Positioning-Related Neuromonitoring Change During Anterior Cervical Discectomy and Fusion.

Abstract:

BACKGROUND:Intraoperative neuromonitoring (ION) signal changes during spine surgery may portend a potentially catastrophic neurologic injury that, if identified and addressed expediently, may allow the surgeon to take correction actively and prevent permanent neurologic injury. CASE DESCRIPTION:We report a case of transient loss in somatosensory evoked potentials signals during anterior cervical discectomy and fusion (ACDF) C4-7, which was mainly attributed to shoulder traction using a special device. The signal loss returned immediately after the release of should traction. CONCLUSIONS:The use of multimodality ION is recommended for ACDF with shoulder traction to prevent postoperative neurologic deficit associated with a position-related injury. Baseline ION should be established before positioning.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Yoshihara H,Pivec R,Naam A

doi

10.1016/j.wneu.2018.06.116

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

238-241

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(18)31332-9

journal_volume

117

pub_type

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