Roles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients

Abstract Background Despite the wide use of intraoperative neurophysiological monitoring (IONM) in spinal surgeries, the efficacy of IONM during percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) surgery in detecting postoperative neurological deficits has not been well charact...

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Autores principales:	Yu Chen, Chunmei Luo, Juan Wang, Libangxi Liu, Bo Huang, Chang-Qing Li, Yue Zhou, Chencheng Feng
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Percutaneous endoscopic transforaminal lumbar interbody fusion Multimodal intraoperative neurophysiological monitoring Motor-evoked potentials Somatosensory-evoked potentials Electromyography Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/fb315a15637043288daf11e9f7f0c2ab
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spelling	oai:doaj.org-article:fb315a15637043288daf11e9f7f0c2ab2021-11-28T12:24:37ZRoles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients10.1186/s12891-021-04824-21471-2474https://doaj.org/article/fb315a15637043288daf11e9f7f0c2ab2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04824-2https://doaj.org/toc/1471-2474Abstract Background Despite the wide use of intraoperative neurophysiological monitoring (IONM) in spinal surgeries, the efficacy of IONM during percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) surgery in detecting postoperative neurological deficits has not been well characterized. Methods MIONM data from 113 consecutive patients who underwent PE-TLIF surgeries between June 2018 and April 2020 were retrospectively reviewed. Postoperative neurological deficits were documented and analyzed, and the efficacy and specificity of various IONM techniques were compared. Results Of the 113 consecutive patients, 12 (10.6%) with IONM alerts were identified. The MIONM sensitivity and specificity were 100 and 96.2%, respectively. The frequency of neurological complications, including minor deficits, was 6.2% (n = 7); all of the neurological complications were temporary. The ability of single IONM modalities to detect neurological complications varied between 25.0 and 66.6%, whereas that of all modalities was 100%. Conclusions MIONM is more effective and accurate than unimodal monitoring in assessing nerve root function during PE-TLIF surgeries, reducing both neurological complications and false-negative findings. We recommend MIONM in PE-TLIF surgeries.Yu ChenChunmei LuoJuan WangLibangxi LiuBo HuangChang-Qing LiYue ZhouChencheng FengBMCarticlePercutaneous endoscopic transforaminal lumbar interbody fusionMultimodal intraoperative neurophysiological monitoringMotor-evoked potentialsSomatosensory-evoked potentialsElectromyographyDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Percutaneous endoscopic transforaminal lumbar interbody fusion Multimodal intraoperative neurophysiological monitoring Motor-evoked potentials Somatosensory-evoked potentials Electromyography Diseases of the musculoskeletal system RC925-935
spellingShingle	Percutaneous endoscopic transforaminal lumbar interbody fusion Multimodal intraoperative neurophysiological monitoring Motor-evoked potentials Somatosensory-evoked potentials Electromyography Diseases of the musculoskeletal system RC925-935 Yu Chen Chunmei Luo Juan Wang Libangxi Liu Bo Huang Chang-Qing Li Yue Zhou Chencheng Feng Roles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients
description	Abstract Background Despite the wide use of intraoperative neurophysiological monitoring (IONM) in spinal surgeries, the efficacy of IONM during percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) surgery in detecting postoperative neurological deficits has not been well characterized. Methods MIONM data from 113 consecutive patients who underwent PE-TLIF surgeries between June 2018 and April 2020 were retrospectively reviewed. Postoperative neurological deficits were documented and analyzed, and the efficacy and specificity of various IONM techniques were compared. Results Of the 113 consecutive patients, 12 (10.6%) with IONM alerts were identified. The MIONM sensitivity and specificity were 100 and 96.2%, respectively. The frequency of neurological complications, including minor deficits, was 6.2% (n = 7); all of the neurological complications were temporary. The ability of single IONM modalities to detect neurological complications varied between 25.0 and 66.6%, whereas that of all modalities was 100%. Conclusions MIONM is more effective and accurate than unimodal monitoring in assessing nerve root function during PE-TLIF surgeries, reducing both neurological complications and false-negative findings. We recommend MIONM in PE-TLIF surgeries.
format	article
author	Yu Chen Chunmei Luo Juan Wang Libangxi Liu Bo Huang Chang-Qing Li Yue Zhou Chencheng Feng
author_facet	Yu Chen Chunmei Luo Juan Wang Libangxi Liu Bo Huang Chang-Qing Li Yue Zhou Chencheng Feng
author_sort	Yu Chen
title	Roles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients
title_short	Roles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients
title_full	Roles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients
title_fullStr	Roles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients
title_full_unstemmed	Roles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients
title_sort	roles of multimodal intra-operative neurophysiological monitoring (ionm) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fb315a15637043288daf11e9f7f0c2ab
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Roles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients

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