Neurophysiological Monitoring in Thoracic Spine Surgery

Sloan, Tod B.; Burger, Evalina L.; Kleck, Christopher; Oliva, Anthony M.

doi:10.1007/978-3-319-46542-5_34

Cited by 1 publication

(10 citation statements)

References 52 publications

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“…Several studies on the effect of IOM on outcomes of idiopathic scoliosis correction surgeries indicate that the IOM usage is associated with a decreased rate of post-operative neurological deficits. 2,13,30 Furthermore, a review of literature also indicates that SSEP monitoring provides highly reliable information and is invaluable in the detection and prevention of iatrogenic injury. 2,13 Indeed, SSEP monitoring in idiopathic scoliosis surgery exhibits both high sensitivity and specificity.…”

Section: Deformity Corrections In Idiopathic Scoliosis and Degeneratimentioning

confidence: 99%

“…2,13,30 Furthermore, a review of literature also indicates that SSEP monitoring provides highly reliable information and is invaluable in the detection and prevention of iatrogenic injury. 2,13 Indeed, SSEP monitoring in idiopathic scoliosis surgery exhibits both high sensitivity and specificity. A review of 477 patients who underwent correction surgery for idiopathic scoliosis found a sensitivity of 95.0% and a specificity of 99.8% for the procedure.…”

Section: Deformity Corrections In Idiopathic Scoliosis and Degeneratimentioning

confidence: 99%

“…A review of 477 patients who underwent correction surgery for idiopathic scoliosis found a sensitivity of 95.0% and a specificity of 99.8% for the procedure. 13 In addition, there have been studies that concluded that the use of MEPs may also provide valuable information for idiopathic scoliosis surgeries and can possibly lead to the reduction of iatrogenic injuries, though future studies are necessary to establish a clearer association. 30 Thus, IOM usage is considered the standard of care in idiopathic scoliosis correction surgeriy.…”

Section: Deformity Corrections In Idiopathic Scoliosis and Degeneratimentioning

confidence: 99%

“…30 Thus, IOM usage is considered the standard of care in idiopathic scoliosis correction surgeriy. 13 Given the ability of IOM to reduce neurological injuries during surgery, paired with its high sensitivity and specificity, we recommend that IOM should continue to be utilized in all idiopathic scoliosis correction surgeries. 13 Unlike idiopathic scoliosis, degenerative scoliosis can develop during adulthood as a result of degeneration of spinal structures.…”

Section: Deformity Corrections In Idiopathic Scoliosis and Degeneratimentioning

confidence: 99%

“…[9][10][11] For instance, while the utility of IOM in PSOs of the thoracic spine has been well-documented, there is little evidence on the benefits of IOM in lumbar PSOs, which are among the most frequently preformed spine deformity surgeries. 6,12,13 In this narrative review, the authors discuss the most commonly used IOM modalities in spine deformity surgeries and examine their efficacy in pedicle subtraction osteotomies of the lumbar spine.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Intraoperative Multimodal Monitoring in Pedicle Subtraction Osteotomies of the Lumbar Spine

Shao

Lee²,

Pelle

et al. 2019

Clinical Spine Surgery: A Spine Publication

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The use of intraoperative multimodal monitoring (IOM) in spinal deformity surgeries is well documented. In particular, pedicle subtraction osteotomy (PSO), a corrective procedure for sagittal deformity of the spine, often involves IOM usage. By providing immediate feedback to the operating surgeon, IOM has the potential to eliminate or at least minimize the risk of iatrogenic neurological injury. However, despite the widespread usage of IOM, there is currently no standardization of IOM usage in complex spine surgeries, including lumbar PSOs, and decisions concerning IOM utilization are often driven by surgeon experience and preference. This creates a state of clinical equipoise, which is further complicated by the varying degrees of benefit that IOM has on patient outcomes depending on the operation and spinal levels involved. For instance, while IOM use in thoracic PSOs has been shown to be effective, there is no established consensus on the net impact of IOM use in PSOs of the lumbar spine. While IOM has the potential to mitigate neurological damage, it also increases operation time and cost; thus, it should only be employed in operations where it will have a net positive impact on patient outcomes. The question thus becomes whether PSO of the lumbar spine is one such operation. To address this, we examine the most frequently employed IOM modalities and evaluate their current usage and efficacy in lumbar PSOs. Furthermore, we will also examine the utility of IOM for other surgeries of the lumbar

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Section: Deformity Corrections In Idiopathic Scoliosis and Degeneratimentioning

confidence: 99%

Section: Deformity Corrections In Idiopathic Scoliosis and Degeneratimentioning

confidence: 99%

Section: Deformity Corrections In Idiopathic Scoliosis and Degeneratimentioning

confidence: 99%

Section: Deformity Corrections In Idiopathic Scoliosis and Degeneratimentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Intraoperative Multimodal Monitoring in Pedicle Subtraction Osteotomies of the Lumbar Spine

Shao

Lee²,

Pelle

et al. 2019

Clinical Spine Surgery: A Spine Publication

View full text Add to dashboard Cite

show abstract

Neurophysiological Monitoring in Thoracic Spine Surgery

Cited by 1 publication

References 52 publications

Intraoperative Multimodal Monitoring in Pedicle Subtraction Osteotomies of the Lumbar Spine

Intraoperative Multimodal Monitoring in Pedicle Subtraction Osteotomies of the Lumbar Spine

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