Intraoperative neurophysiological monitoring (IONM): Lessons learned from 32 case events in 2069 spine cases

Neurodiagnostic Journal

Volumn 51, Issue 4, 2011, Pages 247-263

  Eager, Matthew ^a   Shimer, Adam ^a   Jahangiri, Faisal R ^b   Shen, Francis ^a   Arlet, Vincent ^a  

^a UNIVERSITY OF VIRGINIA MEDICAL CENTER   (United States)

^b Impulse Monitoring Inc   (United States)

Author keywords

Deformity correction; Electromyography (EMG); Intraoperative neurophysiological monitoring (IONM); Multimodality IONM; Pedicle screw stimulation; Postoperative deficit; Scoliosis; Somatosensory evoked potential (SSEP); Spinal surgery; Transcranial electrical motor evoked potential (TCeMEP)

Indexed keywords

DEFORMATION; ELECTROMYOGRAPHY; ELECTROPHYSIOLOGY; NEUROPHYSIOLOGY; SCREWS;

DEFORMITY CORRECTION; INTRA-OPERATIVE NEUROPHYSIOLOGICAL MONITORING (IONM); MULTIMODALITY IONM; PEDICLE SCREW STIMULATIONS; POSTOPERATIVE DEFICIT; SCOLIOSIS; SOMATOSENSORY EVOKED POTENTIALS; SPINAL SURGERY; TRANSCRANIAL ELECTRICAL MOTOR EVOKED POTENTIALS;

SURGERY;

ADOLESCENT; ADULT; AGED; CHILD; CLINICAL PROTOCOL; DEGENERATIVE DISEASE; ELECTROMYOGRAPHY; EVOKED SOMATOSENSORY RESPONSE; FALSE POSITIVE RESULT; FEMALE; HUMAN; HYPOTENSION; INFANT; INTERVERTEBRAL DISK DISEASE; INTERVERTEBRAL DISK HERNIA; INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING; INTRAOPERATIVE PERIOD; KYPHOSIS; MAJOR CLINICAL STUDY; MALE; MOTOR DYSFUNCTION; NERVOUS SYSTEM INJURY; NEUROLOGIC DISEASE; NEUROMONITORING; OUTCOME ASSESSMENT; PATIENT POSITIONING; PERIOPERATIVE PERIOD; PRESCHOOL CHILD; PSEUDARTHROSIS; RADICULOPATHY; REOPERATION; RETROSPECTIVE STUDY; REVIEW; SCHOOL CHILD; SCOLIOSIS; SENSORY DYSFUNCTION; SPINAL CORD DISEASE; SPINE DISEASE; SPINE FRACTURE; SPINE SURGERY; SPONDYLOLISTHESIS; SPONTANEOUS ELECTROMYOGRAPHY; TETHERED CORD SYNDROME; TRANSCRANIAL ELECTRICAL MOTOR EVOKED POTENTIAL; TRIGGERED ELECTROMYOGRAPHY; VERTEBRAL CANAL STENOSIS;

EID: 84856145850     PISSN: 21646821     EISSN: None     Source Type: Journal    
DOI: 10.1080/1086508x.2011.11079827     Document Type: Review

References (27)

1. Accadbled F, Henry P, de Gauzy JS, Cahuzac JP. Spinal cord monitoring in scoliosis surgery using an epidural electrode. Results of a prospective, consecutive series of 191 cases. Spine 2006; 31:2614-23. (Pubitemid 44632248)
2. Bridwell KH, Lenke LG, Baldus C, Blanke K. Major intraoperative neurologic deficits in pediatric and adult spinal deformity patients. Incidence and etiology at one institution. Spine (Phila Pa 1976) 1998; 23:324-31. (Pubitemid 28109857)
3. Burke D, Hicks R, Stephen J, Woodforth I, Crawford M. Assessment of corticospinal and somatosensory conduction simultaneously during scoliosis surgery. Electroencephalogr Clin Neurophysiol 1992; 85:388-96. (Pubitemid 23011250)
4. Calancie B, Madsen P, Lebwohl N. Stimulus-evoked EMG monitoring during transpedicular lumbosacral spine instrumentation. Initial clinical results. Spine (Phil Pa 1976) 1994; 19:2780-86.
5. Calancie B, Molano MR. Alarm criteria for motor-evoked potentials: what's wrong with the "presence-or-absence" approach? Spine (Phil Pa 1976) 2008; 33:406-14. (Pubitemid 351286535)
6. Chen X, Sterio D, Ming X, Para DD, Butusova M, Tong T, Beric A. Success rate of motor evoked potentials for intraoperative neurophysiologic monitoring: effects of age, lesion location, and preoperative neurologic deficits. J Clin Neurophysiol 2007; 24:281-85. (Pubitemid 46871877)
7. Deletis V, Sala F. Intraoperative neurophysiological monitoring of the spinal cord during spinal cord and spine surgery: a review focus on the corticospinal tracts. Clin Neurophysiol 2008; 119:248-64.
8. Jahangiri FR, Sherman JH, Holmberg A, Louis R, Elias J, Vega-Bermudez F. Protecting the Genitofemoral Nerve during Direct/Extreme lateral Interbody Fusion (DLIF/XLIF) Procedures. Am J Electroneurodiagnostic Technol 2010a; 50:321-35.
9. Jahangiri FR, Crowley RW, Persyn JJ, Kassell N, Vega-Bermudez F. Predicting surgical outcome using somatosensory evoked potentials and transcranial electric motor evoked potentials in a cervical-medullary junction hemangioblastoma. Am J Electroneurodiagnostic Technol 2010b; 50:101-10.
10. Jimenez JC, Sani S, Braverman B, Deutsch H, Ratliff JK. Palsies of the fifth cervical nerve root after cervical decompression: prevention using continuous intraoperative electromyography monitoring. J Neurosurg Spine 2005; 3:92-97.
11. Keith RW, Stambough JL, Awender SH. Somatosensory cortical evoked potentials: a review of 100 cases of intraoperative spinal surgery monitoring. J Spinal Disord 1990; 3:220-26. (Pubitemid 20300306)
12. Kelleher MO, Tan G, Sarjeant R, Fehlings MG. Predictive value of intraoperative neurophysiological monitoring during cervical spine surgery: a prospective analysis of 1055 consecutive patients. J Neurosurg Spine 2008; 8:215-21. (Pubitemid 351413949)
13. Khan MH, Smith PN, Balzer JR, Crammond D, Welch WC, Gerszten P, Sclabassi RJ, Kang JD, Donaldson WF. Intraoperative somatosensory evoked potential monitoring during cervical spine corpectomy surgery: experience with 508 cases. Spine (Phil Pa 1976) 2006; 31:E105- 13. (Pubitemid 43361729)
14. Kothbauer KF, Deletis V, Epstein FJ. Motor-evoked potential monitoring for intramedullary spinal cord tumor surgery: correlation of clinical and neurophysiological data in a series of 100 consecutive procedures. Neurosurg Focus 1998; 4:e1.
15. MacDonald DB, Al Zayed Z, Khoudeir I, Stigsby B. 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. (Pubitemid 36110089)
16. Merton PA, Morton HB. Stimulation of the cerebral cortex in the intact human subject. Nature 1980; 285:227. (Pubitemid 10051018)
17. Nash CL Jr, Lorig RA, Schatzinger LA, Brown RH. Spinal cord monitoring during operative treatment of the spine. Clin Orthop Relat Res 1977; 100-05. (Pubitemid 8173288)
18. Nuwer MR, Dawson EG, Carlson LG, Kanim LE, Sherman JE. 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.
19. Pajewski TN, Arlet V, Phillips LH. Current approach on spinal cord monitoring: the point of view of the neurologist, the anesthesiologist and the spine surgeon. Eur Spine J 2007; 16 Suppl 2: S115-29. (Pubitemid 350029513)
20. Pelosi L, Lamb J, Grevitt M, Mehdian SM, Webb JK, Blumhardt LD. Combined monitoring of motor and somatosensory evoked potentials in orthopaedic spinal surgery. Clin Neurophysiol 2002; 113:1082-91. (Pubitemid 34667147)
21. Quraishi NA, Lewis SJ, Kelleher MO, Sarjeant R, Rampersaud YR, Fehlings MG. Intraoperative multimodality monitoring in adult spinal deformity: analysis of a prospective series of one hundred two cases with independent evaluation. Spine (Phila Pa 1976) 2009; 34:1504-12.
22. Sansur CA, Pouratian N, Dumont AS, Schiff D, Shaffrey CI, Shaffrey ME. Part II: spinal-cord neoplasms - primary tumors of the bony spine and adjacent soft tissues. Lancet Oncol 2007; 8:137-47. (Pubitemid 46158380)
23. Scheufler KM, Zentner J. Total intravenous anesthesia for intraoperative monitoring of the motor pathways: an integral view combining clinical and experimental data. J Neurosurg 2002; 96: 571-79. (Pubitemid 34230214)
24. Seyal M, Mull B. Mechanisms of signal change during intraoperative somatosensory evoked potential monitoring of the spinal cord. J Clin Neurophysiol 2002; 19:409-15. (Pubitemid 35448669)
25. Sloan TB, Heyer EJ. Anaesthesia for intraoperative neurophysiologic monitoring of the spinal cord. J Clin Neurophysiol 2002; 19:430-43. (Pubitemid 35452598)
26. Sutter M, Eggspuehler A, Muller A, Dvorak J. Multimodal intraoperative monitoring: an overview and proposal of methodology based on 1,017 cases. Eur Spine J 2007; 16 Suppl 2: S153-61. (Pubitemid 350029511)
27. Traul DE, Shaffrey ME, Schiff D. Part I: spinal-cord neoplasms - intradural neoplasms. Lancet Oncol 2007; 8:35-45.