Evidence map›Paper›PMID 34610671›Full record

ArticleNeurospine2021

Intraoperative Neuromonitoring During Lateral Lumbar Interbody Fusion.

Ram Alluri, Jung Kee Mok, Avani Vaishnav, Tara Shelby, Ahilan Sivaganesan, Raymond Hah, Sheeraz A Qureshi

Open access · diamondAbstract read
In one paragraph

Article in Neurospine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
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  6. Article
  7. Lateral Transpsoas Interbody Fusion.International journal of spine surgery · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Imaging study of the effect of postural changes on the retroperitoneal oblique corridor in degenerative lumbar scoliosis.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 · 2023
    Article
  13. Prone position lateral interbody fusion-a narrative review.Journal of spine surgery (Hong Kong) · 2023
    Review
  14. Article
  15. Review
  16. 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

7 authors at 2 institutions in 1 country.

Ram AlluriHospital for Special Surgery, New York, NY, USA.
Jung Kee MokHospital for Special Surgery, New York, NY, USA.
Avani VaishnavHospital for Special Surgery, New York, NY, USA.
Tara ShelbyDepartment of Orthopaedic Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA.
Ahilan SivaganesanHospital for Special Surgery, New York, NY, USA.
Raymond HahDepartment of Orthopaedic Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA, USA.
Sheeraz A QureshiHospital for Special Surgery, New York, NY, USA.
Hospital for Special Surgery · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo review the evidence for the use of electromyography (EMG), motor-evoked potentials (MEPs), and somatosensory-evoked potentials (SSEPs) intraoperative neuromonitoring (IONM) strategies during lateral lumbar interbody fusion (LLIF), as well as discuss the limitations associated with each technique.

methodsA comprehensive review of the literature and compilation of findings relating to clinical studies investigating the efficacy of EMG, MEP, SSEP, or combined IONM strategies during LLIF.

resultsThe evidence for the use of EMG is mixed with some studies demonstrating the efficacy of EMG in preventing postoperative neurologic injuries and other studies demonstrating a high rate of postoperative neurologic deficits with EMG monitoring. Multimodal IONM strategies utilizing MEPs or saphenous SSEPs to monitor the lumbar plexus may be promising strategies based on results from a limited number of studies.

conclusionThe use of traditional EMG during LLIF remains without consensus. There is a growing body of evidence utilizing multimodal IONM with MEPs or saphenous SSEPs demonstrating a possible decrease in postoperative neurologic injuries after LLIF. Future prospective studies, with clear definitions of neurologic injury, that evaluate different multimodal IONM strategies are needed to better assess the efficacy of IONM during LLIF.

Indexed as

ElectromyographyIntraoperative neuromonitoringLateral lumbar interbody fusionMotor-evoked potentialsSomatosensory

Identifiers

PMID34610671
PMCPMC8497239
OpenAlexW3204095714

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.