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The Use of Spinal Reflex Responses for IOM

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Koht, Sloan, Toleikis's Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals

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Abstract

There are three goals for intraoperative neurophysiologic monitoring. The first is to reduce the risk of neurologic complications by detecting insults to neuronal structures. The second is to provide guidance that may affect a surgeon’s approach or actions, such as mapping the location of sensory and motor tracts within the spinal cord. The third is to perform studies detailed enough to help understand normal and pathophysiologic function. Intraoperative spinal reflex techniques are used to help accomplish these three goals. They are used to monitor the function of peripheral nerve, plexus, nerve root, and segmental and suprasegmental function. These reflex techniques will be reviewed in this chapter.

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Authors and Affiliations

  1. Clinical Neurophysiologist, East Tennessee Children’s Hospital Pediatric Neurology and East Tennessee Children’s Hospital Neurology Laboratory, Knoxville, TN, USA

    Ronald Leppanen

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  1. Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USA

    Christoph N. Seubert

  2. Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Jeffrey R. Balzer

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Leppanen, R. (2023). The Use of Spinal Reflex Responses for IOM. In: Seubert, C.N., Balzer, J.R. (eds) Koht, Sloan, Toleikis's Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. Springer, Cham. https://doi.org/10.1007/978-3-031-09719-5_7

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