Evidence map›Paper›PMID 39728681›Full record

ReviewNeuroSci2024

The Influence of Anesthesia on Neuromonitoring During Scoliosis Surgery: A Systematic Review.

Malgorzata Reysner, Tomasz Reysner, Piotr Janusz, Grzegorz Kowalski, Alicja Geisler-Wojciechowska, Monika Grochowicka, Monika Pyszczorska, Aleksander Mularski, Katarzyna Wieczorowska-Tobis

Abstract readReview
In one paragraph

Review in NeuroSci, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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

9 authors.

Malgorzata ReysnerDepartment of Palliative Medicine, Poznan University of Medical Sciences, 61-701 Poznań, Poland.ORCID 0000-0002-9067-0969
Tomasz ReysnerDepartment of Palliative Medicine, Poznan University of Medical Sciences, 61-701 Poznań, Poland.ORCID 0000-0003-4565-9880
Piotr JanuszDepartment of Spine Disorders and Pediatric Orthopedics, Poznan University of Medical Sciences, 61-701 Poznań, Poland.
Grzegorz KowalskiDepartment of Palliative Medicine, Poznan University of Medical Sciences, 61-701 Poznań, Poland.
Alicja Geisler-WojciechowskaDepartment of Palliative Medicine, Poznan University of Medical Sciences, 61-701 Poznań, Poland.
Monika GrochowickaDepartment of Palliative Medicine, Poznan University of Medical Sciences, 61-701 Poznań, Poland.
Monika PyszczorskaDepartment of Palliative Medicine, Poznan University of Medical Sciences, 61-701 Poznań, Poland.
Aleksander MularskiDepartment of Forensic Medicine, Institute of Medical Sciences Collegium Medicum, University of Zielona Góra, 65-417 Zielona Góra, Poland.ORCID 0000-0002-3392-1813
Katarzyna Wieczorowska-TobisDepartment of Palliative Medicine, Poznan University of Medical Sciences, 61-701 Poznań, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraoperative neuromonitoring (IONM) is crucial for the safety of scoliosis surgery, providing real-time feedback on the spinal cord and nerve function, primarily through motor-evoked potentials (MEPs). The choice of anesthesia plays a crucial role in influencing the quality and reliability of these neuromonitoring signals. This systematic review evaluates how different anesthetic techniques-total intravenous anesthesia (TIVA), volatile anesthetics, and regional anesthesia approaches such as Erector Spinae Plane Block (ESPB), spinal, and epidural anesthesia-affect IONM during scoliosis surgery.

methodsA systematic review was conducted following PRISMA guidelines. PubMed, MEDLINE, EMBASE, and Cochrane databases were searched for studies published between 2017 and 2024 that examined the impact of anesthetic techniques on neuromonitoring during scoliosis surgery. The focus was on studies reporting MEP outcomes, anesthetic protocols, and postoperative neurological and analgesic effects.

resultsThe search initially identified 998 articles. After applying inclusion criteria based on relevance, recency, methodological quality, and citation frequency, 45 studies were selected for detailed review.

conclusionThe erector Spinae Plane Block (ESPB) provides distinct benefits over spinal and epidural anesthesia in scoliosis surgery, particularly in maintaining neuromonitoring accuracy, reducing hemodynamic instability, and minimizing complications. The ESPB's ability to deliver effective segmental analgesia without compromising motor function makes it a safer and more efficient option for postoperative pain management, enhancing patient outcomes.

Indexed as

antileptic drugcorticosteroidsdexmedetomidineepidural analgesiaerector spinae plane blockESPBintrathecal morphineketaminemagnesiumMEPmethadonemotor evoced potentialsneuromonitoringregional anesthesiascoliosisscoliosis surgerysomatosensory evoced potentialsspinal anesthesiaspine surgerySSEP

Identifiers

PMID39728681
PMCPMC11677770

What OpenQuestion holds

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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.