CLINICAL SIGNIFICANCE OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING DURING SCOLIOSIS SURGERY: A LITERATURE REVIEW
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...
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| Format: | Article |
| Language: | English |
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University of Brawijaya
2023-06-01
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| Series: | Malang Neurology Journal |
| Subjects: | |
| Online Access: | https://mnj.ub.ac.id/index.php/mnj/article/view/688 |
| _version_ | 1797740447817269248 |
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| author | Sylvia Tanumihardja Dedeh Supantini Julia Windi Gunadi Ardo Sanjaya Katherine Marcella |
| author_facet | Sylvia Tanumihardja Dedeh Supantini Julia Windi Gunadi Ardo Sanjaya Katherine Marcella |
| author_sort | Sylvia Tanumihardja |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T14:12:35Z |
| format | Article |
| id | doaj.art-67f3f4dfcce34951af6421d70c0ad0fc |
| institution | Directory Open Access Journal |
| issn | 2407-6724 2442-5001 |
| language | English |
| last_indexed | 2024-03-12T14:12:35Z |
| publishDate | 2023-06-01 |
| publisher | University of Brawijaya |
| record_format | Article |
| series | Malang Neurology Journal |
| spelling | doaj.art-67f3f4dfcce34951af6421d70c0ad0fc2023-08-21T06:35:06ZengUniversity of BrawijayaMalang Neurology Journal2407-67242442-50012023-06-019214915310.21776/ub.mnj.2023.009.02.14480CLINICAL SIGNIFICANCE OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING DURING SCOLIOSIS SURGERY: A LITERATURE REVIEWSylvia Tanumihardja0Dedeh Supantini1Julia Windi Gunadi2Ardo Sanjaya3Katherine Marcella4Department of Neurology, Faculty of Medicine, Maranatha Christian University, Bandung, IndonesiaDepartment of Neurology, Faculty of Medicine, Maranatha Christian University, Bandung, IndonesiaDepartment of Physiology, Faculty of Medicine, Maranatha Christian University, Bandung, IndonesiaDepartment of Anatomy, Faculty of Medicine, Maranatha Christian University, Bandung, IndonesiaFaculty of Medicine, Maranatha Christian University, Bandung, IndonesiaMechanical 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.https://mnj.ub.ac.id/index.php/mnj/article/view/688intraoperative neurophysiological monitoringneuromonitoringneurological deficitscoliosis surgeryspinal cord compression |
| spellingShingle | Sylvia Tanumihardja Dedeh Supantini Julia Windi Gunadi Ardo Sanjaya Katherine Marcella CLINICAL SIGNIFICANCE OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING DURING SCOLIOSIS SURGERY: A LITERATURE REVIEW Malang Neurology Journal intraoperative neurophysiological monitoring neuromonitoring neurological deficit scoliosis surgery spinal cord compression |
| title | CLINICAL SIGNIFICANCE OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING DURING SCOLIOSIS SURGERY: A LITERATURE REVIEW |
| title_full | CLINICAL SIGNIFICANCE OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING DURING SCOLIOSIS SURGERY: A LITERATURE REVIEW |
| title_fullStr | CLINICAL SIGNIFICANCE OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING DURING SCOLIOSIS SURGERY: A LITERATURE REVIEW |
| title_full_unstemmed | CLINICAL SIGNIFICANCE OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING DURING SCOLIOSIS SURGERY: A LITERATURE REVIEW |
| title_short | CLINICAL SIGNIFICANCE OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING DURING SCOLIOSIS SURGERY: A LITERATURE REVIEW |
| title_sort | clinical significance of intraoperative neurophysiological monitoring during scoliosis surgery a literature review |
| topic | intraoperative neurophysiological monitoring neuromonitoring neurological deficit scoliosis surgery spinal cord compression |
| url | https://mnj.ub.ac.id/index.php/mnj/article/view/688 |
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