its added value for ID-EMSCT. The aim this study to define sensitivity and specificity IONM in ID-EMSCT resection possible correlations between preoperative, intraoperative, postoperative variables neurologic outcomes after resection. Data patients undergoing surgeries with from January 2012 until July 2019 were examined. Using status 6 weeks 1 year postoperatively, calculated. test results paired parameters. 78 analyzed. 14.10% had worse status, decreasing 9.84% postoperatively. Multimodal showed a 0.73 (95% confidence interval [CI], 0.39–0.94) 0.78 CI, 0.66–0.87) weeks, 1.00 0.54–1.00) 0.71 0.57–0.82) year. yielded high perfect specificity. signals did not always determine extent resection, false-positive result incomplete tumor resections, because surgeons overruling IONM. Therefore, cannot fully replace clinical judgment other perioperative information.