Surgeries – Spinal

Synaptic Resources - Spinal Surgery IOMSynaptic Resources - Spinal Surgery IOMIONM in spinal surgeries has been well documented and supported as a technique used for the reduction of neurological injuries.

Indications:

IONM may be useful in any spinal surgery where the neural structures are at risk (cervical, thoracic, and lumbar). IONM is now considered the standard of care for corrective scoliosis surgery. Monitoring is recommended for complex surgeries such as disk replacements, dorsal rhizotomies, tethered cord releases, fusions, patients with severe stenosis, and any surgery where the surgeon wants added insurance for the patient’s neural structures. Monitoring can be especially useful in these procedures when multi-modality studies are performed.

Modalities used:

 SSEPEMG, and TcMEP

Research Papers:

  • Two cases of quadriparesis following anterior cervical discectomy, with normal perioperative somatosensory evoked potentials. Click here to read…
  • Nerve monitoring changes related to iliac artery compression during anterior lumbar spine surgery.Click here to read…
  • Intraoperative somatosensory evoked potential findings in acute and chronic spinal canal compromise. Click here to read…
  • Evaluation of intraoperative somatosensory-evoked potential monitoring during 100 cervical operations. Click here to read…