Intraoperative Neuromonitoring in Spine Surgery

Seong Rok Han, MD, Yung Gi Park, MD, Byung-Jou Lee, MD, Hae-Won Koo, MD, Sang Won Yoon, MD, Chan Young Choi, MD, Moon-Jun Sohn, MD, Chae Heuck Lee, MD

Abstract

J Kor Soc Ster Func Neurosurg. 2019 15(2): 60-62

Intraoperative Neuromonitoring in Spine Surgery

Seong Rok Han, MD, Yung Gi Park, MD, Byung-Jou Lee, MD, Hae-Won Koo, MD, Sang Won Yoon, MD, Chan Young Choi, MD, Moon-Jun Sohn, MD, Chae Heuck Lee, MD

Department of Neurosurgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea

Objective: The aim of this study was to provide an overview of the available intraoperative neuromonitoring (IOMN) techniques such as somatosensory evoked potentials (SSEPs) and motor evoked potentials (MEPs) and their efficacy in spine surgery. Methods & Results: A review of the PubMed databases was performed. In identified studies, the sensitivity of SSEPs was estimated to be between 22 and 100% with specificity of 100%. The sensitivity of MEPs was estimated to be between 78 and 100% with specificity ranging from 83.2 to 100%. Conclusion: Multimodal IONM is a valuable tool for improving the safety and outcome of spine surgery.

Key words : Neuromonitoring, Somatosensory evoked potentials, Motor evoked potentials, Spine surgery.

중심단어 : Neuromonitoring, Somatosensory evoked potentials, Motor evoked potentials, Spine surgery.