Spinal cord monitoring. Results of the Scoliosis Research Society and the European Spinal Deformity Society survey.
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.
Dawson
E G
EG
Division of Orthopaedic Surgery, University of California-Los Angeles School of Medicine.
Sherman
J E
JE
Kanim
L E
LE
Nuwer
M R
MR
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*