Neuromonitoring for scoliosis surgery.
The use of intraoperative neuromonitoring (IONM) during pediatric scoliosis repair has become commonplace to reduce the risk of potentially devastating postoperative neurologic deficits. IONM techniques include somatosensory evoked potentials, motor evoked potentials, electromyography, and intraoperative wake-up tests. Special considerations for scoliosis repair in pediatric patients include preexisting neurologic deficits and young patients with immature neural pathways in whom neurophysiologic monitoring may prove difficult or unreliable.
Department of Pediatrics and Anesthesiology, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin Street, Suite A3300, Houston, TX 77030, USA. Electronic address: chris.glover@bcm.edu.
Chris D
CD
Glover
Department of Pediatrics and Anesthesiology, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin Street, Suite A3300, Houston, TX 77030, USA.
Nicholas P
NP
Carling
D000758:Anesthesia / Q000379:methods*; D002648:Child; D004576:Electromyography; D019054:Evoked Potentials, Motor / Q000502:physiology; D005073:Evoked Potentials, Somatosensory / Q000502:physiology; D006801:Humans; D064795:Intraoperative Neurophysiological Monitoring / Q000379:methods*; D059906:Neuroimaging / Q000379:methods*; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000517:prevention & control; D012600:Scoliosis / Q000601:surgery*; D013116:Spinal Cord / Q000473:pathology; D013119:Spinal Cord Injuries / Q000209:etiology / Q000517:prevention & control
Anesthesia; Electromyography; Evoked potentials; Pediatrics; Propofol; Scoliosis; TIVA