Protocolo

A practical guide to carrying out neurophysiological monitoring in spine surgery

S. Avellanal-Salas, G. de Blas-Beorlegui, J.M. Castilla-Garrido, J.J. Conill, V.E. Cortés-Doñate, P. Chaparro-Hernández, J.M. Fernández, M. González-Hidalgo, C. Maeztu, A. Martínez-Figueroa, J. Moliner-Ibáñez, D. Moncho, J. Otero-Hernández, R. López-Pajares, J. Paniagua-Soto, I. Regidor, M.C. Vilela-Cortés [REV NEUROL 2004;38:879-885] PMID: 15152359 DOI: https://doi.org/10.33588/rn.3809.2003515

OPEN ACCESS

Volumen 38 | Number 09 | Nº of views of the article 7.161 | Nº of PDF downloads 1.252 | Article publication date 01/05/2004

Download PDF Castellano Citation Search in PubMed

Share in:

Go to another issue

ABSTRACT

INTRODUCTION AND AIMS. The main purposes of intraoperative monitoring during spine surgery are to avoid damage to nerve structures, to guide the surgeon in the extension of the correction, to identify structures and to ensure the patient receives the best possible attention. Several multicentre studies have shown that performing neurophysiological monitoring of spinal cord functioning during spine surgery reduces the incidence of post-surgical neurophysiological injury by up to 50%. A number of different neurophysiological tests have been developed to monitor spinal cord functioning during surgery but no agreement has been reached about which is the best method. In this work, the Spanish Society of Clinical Neurophysiology, through a panel of experts, has surveyed the main monitoring techniques used during spine surgery and has drawn up a series of best practice guidelines. DEVELOPMENT. None of the techniques described to date is totally free of drawbacks. Nevertheless, what authors do agree about, both in the Spanish and international literature, is the advisability of having several types of potential available so that they can be used if and when the neurophysiologist sees fit, while also allowing the disadvantages of each different type to be compensated, which in turn means an increased degree of safety for the patient.

CONCLUSIONS Monitoring requires a multidisciplinary team and the neurophysiologist must be fully competent in this area. With this guide, the Spanish Society of Clinical Neurophysiology conducts a review of the different techniques available and lays down the criteria for interpreting the results and the risk criteria of the most important techniques. KeywordsIntraoperative monitoring Motor evoked potentials Nerve root monitoring Sensory evoked potentials Spinal cord stimulation Spine surgery Transcranial stimulation CategoriesTécnicas exploratorias

FULL TEXT (solo disponible en lengua castellana / Only available in Spanish)

Acceso directo al último número

Último Podcast

Protocolo

A practical guide to carrying out neurophysiological monitoring in spine surgery

¡CONVIÉRTASE EN USUARIO PREMIUM DE NEUROLOGIA.COM!

Al hacerse premium, está apoyándonos para que Revista de Neurología siga siendo uno de los referentes de habla hispana en la difusión del conocimiento en neurociencias. ¡Gratuita tanto para autores como para todos los usuarios de la web!