nach oben

Erschienen in:

01.11.2007 | Original Article

Current opinions and recommendations on multimodal intraoperative monitoring during spine surgeries

verfasst von: Martin Sutter, Vedran Deletis, Jiri Dvorak, Andreas Eggspuehler, Dieter Grob, David MacDonald, Alfred Mueller, Francesco Sala, Tetsuya Tamaki

Erschienen in: European Spine Journal | Sonderheft 2/2007

Einloggen, um Zugang zu erhalten

Excerpt

With the rapid development of imaging techniques and better understanding of structural and functional pathology of the spine and spinal cord there has been a worldwide increase in the number of spine surgeries performed, particularly in specialized interdisciplinary spine centers. In addition to the congenital and acquired deformities of the spine and relatively rare spinal cord tumors, common degenerative spine disease within the aging general population contributes to a growing number of pathologies with myelopathies. This is important because antecedent myelopathy increases spinal cord risk during surgical treatment. The possibility of having functional neurophysiological assessment during spine and spinal cord surgery was introduced in 1970s by applying somatosensory evoked potentials (SEPs) as well as spinal evoked potentials [15, 21, 32, 33]. …

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

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

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):251–257PubMedCrossRef

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 52:133–148PubMed

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

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

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

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 939:137–144PubMedCrossRef

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

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):635–642PubMedCrossRef

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

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

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):1772–1777PubMedCrossRef

18.

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

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):1442–1450PubMedCrossRef

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

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):6–11PubMedCrossRef

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):2649–2662PubMedCrossRef

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):264–287PubMed

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 1129–1143PubMedCrossRef

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

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):241–258PubMedCrossRef

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):2401–2407PubMedCrossRef

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):2093–2101PubMedCrossRef

Titel: Current opinions and recommendations on multimodal intraoperative monitoring during spine surgeries
verfasst von: Martin Sutter
Vedran Deletis
Jiri Dvorak
Andreas Eggspuehler
Dieter Grob
David MacDonald
Alfred Mueller
Francesco Sala
Tetsuya Tamaki
Publikationsdatum: 01.11.2007
Verlag: Springer-Verlag
Erschienen in: European Spine Journal / Ausgabe Sonderheft 2/2007
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-007-0421-z

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Excerpt

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Sonderheft 2/2007

History of the development of intraoperative spinal cord monitoring

Multimodal intraoperative monitoring (MIOM) during surgical decompression of thoracic spinal stenosis in 36 patients

Multimodal intraoperative monitoring: an overview and proposal of methodology based on 1,017 cases

Surgery for intramedullary spinal cord tumors: the role of intraoperative (neurophysiological) monitoring

Multimodal intraoperative monitoring (MIOM) during 409 lumbosacral surgical procedures in 409 patients