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Current opinions and recommendations on multimodal intraoperative monitoring during spine surgeries

European Spine Journal volume 16, pages 232–237 (2007)Cite this article

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References

  1. (1994) Guideline eleven: guidelines for intraoperative monitoring of sensory evoked potentials. American Electroencephalographic Society. J Clin Neurophysiol 11(1):77–87

  2. Auerbach JD, Schwartz DM, Drummond DS, Jones KJ, Flynn JM, El-Gazzar Y, McPartland T, Bowe A, Laufer S, Pizzutillo P, Bowen R, Dormans JP (2006) Detection of impending neurologic injury during surgery for adolescent idiopathic scoliosis: a comparison of transcranial motor and somatosensory evoked potential monitoring in 1121 consecutive cases, in scoliosis research society 41st annual meeting and pre-meeting course SRS: Monterey California. Sept 13–16

  3. Boyd SG, Rothwell JC, Cowan JM, Webb PJ, Morley T, Asselman P, Marsden CD (1986) A method of monitoring function in corticospinal pathways during scoliosis surgery with a note on motor conduction velocities. J Neurol Neurosurg Psychiatr 49(3):251–257

    Article  PubMed  CAS  Google Scholar 

  4. Burke D, Nuwer MR, Daube J, Fischer C, Schramm J, Yingling CD, Jones SJ (1999) Intraoperative monitoring. The International Federation of Clinical Neurophysiology. Electroencephalogr Clin Neurophysiol Suppl 52:133–148

    PubMed  CAS  Google Scholar 

  5. Cheh G, Lenke LG, Kim YJ, Daubs MD, Padberg A, Kuhns CA, Stobbs G, Hensley M (2006) Loss of spinal cord monitoring signals in children during thoracic kyphosis correction with spinal osteotomy: why does it occur and what should you do? In Scoliosis Research Society 41st annual meeting and pre-meeting course, Monterey

  6. Cronin AJ (2002) Spinal cord monitoring. Curr Opin Orthop 13:188–192

    Article  Google Scholar 

  7. Deletis V (2002) Intraoperative neurophysiology and methodologies used to monitor the functional integrity of the motor system. In: Deletis V, Shils JL (eds) Neurophysiology in Neurosurgery. Academic, California, pp 25–51

    Google Scholar 

  8. Deletis V, Sala F (2001) The role of intraoperative neurophysiology in the protection or documentation of surgically induced injury to the spinal cord. Ann NY Acad Sci 939:137–144

    Article  PubMed  CAS  Google Scholar 

  9. Deletis V, Sala F (2004) Intraoperative neurophysiological monitoring during spine surgery: an update. Curr Opin Orthop 15:154–158

    Article  Google Scholar 

  10. Eggspühler A, Sutter M, Grob D, Jeszenszky D, Dvorak J (2007) Multimodal intraoperative monitoring during surgery of spinal deformities in 217 patients. Eur Spine J (suppl.)

  11. Eggspühler A, Sutter M, Grob D, Jeszenszky D, Porchet F, Dvorak J (2007) Multimodal intraoperative monitoring (MIOM) during cervical spine surgical procedures in 246 patients. Eur Spine J (suppl.)

  12. Eggspühler A, Sutter M, Grob D, Porchet F, Jeszenszky D, Dvorak J (2007) Multimodal intraoperative monitoring (MIOM) during surgical decompression of thoracic spinal stenosis in 36 patients. Eur Spine J (suppl.)

  13. Iwasaki H, Tamaki T, Yoshida M, Ando M, Yamada H, Tsutsui S, Takami M (2003) Efficacy and limitations of current methods of intraoperative spinal cord monitoring. J Orthop Sci 8(5):635–642

    Article  PubMed  Google Scholar 

  14. Kothbauer K, Deletis V, Epstein F (1998)Motor evoked potential monitoring for intramedullary spinal cord tumor surgery: correlation of clinical and neurophysiological data in a series of 100 consecutive procedures, http://www.aans.org/journals/online_j/may98/4-5-1

  15. Kurokawa T (1972) Spinal cord action potentials evoked by epidural stimulation of the spinal cord––a report of human and animal record. Jpn J Electroenceph Electromyogr 1:64–66

    Google Scholar 

  16. Leppanen RE, Abnm D, American Society of Neurophysiological M (2005) Intraoperative monitoring of segmental spinal nerve root function with free-run and electrically-triggered electromyography and spinal cord function with reflexes and F-responses. A position statement by the American Society of Neurophysiological Monitoring. J Clin Monit Comput 19(6):437–461

    Google Scholar 

  17. Luk KD, Hu Y, Wong YW, Cheung KM (2001) Evaluation of various evoked potential techniques for spinal cord monitoring during scoliosis surgery. Spine 26(16):1772–1777

    Article  PubMed  CAS  Google Scholar 

  18. Macdonald DB (2006) Intraoperative motor evoked potential monitoring: overview and update. J Clin Monit Comput 20(5):347–377

    Article  PubMed  Google Scholar 

  19. Macdonald DB, Al Zayed Z (2007) Four-limb muscle motor evoked potential and optimized somatosensory evoked potential monitoring with decussation assessment: results in 206 thoraculumbar spine surgeries. Eur Spine J (suppl.)

  20. Minahan RE, Sepkuty JP, Lesser RP, Sponseller PD, Kostuik JP (2001) Anterior spinal cord injury with preserved neurogenic ‘motor’ evoked potentials. Clin Neurophysiol 112(8):1442–1450

    Article  PubMed  CAS  Google Scholar 

  21. Nash CL, Brodkey JS, Croft TJ (1972) A model for electrical monitoring of spinal cord function in scoliosis patients undergoing correction. J Bone Joint Surg Am 54A:197–198

    Google Scholar 

  22. Nuwer MR, Dawson EG, Carlson LG, Kanim LE, Sherman JE (1995) Somatosensory evoked potential spinal cord monitoring reduces neurologic deficits after scoliosis surgery: results of a large multicenter survey. Electroencephalogr Clin Neurophysiol 96(1):6–11

    Article  PubMed  CAS  Google Scholar 

  23. Olaverri JCR, De Blas G, Vallespir GP, Burgos J, Hevia E, Vicente J, Sanpera I, Domenech P, Maruenda J, Ignacio R (2006.) Triggered electromyographic threshold in the intercostals muscle to evaluate the accuracy of high thoracic pedicle screw placement. In Scoliosis Research Society 41st annual meeting and pre-meeting course, Monterey

  24. Owen JH (1999) The application of intraoperative monitoring during surgery for spinal deformity. Spine 24(24):2649–2662

    Article  PubMed  CAS  Google Scholar 

  25. Sala F, Faccioli F, Lanteri P, Gerosa M (2007) Surgery for intramedullary spinal cord tumors: the role of intraoperative neurophysiological monitoring. Eur Spine J (suppl.)

  26. Sala F, Krzan MJ, Deletis V (2002) Intraoperative neurophysiological monitoring in pediatric neurosurgery: why, when, how? Childs Nerv Syst 18(6–7):264–287

    PubMed  Google Scholar 

  27. Sala F, Palandri G, Basso E, Lanteri P, Deletis V, Faccioli F, Bricolo A (2006) Motor evoked potential monitoring improves outcome after surgery for intramedullary spinal cord tumors: a historical control study. Neurosurgery 58(6):1129–1143; discussion 1129–1143

    Article  PubMed  Google Scholar 

  28. Sutter M, Eggspühler A, Grob D, Jeszenszky D, Benini A, Porchet F, Muller A, Dvorak J (2007) The validity of multimodal intraoperative monitoring (MIOM) in surgery of 109 spine and spinal cord tumors. Eur Spine J (suppl.)

  29. Sutter M, Eggspühler A, Grob D, Jeszenszky D, Porchet F, Muller A, Dvorak J (2007) The diagnostic value of multimodal intraoperative monitoring (MIOM) during spine surgery: a prospective study of 1017 cases. Eur Spine J (suppl.)

  30. Sutter M, Eggspühler A, Grob D, Porchet F, Jeszenszky D, Dvorak J (2007) Mutlimodal intraoperative monitoring (MIOM) during lumbosacral surgical procedures in 409 patients. Eur Spine J (suppl.)

  31. Sutter M, Eggspühler A, Muller A, Dvorak J (2007) Multimodal intraoperative monitoring: an overview of proposed methodology based on 1017 cases. Eur Spine J (suppl.)

  32. Tamaki T (2007) History and development of intraoperative monitoring during spine surgery. Eur Spine J

  33. Tamaki T, Yamashita T, Kobayashi H (1972) Spinal cord monitoring. Jpn J Electroenceph Electromyogr 1:196

    Google Scholar 

  34. Toleikis JR (2005) Intraoperative monitoring using somatosensory evoked potentials. A position statement by the American Society of Neurophysiological Monitoring. J Clin Monit Comput 19(3):241–258

    Article  PubMed  Google Scholar 

  35. Toleikis JR, Carlvin AO, Shapiro DE, Schafer MF (1993) The use of dermatomal evoked responses during surgical procedures that use intrapedicular fixation of the lumbosacral spine. Spine 18(16):2401–2407

    Article  PubMed  CAS  Google Scholar 

  36. Ulkatan S, Neuwirth M, Bitan F, Minardi C, Kokoszka A, Deletis V (2006) Monitoring of scoliosis surgery with epidurally recorded motor evoked potentials (D wave) revealed false results. Clin Neurophysiol 117(9):2093–2101

    Article  PubMed  CAS  Google Scholar 

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Acknowledgments

The authors would like to acknowledge the support of Charles McCammon from the research department of Schulthess Clinic for organizing the consensus meeting and preparing the manuscript.

Conflict of interest statement None of the authors has any potential conflict of interest.

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Authors and Affiliations

  1. Department of Neurology/Spine Unit, Schulthess Clinic, Lengghalde 2, 8008, Zurich, Switzerland

    Martin Sutter, Jiri Dvorak, Andreas Eggspuehler & Alfred Mueller

  2. Department of Orthopedic Surgery/Spine Unit, Schulthess Clinic, Lengghalde 2, 8008, Zurich, Switzerland

    Dieter Grob

  3. Department of Anesthesiology, University Medical Center New York, New York, USA

    Vedran Deletis

  4. Department of Neurosciences, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia

    David MacDonald

  5. Department of Neurological and Visual Sciences, University Hospital Verona, Verona, Italy

    Francesco Sala

  6. Wakayama Rosai Hospital, Wakayama, Japan

    Tetsuya Tamaki

Authors
  1. Martin Sutter
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  2. Vedran Deletis
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  3. Jiri Dvorak
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  4. Andreas Eggspuehler
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  5. Dieter Grob
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  6. David MacDonald
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  7. Alfred Mueller
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  8. Francesco Sala
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  9. Tetsuya Tamaki
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Corresponding author

Correspondence to Martin Sutter.

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Sutter, M., Deletis, V., Dvorak, J. et al. Current opinions and recommendations on multimodal intraoperative monitoring during spine surgeries. Eur Spine J 16 (Suppl 2), 232–237 (2007). https://doi.org/10.1007/s00586-007-0421-z

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Keywords

  • Spine surgery
  • Intraoperative monitoring
  • Evoked potential
  • Guidelines