title: Intraoperative Spinal Cord and Nerve Root Monitoring: A Hospital Survey and Review.
abstract: Intraoperative monitoring (IOM) of spinal cord and nerve root injury through somatosensory evoked potentials (SSEP), transcranial motor evoked potentials (TcMEP), spontaneous electromyography (sEMG), and triggered electromyography (tEMG) modalities is vital during spinal surgery. However, there are currently no practice guidelines or practice patterns for the utilization of unimodal and multimodal IOM for specific surgeries. This study reviews IOM modalities and documents practice patterns of spine surgeons at our single-center tertiary hospital about their use of various IOM modalities on 23 spinal procedures. As different intraoperative monitoring modalities have shown to have different sensitivities and specificities, devising practice guidelines for IOM utilization in specific spinal procedures should be considered.
authors.forename: Rachel N
authors.initials: RN
authors.lastname: Rattenni
authors.forename: Thomas
authors.initials: T
authors.lastname: Cheriyan
authors.forename: Alexandra
authors.initials: A
authors.lastname: Lee
authors.forename: John A
authors.initials: JA
authors.lastname: Bendo
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Errico
authors.forename: Jeffrey E
authors.initials: JE
authors.lastname: Goldstein
mesh_terms: D004569:Electroencephalography / Q000706:statistics & numerical data; D004576:Electromyography / Q000706:statistics & numerical data; D019054:Evoked Potentials, Motor; D005073:Evoked Potentials, Somatosensory; D019538:Health Care Surveys; D006801:Humans; D064795:Intraoperative Neurophysiological Monitoring / Q000379:methods / Q000706:statistics & numerical data*; D019637:Orthopedic Procedures / Q000009:adverse effects; D010818:Practice Patterns, Physicians'; D011237:Predictive Value of Tests; D012018:Reflex; D013116:Spinal Cord / Q000503:physiopathology / Q000601:surgery*; D013126:Spinal Nerve Roots / Q000503:physiopathology / Q000601:surgery*; D062606:Tertiary Care Centers; D065908:Transcranial Direct Current Stimulation / Q000706:statistics & numerical data