What You Should Know

Intraoperative Neurophysiological Monitoring (IONM) has emerged as a vitally important aspect in improving surgical outcomes and reducing the incidences of post-operative neurophysiological deficits. According to the Journal of Neurosurgery, “IONM is a powerful tool that provides early warning feedback to the surgical team concerning the sensory and motor function of the spinal cord and cauda equina." Only the combination of SSEPs, EMGs and tceMEP can produce reproducible and accurate data.

The American Academy of Neurology has recognized electrophysiological monitoring of the nervous system and peripheral system (IONM) as an effective and essential element for preventing complications and identifying neural structures during complex surgical procedures. IONM has been proven to reduce the incidence of surgically induced neurological deficits by over 50% and greatly improves surgical outcomes.

• Neurosurgery »
• Orthopedic Surgery »
• Otolaryngology »
• Vascular Surgery »
• Cardiothoracic Surgery »
• Interventional Radiology »
  

Neurosurgery

Cranial Base Tumors
Posterior Fossa Tumors
Microvascular Decompression
Vestibular Nerve Section
Intracranial Aneurysms
Intracranial Arteriovenous Malformations
Fronto-temporal Tumors (motor cortex mapping)
Temporo-parietal Tumors
Epilepsy Surgery (localization & mapping of eloquent cortex)
Carotid Endarterectomy
Extracranial Vascular Reconstruction
Anterior Cervical Diskectomy
Anterior Corpectomy
Anterior Vertebrectomy
Thoracic Laminectomy
Lumbosacral Decompression (adequacy of nerve root decompression)
Instrumentation for Spinal Instability (includes pedicle & lateral mass screws)
Stabilization of Odontoid/Dens Fracture
Intramedullary or Extramedullary Spinal Cord Tumors
Spinal Arteriovenous Malformations
Cauda Equina Tumors
Syringomyelia
Spinal Cord Untethering
Rhizotomy/Ganglionectomy
Selective Doral Rhizotomy
Neuroma-in-Continuity
Brachial Plexus or Distal Peripheral Nerve Injury

Orthopedic Surgery

Anterior Cervical Diskectomy
Anterior Corpectomy
Anterior Vertabrectomy
Cervical Laminectomy
Thoracic Laminectomy
Lumbosacral Decompression (adequacy of nerve root decompression)
Instrumentation for Spinal Instability (includes pedicle & lateral mass screws)
Stabilization of Odontoid/Dens Fracture
Scoliosis Correction
Pterygian Band Release
Femoral Lengthening
Pelvic Hip Arthroplasty
Peripheral Nerve Surgery
Thermal Capsulorrhaphy

Otolaryngology

Revision Mastoidectomy
Acoustic Neuroma
Vestibular Nerve Section
Cochlear Implant
Glomus Tumor
Parotidectomy
Thyroidectomy
Radical Head & Neck Surgery

Vascular Surgery

Carotid Endarterectomy
Carotid Body Tumor
Subclavian-Carotid Bypass
Extracranial Vascular Reconstruction

Cardiothoracic Surgery

Correction of Coarctation
Repair of Thoracic Aortic Aneurysm
Cardiopulmonary Bypass & Hypothermia

Interventional Radiology

Occlusion of Brain-Supplying Arteries
Embolization of Cerebral & Spinal Aneurysms
Embolization of Cerebral & Spinal Arteriovenous Malformations
Embolization of Traumatic Cavernous Sinus Fistula
Spinal Angiography & Transvascular Therapeutic Embolization
Percutaneous Transluminal Angioplasty