Intraoperative Neurophysiologic Monitoring for Degenerative Cervical Myelopathy

Masaaki Takeda; Satoshi Yamaguchi; Takafumi Mitsuhara; Masaru Abiko; Kaoru Kurisu

doi:10.1016/j.nec.2017.09.012

Intraoperative Neurophysiologic Monitoring for Degenerative Cervical Myelopathy

Neurosurg Clin N Am. 2018 Jan;29(1):159-167. doi: 10.1016/j.nec.2017.09.012. Epub 2017 Oct 27.

Authors

Masaaki Takeda¹, Satoshi Yamaguchi², Takafumi Mitsuhara², Masaru Abiko², Kaoru Kurisu²

Affiliations

¹ Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima City, Hiroshima, Japan. Electronic address: tkdmsk@hiroshima-u.ac.jp.
² Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima City, Hiroshima, Japan.

PMID: 29173429
DOI: 10.1016/j.nec.2017.09.012

Abstract

Multimodal intraoperative neurophysiologic monitoring is a reliable tool for detecting intraoperative spine injury and is recommended during surgery for degenerative cervical myopathy (DCM). Somatosensory evoked potential (SEP) can be used to monitor spine and peripheral nerve injury during positioning in surgery for DCM. Compensation technique for transcranial evoked muscle action potentials (tcMEPs) should be adopted in intraoperative monitoring during surgery for DCM. Free-running electromyography is a useful real-time monitoring add-on modality in addition to SEP and tcMEP.

Keywords: Degenerative cervical myelopathy; Intraoperative neurophysiologic monitoring; Motor evoked potential; Somatosensory evoked potential.

Publication types

Review

MeSH terms

Cervical Vertebrae / physiopathology
Cervical Vertebrae / surgery*
Electromyography
Evoked Potentials, Motor / physiology*
Evoked Potentials, Somatosensory / physiology*
Humans
Intraoperative Neurophysiological Monitoring*
Spondylosis / physiopathology
Spondylosis / surgery*