ArticleAsian spine journal2020
Clinical Significance of Improved Intraoperative Neurophysiological Monitoring Signal during Spine Surgery: A Retrospective Study of a Single-Institution Prospective Cohort.
Article in Asian spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 26 citations in OpenAlex.
- Temporal recovery in motor evoked potential during evacuation of cervical spontaneous epidural hematoma: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Operative and post-operative complications for patients with implanted programmable devices undergoing surgery for early-onset scoliosis: a multicenter study.Spine deformity · 2026Article
- Reversible Causes of Transitory Motor Evoked Potential Decrease During Posterior Spine Fusion in Rapidly Progressive Scoliosis Treatment: A Case Report.Diseases (Basel, Switzerland) · 2026Article
- Is it ethically permissible to allow untrained practitioners to perform IONM? An African perspective.Brain & spine · 2026Article
- Assessment of Neurophysiological Parameters During Anterior Cervical Discectomy and Fusion and Their Correlation with Clinical Findings.Journal of clinical medicine · 2025Article
- The preliminary application of electromyography in unilateral biportal endoscopy with general anesthesia for lumbar disc herniation.Frontiers in surgery · 2025Article
- Application of Intraoperative Electromyography Intelligent Monitoring in Orthopedic Surgery under General Anesthesia.Contrast media & molecular imaging · 2023Article
- Feasibility and efficacy of spinal microtubular technique for resection of lumbar dumbbell-shaped tumors.Frontiers in oncology · 2022Article
- Machine Learning Application of Transcranial Motor-Evoked Potential to Predict Positive Functional Outcomes of Patients.Computational intelligence and neuroscience · 2022Article
- Which Factors Affect the Stress of Intraoperative Orthopedic Surgeons by Using Electroencephalography Signals and Heart Rate Variability?Sensors (Basel, Switzerland) · 2021Article
- Transcranial Electrical Motor Evoked Potential in Predicting Positive Functional Outcome of Patients after Decompressive Spine Surgery: Review on Challenges and Recommendations towards Objective Interpretation.Behavioural neurology · 2021Review
- A Comparative Study on the Minimal Invasiveness of Full-Endoscopic and Microendoscopic Cervical Foraminotomy Using Intraoperative Motor Evoked Potential Monitoring.Medicina (Kaunas, Lithuania) · 2020Article
- Intraoperative return of motor evoked potential following decompressive laminectomy: An early indicator of successful decompression?Saudi journal of anaesthesiaArticle
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective case series. PURPOSE: We reviewed the cases that showed significant improvement of intraoperative neurophysiological monitoring (IONM) signals during spine surgery to assess whether there is a correlation with signal improvement and postoperative clinical status and its clinical significance. OVERVIEW OF LITERATURE: To reduce the risk of neural injury, many spine surgeons are using multimodality IONM. Although many studies attempted to identify valid alarm criteria for predicting postoperative neurologic deterioration, studies concerning the improvement of IONM signals are rare.
methodsWe reviewed all spine surgery cases with IONM data treated at our department between January 2013 and May 2017. We found cases showing significant IONM signal improvements. We prospectively analyzed the neurological and clinical outcomes of these patients and compared outcomes pre- and postoperatively.
resultsAmong 317 cases with the IONM data, we found 29 cases that showed IONM signal improvement compared with baseline. There were 27 cases of compressive myelopathy: 22 had a degenerative cause at the cervical spine, and five, at the thoracic spine. There were two cases of huge neurogenic tumor each at the craniovertebral junction and at the lumbar spine. Both motor-evoked potentials (MEPs) and somatosensory-evoked potentials (SSEPs) signals were improved in six cases, only the MEPs signal improved in 10, and only SSEP signal improved in 13 cases. All cases showed the IONM signal improvement consistently after the decompression procedure during surgery. All patients had a significant improvement in neurological function and subjective symptoms, and none had neurologic deterioration postoperatively.
conclusionsImprovement of IONM signals during surgery may indicate that no unrecognized neural injury occurred during surgery and a favorable postoperative neurological outcome can be expected.
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