The Spine Journal
Volume 6, Issue 6, Supplement , Pages S212-S224, November 2006

Intraoperative neurophysiologic monitoring: focus on cervical myelopathy and related issues

  • Vincent J. Devlin, MD

      Affiliations

    • Geisinger Medical Center, Department of Orthopedic Surgery, M.C. 21-30, 100 North Academy Avenue, Danville, PA 17822, USA
    • Corresponding Author InformationCorresponding 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.
    • ,
  • Paul A. Anderson, MD

      Affiliations

    • University of Wisconsin Hospitals, 600 Highland Avenue, Suite K4-738, Madison, WI 53792, USA
    • ,
  • Daniel M. Schwartz, PhD, DABNM

      Affiliations

    • Surgical Monitoring Associates, 25 Bala Avenue, Suite 105, Bala Cynwyd, PA 19004, USA
    • ,
  • Robin Vaughan, PhD, DABNM

      Affiliations

    • Neurophysiology Incorporated, 5395 Ruffin Road, #102, San Diego, CA 92123, USA

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.

Keywords: Neurophysiologic monitoring, Cervical spondylotic myelopathy

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 FDA device/drug status: not applicable.Nothing of value received from a commercial entity related to this manuscript.

PII: S1529-9430(06)00224-5

doi:10.1016/j.spinee.2006.04.022

The Spine Journal
Volume 6, Issue 6, Supplement , Pages S212-S224, November 2006

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