[Intraoperative neurophysiological monitoring in spine surgery].
نویسندگان
چکیده
Intraoperative neurophysiological monitoring (IONM) makes it possible to determine the status of neurological function during surgery. It guides the surgeon and minimises the risk of injury. This paper describes the different techniques available for IONM in spine surgery (somatosensory evoked potentials, motor evoked potentials, neurography, electromyography, reflexes and dermatomic evoked potentials), which neurophysiologists employ depending on the nerve structures at risk. In order for monitoring to be successful, coordination between all members of the surgical team is essential. In the event of IONM registering alterations, the neurophysiologist must first check the integrity of the recording system. The anaesthetist should then assess blood pressure, oxygen levels, ventilation and haematocrit values, and revert recent anaesthetic changes. Finally, the surgeon must stop the procedure and try to determine the cause of the event, and correct it if possible.
منابع مشابه
Electromyographic monitoring and its anatomical implications in minimally invasive spine surgery.
STUDY DESIGN Literature review. OBJECTIVE The objective of this article is to examine current intraoperative electromyography (EMG) neurophysiologic monitoring methods and their application in minimally invasive techniques. We will also discuss the recent application of EMG and its anatomic implications to the minimally invasive lateral transpsoas approach to the spine. SUMMARY OF BACKGROUN...
متن کاملIntraoperative neurophysiological monitoring during spine surgery: an update
Purpose of review Intraoperative neurophysiological monitoring (IONM) during spine surgery has dramatically evolved over the past decade. A number of techniques have been recently proposed to monitor motor evoked potentials (MEPs), but contradictory results have been published, questioning their reliability to assess specifically the functional integrity of the motor pathways. The aim of the re...
متن کاملCan intraoperative neurophysiologic monitoring during cervical spine decompression predict post-operative segmental C5 palsy?
BACKGROUND C5 nerve root palsy is a known complication after cervical laminectomy or laminoplasty, characterized by weakness of the deltoid and bicep brachii muscles. The efficacy of intraoperative monitoring of these muscles is currently unclear. In the current prospective study, intraoperative monitoring through somatosensory (SSEPs), motor (TcMEPs) evoked potentials and real-time electromyog...
متن کامل7th Annual CANM IOM symposium Toronto, Ontario, Canada September 19-20, 2014
Intraoperative neurophysiological monitoring in spine surgery: indications, efficacy, and role of the preoperative checklist. Lall RR, Lall RR, Hauptman JS, Munoz C, Cybulski GR, Koski T, Ganju A, Fessler RG, Smith ZA. Spine surgery carries an inherent risk of damage to critical neural structures. Intraoperative neurophysiological monitoring (IONM) is frequently used to improve the safety of sp...
متن کاملNecrotizing Fasciitis: A Life-threatening Complication of Intraoperative Electromyography
Intraoperative neurophysiological monitoring is a commonly used practice during spine surgery. Complications of electromyography (EMG) needle electrode placement are very uncommon. We present a patient who was infected with necrotizing fasciitis in her left thigh due to an EMG needle electrode during a two-stage complex spine procedure. This case demonstrates that providers should continue to m...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- World journal of clinical cases
دوره 3 9 شماره
صفحات -
تاریخ انتشار 2009