Intraoperative neurophysiology monitoring in scoliosis surgery in children

Nagarajan, Lakshmi; Ghosh, Soumya; Dillon, David; Palumbo, Linda; Woodland, Peter; Thalayasingam, Priya; Lethbridge, Martyn

doi:10.1016/j.cnp.2018.12.002

Cited by 21 publications

(17 citation statements)

References 45 publications

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“…When used in combination for scoliosis surgery, the risk of postoperative neurological deficit was decreased to 0.12% 6. Other studies yielded similar results 7–9…”

Section: Discussionmentioning

confidence: 69%

Narcotrend-guided intraoperative care of a Trisomy 21 paediatric patient who underwent occipitocervical fusion

Villa

Bundoc

2020

BMJ Case Rep

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A 9-year-old female with Trisomy 21 with complex craniovertebral instability causing severe cervicomedullary compression underwent occipitocervical fusion. This paper will discuss the anaesthetic management and highlight the use of the Narcotrend monitor not only as a depth of consciousness monitor but more importantly as a tool to detect surgery-induced cerebral hypoperfusion by monitoring the right and left cerebral hemispheres independently and simultaneously.

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“…When used in combination for scoliosis surgery, the risk of postoperative neurological deficit was decreased to 0.12% 6. Other studies yielded similar results 7–9…”

Section: Discussionmentioning

confidence: 69%

Narcotrend-guided intraoperative care of a Trisomy 21 paediatric patient who underwent occipitocervical fusion

Villa

Bundoc

2020

BMJ Case Rep

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“…IONM with MEP monitoring has been used in children for deformity corrective spine surgeries 23‐25 and intramedullary spinal cord tumour (IMSCT) surgeries 26 . Children with severe kyphoscoliosis for corrective surgery carry a high risk of spinal cord injury.…”

Section: Methodsmentioning

confidence: 99%

“…In small children (mainly <3 years), the latency and amplitude of evoked potentials are highly sensitive to anaesthetic agents due to the immature nervous system 2 . It is used along with MEP for spine surgeries for monitoring posterior tracts 23‐25 . Though technically challenging in spine tumours, midline mapping for myelotomy can be performed using phase reversal SSEP using small strip electrodes.…”

Section: Methodsmentioning

confidence: 99%

“…13,14,21 Hence, modification of technical parameters such as delivering more pulses, variations in train count, etc are required to obtain satisfactory and reliable MEP waveforms in paediatric patients. 22 IONM with MEP monitoring has been used in children for deformity corrective spine surgeries [23][24][25] and intramedullary spinal cord tumour (IMSCT) surgeries. 26 Children with severe kyphoscoliosis for corrective surgery carry a high risk of spinal cord injury.…”

Section: Motor-evoked Potentialsmentioning

confidence: 99%

“…BP, blood pressure; IONM, intraoperative neurophysiological monitoring; MAP, mean arterial pressure; MEP, motor-evoked potential tracts. [23][24][25] Though technically challenging in spine tumours, midline mapping for myelotomy can be performed using phase reversal SSEP using small strip electrodes.…”

Section: Somatosensory-evoked Potentialsmentioning

confidence: 99%

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Intraoperative neurophysiological monitoring in paediatric neurosurgery

2021

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Intraoperative neurophysiological monitoring (IONM) in paediatric neurosurgeries is emerging over the past few years, and it is being widely used to decrease the risk of postoperative deficits. The same techniques of IONM used in adults can be used in paediatric patients with some modifications keeping in consideration their immature developing nervous system. Neurophysiology in children differs from that in adults. In paediatric patients, the IONM signals and responses differ according to the age of the child. The type of surgery and the neuronal pathways expected to be at risk, determine the type of IONM modality used. 1,2 Various factors like age, type and location of the lesion, preoperative neurological functional status should be considered while using IONM in paediatric patients. There are also immense challenges with anaesthesia maintenance in children undergoing IONM. Also, the IONM signals and responses are not as easily obtained as in adults due to many factors related to the immature nervous system. 3,4

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Anesthesia for Orthopedic Surgery in Children

Lethbridge

Anderson

2019

A Guide to Pediatric Anesthesia

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Intraoperative neurophysiology monitoring in scoliosis surgery in children

Cited by 21 publications

References 45 publications

Narcotrend-guided intraoperative care of a Trisomy 21 paediatric patient who underwent occipitocervical fusion

Narcotrend-guided intraoperative care of a Trisomy 21 paediatric patient who underwent occipitocervical fusion

Intraoperative neurophysiological monitoring in paediatric neurosurgery

Anesthesia for Orthopedic Surgery in Children

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