Neuromonitoring for scoliosis surgery

Anesthesiol Clin. 2014 Mar;32(1):101-14. doi: 10.1016/j.anclin.2013.10.001. Epub 2013 Dec 13.

Abstract

The use of intraoperative neuromonitoring (IONM) during pediatric scoliosis repair has become commonplace to reduce the risk of potentially devastating postoperative neurologic deficits. IONM techniques include somatosensory evoked potentials, motor evoked potentials, electromyography, and intraoperative wake-up tests. Special considerations for scoliosis repair in pediatric patients include preexisting neurologic deficits and young patients with immature neural pathways in whom neurophysiologic monitoring may prove difficult or unreliable.

Keywords: Anesthesia; Electromyography; Evoked potentials; Pediatrics; Propofol; Scoliosis; TIVA.

Publication types

  • Review

MeSH terms

  • Anesthesia / methods*
  • Child
  • Electromyography
  • Evoked Potentials, Motor / physiology
  • Evoked Potentials, Somatosensory / physiology
  • Humans
  • Intraoperative Neurophysiological Monitoring / methods*
  • Neuroimaging / methods*
  • Neurologic Examination
  • Postoperative Complications / prevention & control
  • Scoliosis / surgery*
  • Spinal Cord / pathology
  • Spinal Cord Injuries / etiology
  • Spinal Cord Injuries / prevention & control