ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Intraoperative neuromonitorig alert risks in patients submitted to anterior cervical decompression and fusion for cervical spondylotic myelopathy: a single institution cohort-study.
Article in 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, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Dynamic Cervical Myelopathy Misleading on Neutral Imaging: The Role of Flexion-Extension MRI.Journal of clinical medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo identify positional and intraoperative significant multimodal intraoperative neurophysiological monitoring (mIONM) alert risk factors during anterior cervical surgery in patients with cervical spine myelomalacia.
methodsWe analyzed prospectively collected data from the PANDA registry between January 2021 and February 2025. Included were patients undergoing anterior cervical decompression and fusion with MRI-confirmed myelomalacia. A significant alert was defined as a ≥ 50% reduction in MEP and/ SSEP amplitude, a ≥ 10% increase in MEP latency, or a spEMG signal. Patients were categorized into three groups: significant warnings at positioning (Group A), during surgical decompression (Group B), and no significant warnings (Group C). Nineteen anamnestic, clinical, radiological, and surgical factors were evaluated. A standardized anesthesia protocol and alert-response strategy were applied.
resultsSeventy-six patients (132 operated levels) were included. Four patients belonged to Group A and 12 to Group B. Group A exhibited only MEP alerts and showed higher prevalence of peripheral vascular disorders, C3-C4 surgeries, and poorer motor scores in the most affected muscle group; the latter independently predicted alerts with 100% sensitivity at an mMRC threshold of 4. Group B was characterized by only MEP and EMG alerts, significantly longer symptom duration, and myelomalacia spanning two to three levels. Both factors independently predicted intraoperative alerts and were protective when symptom duration was less than 37 months and myelomalacia involved less than two levels. No SSEP alerts occurred.
conclusionThese findings support the use of mIONM during positioning and surgical decompression in anterior cervical procedures for patients with cervical myelomalacia, especially in those with segmental motor deficits, prolonged symptoms, and multilevel myelomalacia.
Indexed as
Identifiers
41207969What OpenQuestion holds
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.