Journal
JOURNAL OF CLINICAL NEUROPHYSIOLOGY
Volume 33, Issue 4, Pages 333-339Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/WNP.0000000000000132
Keywords
Intraoperative Neurophysiological Monitoring; Spine surgery; Somatosensory evoked potentials; Motor evoked potentials; Electromyography
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Intraoperative neurophysiologic monitoring has had major advances in the past few decades. During spine surgery, the use of multimodality monitoring enables us to assess the integrity of the spinal cord, nerve roots, and peripheral nerves. The authors present a practical approach to the current modalities in use during spine surgery, including somatosensory evoked potentials, motor evoked potentials, spinal D-waves, and free-run and triggered electromyography. Understanding the complementary nature of these modalities will help tailor monitoring to a particular procedure to minimize postoperative neurologic deficit during spine surgery.
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