Multimodality intraoperative neurophysiologic monitoring findings during surgery for adult tethered cord syndrome: Analysis of a series of 44 patients with long-term follow-up

Spine

Volumn 31, Issue 18, 2006, Pages 2095-2102

  Paradiso, Guillermo ^a   Lee, Gabriel Y F ^c   Sarjeant, Roger ^c   Hoang, Ly ^c   Massicotte, Eric M ^c   Fehlings, Michael G ^b  

^a MONCTON HOSPITAL   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c NONE

Author keywords

Adult tethered cord syndrome; Anal and urethral sphincteric electromyography; Continuous electromyography; Evoked electromyography; Intraoperative neurophysiological monitoring; Somatosensory evoked potentials

Indexed keywords

ADULT; ANUS SPHINCTER; ARTICLE; BACKACHE; BLADDER SPHINCTER; CLINICAL ARTICLE; DIAGNOSTIC ACCURACY; ELECTROMYOGRAM; ELECTROMYOGRAPHY; EVOKED RESPONSE; EVOKED SOMATOSENSORY RESPONSE; FEMALE; FOLLOW UP; GASTROCNEMIUS MUSCLE; HUMAN; INTRAOPERATIVE PERIOD; LEG PAIN; MALE; MICROSURGERY; MYOTOME; NEUROLOGIC EXAMINATION; NEUROSURGERY; PATIENT MONITORING; PRIORITY JOURNAL; QUADRICEPS FEMORIS MUSCLE; TETHERED CORD SYNDROME; TIBIAL NERVE; TIBIALIS ANTERIOR MUSCLE;

ADULT; AGED; ELECTROMYOGRAPHY; EVOKED POTENTIALS, SOMATOSENSORY; FEMALE; HUMANS; LEG; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; MUSCLE, SKELETAL; NERVOUS SYSTEM DISEASES; NEURAL TUBE DEFECTS; NEUROSURGICAL PROCEDURES; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; SPINAL CORD; SPINAL CORD INJURIES; TIBIAL NERVE;

EID: 33747355456     PISSN: 03622436     EISSN: 15281159     Source Type: Journal    
DOI: 10.1097/01.brs.0000231687.02271.b6     Document Type: Article

References (46)

1. von Koch CS, Quinones-Hinojosa A, Gulati M, et al. Clinical outcome in children undergoing tethered cord release utilizing intraoperative neurophysiological monitoring. Pediatr Neurosurg 2002;37:81-6.
2. Legatt AD, Schroeder CE, Gill B, et al. Electrical stimulation and multichannel EMG recording for identification of functional neural tissue during cauda equina surgery. Childs Nerv Syst 1992;8:185-9.
3. Kothbauer K, Schmid UD, Seiler RW, et al. Intraoperative motor and sensory monitoring of the cauda equina. Neurosurgery 1994;34:702-7.
4. Quinones-Hinojosa A, Gadkary CA, Gulati M, et al. Neurophysiological monitoring for safe surgical tethered cord syndrome release in adults. Surg Neurol 2004;62:127-33.
5. Sala F, Krzan MJ, Deletis V. Intraoperative neurophysiological monitoring in pediatric neurosurgery: Why, when, how? Childs Nerv Syst 2002;18:264-87.
6. Guidelines for the management of severe head injury. Introduction. J Neurotrauma 1996;13:643-5.
7. Krassioukov AV, Sarjeant R, Arkia H, et al. Multimodality intraoperative monitoring during complex lumbosacral procedures: Indications, techniques, and long-term follow-up review of 61 consecutive cases. J Neurosurg Spine 2004;1:243-53.
8. Gunnarsson T, Krassioukov AV, Sarjeant R, et al. Real-time continuous intraoperative electromyographic and somatosensory evoked potential recordings in spinal surgery: Correlation of clinical and electrophysiologic findings in a prospective, consecutive series of 213 cases. Spine 2004;29:677-84.
9. Phillips LH, Jane JA. Electrophysiologic monitoring during tethered spinal cord release. Clin Neurosurg 1996;43:163-74.
10. Pang D, Wilberger JE Jr. Tethered cord syndrome in adults. J Neurosurg 1982;57:32-47.
11. Akay KM, Ersahin Y, Cakir Y. Tethered cord syndrome in adults. Acta Neurochir (Wien) 2000;142:1111-5.
12. Gupta SK, Khosla VK, Sharma BS, et al. Tethered cord syndrome in adults. Surg Neurol 1999;52:362-9.
13. Huttmann S, Krauss J, Collmann H, et al. Surgical management of tethered spinal cord in adults: Report of 54 cases. J Neurosurg 2001;95:173-8.
14. Iskandar BJ, Fulmer BB, Hadley MN, et al. Congenital tethered spinal cord syndrome in adults. J Neurosurg 1998;88:958-61.
15. van LR, Notermans NC, Vandertop WP. Surgery in adults with tethered cord syndrome: Outcome study with independent clinical review. J Neurosurg Spine 2001;94:205-9.
16. Yamada S, Lonser RR. Adult tethered cord syndrome. J Spinal Disord 2000;13:319-23.
17. Albright AL, Pollack IF, Adelson PD, et al. Outcome data and analysis in pediatric neurosurgery. Neurosurgery 1999;45:101-6.
18. Pang D, Casey K. Use of an anal sphincter pressure monitor during operations on the sacral spinal cord and nerve roots. Neurosurgery 1983;13:562-8.
19. Shinomiya K, Fuchioka M, Matsuoka T, et al. Intraoperative monitoring for tethered spinal cord syndrome. Spine 1991;16:1290-4.
20. James HE, Mulcahy JJ, Walsh JW, et al. Use of anal sphincter electromyography during operations on the conus medullaris and sacral nerve roots. Neurosurgery 1979;4:521-3.
21. Daube JR. Monitoring spinal function during surgery. In: Brown WF, Bolton CF, Aminoff MJ, eds. Neuromuscular Function and Disease. Philadelphia, PA: Saunders; 2002:1839-56.
22. Moller AR. Intraoperative Neurophysiologic Monitoring. Luxembourg, Belgium: Harwood Academic Publishers; 1995.
23. Nuwer MR. Spinal cord monitoring. Muscle Nerve 1999;22:1620-30.
24. Engler GL, Spielholz NJ, Bernhard WN, et al. Somatosensory evoked potentials during Harrington instrumentation for scoliosis. J Bone Joint Surg Am 1978;60:528-32.
25. Nash CL Jr, Lorig RA, Schatzinger LA, et al. Spinal cord monitoring during operative treatment of the spine. Clin Orthop Relat Res 1977;126:100-5.
26. MacDonald DB, Al ZZ, Khoudeir I, et al. Monitoring scoliosis surgery with combined multiple pulse transcranial electric motor and cortical somatosensory-evoked potentials from the lower and upper extremities. Spine 2003;28:194-203.
27. Nuwer MR, Daube J, Fischer C, et al. Neuromonitoring during surgery. Report of an IFCN Committee. Electroencephalogr Clin Neurophysiol 1993;87:263-76.
28. Dawson EG, Sherman JE, Kanim LE, et al. Spinal cord monitoring. Results of the Scoliosis Research Society and the European Spinal Deformity Society survey. Spine 1991;16:S361-4.
29. Nuwer MR, Dawson EG, Carlson LG, et al. Somatosensory evoked potential spinal cord monitoring reduces neurologic deficits after scoliosis surgery: results of a large multicenter survey. Electroencephalogr Clin Neurophysiol 1995;96:6-11.
30. Walk D, Fisher MA, Doundoulakis SH, et al. Somatosensory evoked potentials in the evaluation of lumbosacral radiculopathy. Neurology 1992;42:1197-202.
31. Aminoff MJ, Goodin DS, Parry GJ, et al. Electrophysiologic evaluation of lumbosacral radiculopathies: Electromyography, late responses, and somatosensory evoked potentials. Neurology 1985;35:1514-8.
32. Segal R, Pollack I, Segal E, et al. Herniated L4-L5 disc after placement of Harrington instrumentation for a fracture of the thoracolumbar spine. Neurosurgery 1991;29:135-6.
33. Harper CM Jr, Daube JR, Litchy WJ, et al. Lumbar radiculopathy after spinal fusion for scoliosis. Muscle Nerve 1988;11:386-91.
34. Dunne JW, Silbert PL, Wren M. A prospective study of acute radiculopathy after scoliosis surgery. Clin Exp Neurol 1991;28:180-90.
35. Harner SG, Daube JR, Ebersold MJ. Electrophysiologic monitoring of facial nerve during temporal bone surgery. Laryngoscope 1986;96:65-9.
36. Harner SG, Daube JR, Ebersold MJ, et al. Improved preservation of facial nerve function with use of electrical monitoring during removal of acoustic neuromas. Mayo Clin Proc 1987;62:92-102.
37. Prass RL, Kinney SE, Hardym RW Jr, et al. Acoustic (loudspeaker) facial EMG monitoring: II. Use of evoked EMG activity during acoustic neuroma resection. Otolaryngol Head Neck Surg 1987;97:541-51.
38. Prass RL, Luders H. Acoustic (loudspeaker) facial electromyographic monitoring: Part 1. Evoked electromyographic activity during acoustic neuroma resection. Neurosurgery 1986;19:392-400.
39. Daube JR, Harper CM. Surgical monitoring of cranial and peripheral nerves. In: Desmedt JE, ed. Neuromonitoring in Surgery. Amsterdam, the Netherlands: Elsevier Science; 1989:115-38.
40. Romstock J, Strauss C, Fahlbusch R. Continuous electromyography monitoring of motor cranial nerves during cerebellopontine angle surgery. J Neurosurg 2000;93:586-93.
41. Eisner W, Schmid UD, Reulen HJ, et al. The mapping and continuous monitoring of the intrinsic motor nuclei during brain stem surgery. Neurosurgery 1995;37:255-65.
42. Kartush JM. Intra-operative monitoring in acoustic neuroma surgery. Neurol Res 1998;20:593-6.
43. Kothbauer KF, Novak K. Intraoperative monitoring for tethered cord surgery: An update. Neurosurg Focus 2004;16:E8.
44. Junemann KP, Schmidt RA, Melchior H, et al. Neuroanatomy and clinical significance of the external urethral sphincter. Urol Int 1987;42:132-6.
45. Deletis V, Vodusek DB, Abbott R, et al. Intraoperative monitoring of the dorsal sacral roots: Minimizing the risk of iatrogenic micturition disorders. Neurosurgery 1992;30:72-5.
46. Phillips LH, Park TS. Electrophysiological monitoring during lipomyelomeningocele resection. Muscle Nerve 1990;13:127-32.