title: Intraoperative use of somatosensory-evoked potential in monitoring nerve roots.
abstract: Different intraoperative neuromonitoring modalities (mixed-nerve somatosensory-evoked potential [M-SSEP], dermatomal somatosensory-evoked potential [D-SSEP], compound motor-evoked potential [CMEP], electromyography [EMG], and the Hoffmann reflex [H-reflex]) have been developed for early detection of nerve root injury, for timely revision, and for damage reduction. In this study, we discuss the advantages and disadvantages of M-SSEP and D-SSEP by reviewing experimental evidence from animal models and clinical practice.
authors.affiliation: Department of Orthopedics, Taipei Veterans General Hospital, Taipei, Taiwan.
authors.forename: Shang-Wen
authors.initials: SW
authors.lastname: Tsai
authors.forename: Ching-Lin
authors.initials: CL
authors.lastname: Tsai
authors.forename: Po-Ting
authors.initials: PT
authors.lastname: Wu
authors.forename: Cheng-Yi
authors.initials: CY
authors.lastname: Wu
authors.forename: Chien-Lin
authors.initials: CL
authors.lastname: Liu
authors.forename: I-Ming
authors.initials: IM
authors.lastname: Jou
mesh_terms: D000818:Animals; D004576:Electromyography; D019054:Evoked Potentials, Motor / Q000502:physiology*; D005073:Evoked Potentials, Somatosensory / Q000502:physiology*; D006181:H-Reflex / Q000502:physiology*; D006801:Humans; D016343:Monitoring, Intraoperative / Q000379:methods*; D019635:Neurosurgical Procedures / Q000009:adverse effects; D059348:Peripheral Nerve Injuries / Q000517:prevention & control; D013126:Spinal Nerve Roots / Q000502:physiology* / Q000601:surgery