Intraoperative neurophysiologic monitoring: focus on cervical myelopathy and related issues
Abstract
Background context
The use of neurophysiologic monitoring during surgical procedures for cervical spondylotic myelopathy (CSM) is controversial.
Purpose
The aim of this article is to review the literature regarding various monitoring techniques as applied to the patient with CSM.
Study design/methods
A systematic literature review.
Conclusions
Neurophysiologic monitoring is a diagnostic tool for assessment of neurologic function during cervical spine surgery. Recording of somatosensory evoked potentials (SSEPs), transcranial electrical motor evoked potentials (tceMEPs), and electromyograms (EMGs) may be useful as these monitoring modalities provide complementary information.
aGeisinger Medical Center, Department of Orthopedic Surgery, M.C. 21-30, 100 North Academy Avenue, Danville, PA 17822, USA
bUniversity of Wisconsin Hospitals, 600 Highland Avenue, Suite K4-738, Madison, WI 53792, USA
cSurgical Monitoring Associates, 25 Bala Avenue, Suite 105, Bala Cynwyd, PA 19004, USA
dNeurophysiology Incorporated, 5395 Ruffin Road, #102, San Diego, CA 92123, USA
Corresponding author. Geisinger Medical Center, Department of Orthopedic Surgery, M.C. 21-30, 100 North Academy Avenue, Danville, PA 17822. Tel.: (570) 271-6541; (570) 271-5872.
FDA device/drug status: not applicable.
Nothing of value received from a commercial entity related to this manuscript.
ABSTRACT