Tanumihardja, Sylvia and Supantini, Dedeh and Gunadi, Julia Windi and Sanjaya, Ardo and Marcella, Katherine
(2023)
Clinical Significance Of Intraoperative Neurophysiological Monitoring During Scoliosis Surgery: A Literature Review.
Malang Neurology Journal, 9 (2).
pp. 149-153.
ISSN 2442-5001
Abstract
Mechanical damage to nerve fibers during scoliosis correction can result in severe neurological
disorders. It has been demonstrated that intraoperative neurophysiological monitoring during spinal
surgery reduces the risk of motor deficits or paraplegia. Despite significant advances in the technique
and application of IONM (intraoperative neurophysiological monitoring), data reporting the impact of
implementing intraoperative neurophysiological monitoring on scoliosis surgery intervention remains
very limited. Therefore, this review aims to investigate the correlation between the application of IONM
and the risk of neurologic deficits in scoliosis patients undergoing surgery. The database sourced from
PubMed (Jan 2010 to Jan 2022) was used to identify all studies evaluating the effectiveness and impact
of intraoperative neurophysiological monitoring during scoliosis surgery and reducing the risk of
postoperative complications. This systematic review included five studies. Multimodal IONM, with its
high sensitivity and specificity, provides an objective benchmark that surgeons can implement to review
surgical strategies to reduce the risk of permanent neurologic deficits. Multimodal IONM can be
considered the gold standard of IONM in scoliosis surgery to prevent neurological damage and provide
a more satisfactory result of surgical intervention.
| Item Type: |
Article
|
| Contributors: |
| Contribution | Contributors | NIDN/NIDK | Email |
|---|
| UNSPECIFIED | Tanumihardja, Sylvia | UNSPECIFIED | UNSPECIFIED | | UNSPECIFIED | Supantini, Dedeh | UNSPECIFIED | UNSPECIFIED | | UNSPECIFIED | Gunadi, Julia Windi | UNSPECIFIED | UNSPECIFIED | | UNSPECIFIED | Sanjaya, Ardo | UNSPECIFIED | UNSPECIFIED | | UNSPECIFIED | Marcella, Katherine | UNSPECIFIED | UNSPECIFIED |
|
| Uncontrolled Keywords: |
Intraoperative neurophysiological monitoring, neuromonitoring, neurological deficit,
scoliosis surgery, spinal cord compression.
|
| Subjects: |
R Medicine > R Medicine (General) |
| Depositing User: |
Perpustakaan Maranatha
|
| Date Deposited: |
13 Jul 2023 09:33 |
| Last Modified: |
13 Jul 2023 09:33 |
| URI: |
http://repository.maranatha.edu/id/eprint/32008 |
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