Evidence map›Paper›PMID 29313181›Full record

ReviewNeurosurgical review2019

Intraoperative neurophysiological monitoring during spinal surgery: technical review in open and minimally invasive approaches.

Fabio Cofano, Francesco Zenga, Marco Mammi, Roberto Altieri, Nicola Marengo, Marco Ajello, Paolo Pacca, Antonio Melcarne, Carola Junemann, Alessandro Ducati and 1 more

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Neurosurgical review, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04938765 (Randomized and Placebo Controlled Study to Evaluate the Effect of Magnesium Sulfate on Intraoperative Neuromonitoring.), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04938765 phase4recruitingnot on this mapstarted 2022, after this paper: background citation

Randomized and Placebo Controlled Study to Evaluate the Effect of Magnesium Sulfate on Intraoperative Neuromonitoring.

TypeinterventionalSponsorLoma Linda UniversityRan2022 to 2027Enrolled50ConditionsIntraoperative Neurophysiological Monitoring, Magnesium SulfateArmsMagnesium sulfate, Normal Saline
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Thermal Protection Strategies and Neuromonitoring during Ablation.Seminars in interventional radiology · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Cortical bone trajectory screws for circumferential arthrodesis in lumbar degenerative spine: clinical and radiological outcomes of 101 cases.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Fabio CofanoDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy. fabio.cofano@gmail.com.ORCID http://orcid.org/0000-0002-5100-7478
Francesco ZengaDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.
Marco MammiDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.
Roberto AltieriDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.
Nicola MarengoDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.
Marco AjelloDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.
Paolo PaccaDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.
Antonio MelcarneDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.
Carola JunemannDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.
Alessandro DucatiDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.
Diego GarbossaDepartment of Neuroscience, Neurosurgery, AOU Cittá della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurophysiological monitoring is of undoubted value for the intraoperative safety of neurosurgical procedures. Widely developed and used for cranial surgery, it is equally as effective, though perhaps less commonly employed, for spinal pathology. The most frequently used techniques for intraoperative monitoring during spinal surgery include somatosensory evoked potentials (SSEPs), motor evoked potentials (MEPs) and electromyography, which can either be spontaneous free-running (sEMG) or triggered (tEMG). The knowledge of the benefits and limitations of each modality is essential in optimising the value of intraoperative monitoring during spinal procedures. This review will analyse the single techniques, their anatomical and physiological basis, their use in spinal surgery as reliable indicators of functional injury, their limits and their application to specific procedures in minimally invasive surgery, such as the lateral transpsoas access for interbody fusion and the divergent trajectory for cortico-pedicular screws. In these particular techniques, because of reduced visual exposure, neuromonitoring is indeed essential to exploit the full potential of minimally invasive surgery, while avoiding damage to nervous structures.

Indexed as

Intraoperative Neurophysiological MonitoringNeurosurgical ProceduresElectromyographyEvoked Potentials, MotorEvoked Potentials, SomatosensoryHumansMinimally Invasive Surgical ProceduresSpineCortical bone trajectoryIntraoperative neurophysiologic monitoringMotor evoked potentialsSomatosensory evoked potentialsSpine surgeryTranspsoas lateral access

Identifiers

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.