Timing of intraoperative neurophysiological monitoring (IONM) recovery and clinical recovery after termination of pediatric spinal deformity surgery due to loss of IONM signals

Intraoperative neurophysiological monitoring (IONM) is routinely used to reduce the risk of neurological injury during spinal surgery, especially in cases that require deformity correction and instrumentation [1]. Transcranial motor evoked potentials (MEPs) and somatosensory-evoked potentials (SSEPs) allow real time assessment of motor and sensory pathways during surgery, and they have been recognized as reliable early markers in predicting nervous system integrity after spinal surgery [2,3].

Source: The Spine Journal - April 11, 2024 Category: Orthopaedics Authors: Travis S. CreveCoeur, Rajiv R. Iyer, Hannah E. Goldstein, Mychael W. Delgardo, Todd C Hankinson, Mark A. Erickson, Sumeet Garg, David L Skaggs, Lindsay Andras, Benjamin C. Kennedy, Patrick J. Cahill, Lawrence G. Lenke, Peter D. Angevine, Benjamin D. Roye, Tags: Clinical Study Source Type: research