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Articles

Intraoperative Neurophysiological Monitoring during Spine Surgery: an Update
Current Opinion in Orthopedics. 15(3):154-158, June 2004.
Intraoperative neurophysiological monitoring (IONM) during spine surgery has dramatically evolved over the past decade…

Comparison of Transcranial Electric Motor and Somatosensory Evoked Potential Monitoring during Cervical Spine Surgery
The Journal of Bone and Joint Surgery. 2004 Jun;86-A(6):1248-53.
In this study the authors used intraoperative electromyographic (EMG) monitoring of the posterior pharynx as a surrogate for RLN function…

Intraoperative Electromyographic Assessment of Recurrent Laryngeal Nerve Stress and Pharyngeal Injury during Anterior Cervical Spine Surgery with Caspar Instrumentation
Journal of Neurosurgery: Spine. October 1999 Volume 91 Number 2.
In this study the authors used intraoperative electromyographic (EMG) monitoring of the posterior pharynx as a surrogate for RLN function…

Simultaneous Somatosensory Evoked Potential and Electromyographic Recordings during Lumbosacral Decompression and Instrumentation
Neurosurgery. 42(6):1318-1324, June 1998.
Both motor and sensory neurological deficits have been reported after decompression and instrumentation of the lumbosacral spine…

The Usefulness of Electrical Stimulation for Assessing Pedicle Screw Placements
Journal of Spinal Disorders. 13(4):283-289, August 2000.
The purpose of this study was to further establish the efficacy of pedicle screw stimulation as a monitoring technique to avoid nerve root injury during screw placement…


Cervical


Preventing C5 Palsy After Laminoplasty
Spine. 28(17):1972-1977, September 1, 2003.
Study Design. The incidences of postoperative C5 palsy between a group treated by a standardized diagnostic and surgical treatment and a control group treated by a different…


Comparison of Transcranial Electric Motor and Somatosensory Evoked Potential Monitoring During Cervical Spine Surgery
Journal of Bone & Joint Surgery - American Volume. 86-A(6):1248-1253, June 2004.
Background: There has been little enthusiasm for somatosensory evoked potential monitoring in cervical spine surgery as a result, in part, of the increased risk of motor tract injury at…


Intraoperative Neurophysiologic Detection of Iatrogenic C5 Nerve Root Injury During Laminectomy for Cervical Compression Myelopathy
Spine. 27(22):2499-2502, November 15, 2002.
Study Design. A retrospective and prospective study was conducted to investigate intraoperative neurophysiologic monitoring during cervical laminectomy to detect iatrogenic C5…

The Value of Motor and Somatosensory Evoked Potentials in Evaluation of Cervical Myelopathy in the Presence of Peripheral Neuropathy
Spine. 29(12):E239-E247, June 15, 2004.
Study Design. Patterns and rates of motor-evoked potential (MEP) and somatosensory-evoked potential (SEP) abnormalities were evaluated in 9 patients with combined cervical cord…


Lumbar


Case Report: Intraoperative Left Common Iliac Occlusion in a Scheduled 360-Degree Spinal Fusion
Spine. 28(16):E316-E319, August 15, 2003.
Study Design. This is a case report of a left common iliac artery occlusion identified as an intraoperative complication during a planned (combined anterior interbody and posterior…


Pedicle Screw


The Usefulness of Electrical Stimulation for Assessing Pedicle Screw Placements
Journal of Spinal Disorders. 13(4):283-289, August 2000.
Summary: The purpose of this study was to further establish the efficacy of pedicle screw stimulation as a monitoring technique to avoid nerve root injury during screw placement.…


Electrical Stimulation for Intraoperative Evaluation of Thoracic Pedicle Screw Placement
Spine. 28(6):595-601, March 15, 2003.
Study Design. Thoracic pedicle screws were stimulated electrically while recording electromyography (EMG) activity in associated muscle groups intraoperatively. Screw position was…


Somatosensory Evoked Potential


Multimodality Monitoring of Transcranial Electric Motor and Somatosensory Evoked Potentials During Surgical Correction of Spinal Deformity in Patients With Cerebral Palsy and Other Neuromuscular Disorders
Spine. 28(16):1851-1855, August 15, 2003.
Study Design. This prospective, descriptive study determined the reliability of transcranial electric motor and posterior tibial nerve somatosensory-evoked potentials in children with…


Monitoring Scoliosis Surgery With Combined Multiple Pulse Transcranial Electric Motor and Cortical Somatosensory Evoked Potentials From the Lower and Upper Extremities
Spine. 28(2):194-203, January 15, 2003.
Study Design. A retrospective case review was performed.…


The Value of Motor and Somatosensory Evoked Potentials in Evaluation of Cervical Myelopathy in the Presence of Peripheral Neuropathy
Spine. 29(12):E239-E247, June 15, 2004.
Study Design. Patterns and rates of motor-evoked potential (MEP) and somatosensory-evoked potential (SEP) abnormalities were evaluated in 9 patients with combined cervical cord…


Impact of Somatosensory Evoked Potential Monitoring on Cervical Surgery
Journal of Clinical Neurophysiology. 20(2):122-128, April 2003.
Summary : Controversy still exists about the necessity of somatosensory evoked potential (SSEP) monitoring during cervical surgery. The purpose of this prospective study is to…


Comparison of Transcranial Electric Motor and Somatosensory Evoked Potential Monitoring During Cervical Spine Surgery
Journal of Bone & Joint Surgery - American Volume. 86-A(6):1248-1253, June 2004.
Background: There has been little enthusiasm for somatosensory evoked potential monitoring in cervical spine surgery as a result, in part, of the increased risk of motor tract injury at…


Transcranial Electrical Motor Evoked Potential


Comparison of Transcranial Electric Motor and Somatosensory Evoked Potential Monitoring During Cervical Spine Surgery
Journal of Bone & Joint Surgery - American Volume. 86-A(6):1248-1253, June 2004.
Background: There has been little enthusiasm for somatosensory evoked potential monitoring in cervical spine surgery as a result, in part, of the increased risk of motor tract injury at…


Multimodality Monitoring of Transcranial Electric Motor and Somatosensory Evoked Potentials During Surgical Correction of Spinal Deformity in Patients With Cerebral Palsy and Other Neuromuscular Disorders
Spine. 28(16):1851-1855, August 15, 2003.
Study Design. This prospective, descriptive study determined the reliability of transcranial electric motor and posterior tibial nerve somatosensory-evoked potentials in children with…


Monitoring Scoliosis Surgery With Combined Multiple Pulse Transcranial Electric Motor and Cortical Somatosensory Evoked Potentials From the Lower and Upper Extremities
Spine. 28(2):194-203, January 15, 2003.
Study Design. A retrospective case review was performed.…


Safety of Intraoperative Transcranial Electrical Stimulation Motor Evoked Potential Monitoring
Journal of Clinical Neurophysiology. 19(5):416-429, October 2002.
Summary: This article reviews intraoperative transcranial electrical stimulation (TES) motor evoked potential (MEP) monitoring safety based on comparison with other clinical and…


Transcranial Electrical Motor Evoked Potential Monitoring During Surgery for Spinal Deformity
Spine. 28(10):1043-1050, May 15, 2003.
Study Design. A descriptive historic cohort study was conducted.…


Transcranial High-frequency Repetitive Electrical Stimulation for Recording Myogenic Motor Evoked Potentials With the Patient Under General Anesthesia
Neurosurgery. 39(2):335-344, August 1996.
OBJECTIVE: To demonstrate the feasibility of transcranial high-frequency electrical stimulation with the patient under general anesthesia with propofol and alfentanil. This method…


Motor Evoked Potential


Effects of Anesthetic Agents and Physiologic Changes on Intraoperative Motor Evoked Potentials
Journal of Neurosurgical Anesthesiology. 16(1):32-42, January 2004.
Motor evoked potentials (MEPs) have shown promise as a valuable tool for monitoring intraoperative motor tract function and reducing postoperative plegia. MEP monitoring has…


Strategies of Managing Decreased Motor Evoked Potential Signals While Distracting the Spine During Correction of Scoliosis
Journal of Neurosurgical Anesthesiology. 16(2):167-170, April 2004.
Surgical correction of kyphoscoliosis may result in spinal cord injury and neurologic deficits. Monitoring somatosensory evoked potentials (SSEPs) and transcranial motor evoked…


The Value of Motor and Somatosensory Evoked Potentials in Evaluation of Cervical Myelopathy in the Presence of Peripheral Neuropathy
Spine. 29(12):E239-E247, June 15, 2004.
Study Design. Patterns and rates of motor-evoked potential (MEP) and somatosensory-evoked potential (SEP) abnormalities were evaluated in 9 patients with combined cervical cord…


Spinal Deformity


Multimodality Monitoring of Transcranial Electric Motor and Somatosensory Evoked Potentials During Surgical Correction of Spinal Deformity in Patients With Cerebral Palsy and Other Neuromuscular Disorders
Spine. 28(16):1851-1855, August 15, 2003.
Study Design. This prospective, descriptive study determined the reliability of transcranial electric motor and posterior tibial nerve somatosensory-evoked potentials in children with…


Monitoring Scoliosis Surgery With Combined Multiple Pulse Transcranial Electric Motor and Cortical Somatosensory Evoked Potentials From the Lower and Upper Extremities
Spine. 28(2):194-203, January 15, 2003.
Study Design. A retrospective case review was performed.…


Transcranial Electrical Motor Evoked Potential Monitoring During Surgery for Spinal Deformity
Spine. 28(10):1043-1050, May 15, 2003.
Study Design. A descriptive historic cohort study was conducted.…


Strategies of Managing Decreased Motor Evoked Potential Signals While Distracting the Spine During Correction of Scoliosis
Journal of Neurosurgical Anesthesiology. 16(2):167-170, April 2004.
Surgical correction of kyphoscoliosis may result in spinal cord injury and neurologic deficits. Monitoring somatosensory evoked potentials (SSEPs) and transcranial motor evoked…


Anesthesia


Transcranial High-frequency Repetitive Electrical Stimulation for Recording Myogenic Motor Evoked Potentials With the Patient under General Anesthesia
Neurosurgery. 39(2):335-344, August 1996.
OBJECTIVE: To demonstrate the feasibility of transcranial high-frequency electrical stimulation with the patient under general anesthesia with propofol and alfentanil. This method…


Pharmacologic and Physiologic Influences Affecting Sensory Evoked Potentials
Anesthesiology. 99(3):716-737, September 2003.
1. Chiappa KH, Ropper AH: Evoked potentials in clinical medicine (first of two parts). N Engl J Med 1982; 306: 1140-50…


Effects of Anesthetic Agents and Physiologic Changes on Intraoperative Motor Evoked Potentials
Journal of Neurosurgical Anesthesiology. 16(1):32-42, January 2004.
Motor evoked potentials (MEPs) have shown promise as a valuable tool for monitoring intraoperative motor tract function and reducing postoperative plegia. MEP monitoring has…


General


Chiari I Malformation: Potential Role for Intraoperative Electrophysiologic Monitoring
Journal of Clinical Neurophysiology. 20(1):65-72, February 2003.
Summary : Intraoperative electrophysiologic monitoring can diminish the risk of neurologic injury by enabling the detection of injury at a time when it can be reversed or minimized.…


Pharmacologic and Physiologic Influences Affecting Sensory Evoked Potentials
Anesthesiology. 99(3):716-737, September 2003.
1. Chiappa KH, Ropper AH: Evoked potentials in clinical medicine (first of two parts). N Engl J Med 1982; 306: 1140-50…

 
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