title: Spinal cord monitoring. Results of the Scoliosis Research Society and the European Spinal Deformity Society survey.
abstract: The Scoliosis Research Society (SRS) and the European Spinal Deformity Society (ESDS) membership was surveyed regarding the use of intraoperative monitoring of somatosensory evoked potentials in spinal surgery. A total of 242 people responded, with 188 using intraoperative monitoring. A second survey was distributed detailing the technical aspects of monitoring, of which 71 were returned. A total of 342 neurologic deficits were reported to have occurred with monitoring in place. Two hundred forty-six (72%) were accurately detected, and 96 (28%) were not detected by sensory cord evoked potentials (SCEP). There were 1,003 false-positive cases reported. The incidence of false-negative cases was related to those not monitoring both latency and amplitude, to using fewer recording electrodes, and with those surgeons doing more kyphosis corrections.
authors.affiliation: Division of Orthopaedic Surgery, University of California-Los Angeles School of Medicine.
authors.forename: E G
authors.initials: EG
authors.lastname: Dawson
authors.forename: J E
authors.initials: JE
authors.lastname: Sherman
authors.forename: L E
authors.initials: LE
authors.lastname: Kanim
authors.forename: M R
authors.initials: MR
authors.lastname: Nuwer
mesh_terms: D005060:Europe; D005073:Evoked Potentials, Somatosensory; D005188:False Negative Reactions; D005189:False Positive Reactions; D006801:Humans; D007430:Intraoperative Care; D007738:Kyphosis / Q000503:physiopathology*; D012600:Scoliosis / Q000503:physiopathology*; D012955:Societies, Medical; D013116:Spinal Cord / Q000503:physiopathology*; D016103:Spinal Fractures / Q000503:physiopathology*; D013168:Spondylolisthesis / Q000503:physiopathology*