title: Overview of Intraoperative Neurophysiological Monitoring During Spine Surgery.
abstract: Intraoperative neurophysiologic monitoring has had major advances in the past few decades. During spine surgery, the use of multimodality monitoring enables us to assess the integrity of the spinal cord, nerve roots, and peripheral nerves. The authors present a practical approach to the current modalities in use during spine surgery, including somatosensory evoked potentials, motor evoked potentials, spinal D-waves, and free-run and triggered electromyography. Understanding the complementary nature of these modalities will help tailor monitoring to a particular procedure to minimize postoperative neurologic deficit during spine surgery.
authors.affiliation: University of Southern California, Los Angeles, CA, U.S.A.
authors.forename: Parastou
authors.initials: P
authors.lastname: Shilian
authors.forename: Gabriel
authors.initials: G
authors.lastname: Zada
authors.forename: Aaron C
authors.initials: AC
authors.lastname: Kim
authors.forename: Andres A
authors.initials: AA
authors.lastname: Gonzalez
mesh_terms: D004558:Electric Stimulation / Q000379:methods*; D004576:Electromyography / Q000379:methods*; D019054:Evoked Potentials, Motor / Q000502:physiology*; D005073:Evoked Potentials, Somatosensory / Q000502:physiology*; D006801:Humans; D064795:Intraoperative Neurophysiological Monitoring / Q000379:methods*; D013122:Spinal Diseases / Q000601:surgery*