open access

Vol 47, No 1 (2013)
ARTYKUŁ ORYGINALNY
Submitted: 2011-06-09
Get Citation

Results of intraoperative neurophysiological monitoring in spinal canal surgery

Piotr Zieliński, Rafał Gendek, Dariusz Paczkowski, Marek Harat, Krzysztof Dzięgiel, Paweł Sokal
DOI: 10.5114/ninp.2013.32937
·
Neurol Neurochir Pol 2013;47(1):27-31.

open access

Vol 47, No 1 (2013)
ARTYKUŁ ORYGINALNY
Submitted: 2011-06-09

Abstract

Background and purpose

Spine surgery carries the risk of neurological complications. Neurophysiological intraoperative monitoring (NIOM) plays some role in preventing adverse events. NIOM is a young technique, and because of its costs and additional personnel it requires constant evaluation of indications. Nowadays, it is generally assumed that if available, NIOM should be used in every intracanal surgical procedure. This study aimed to evaluate the efficacy and indications for NIOM in spine surgery in relation to procedure location.

Material and methods

Effectiveness of NIOM in spinal canal surgery was evaluated by comparison of the number of neurological complications in patients treated surgically with and without NIOM. A total of 74 consecutive patients were surgically treated for spinal canal pathology at the Department of Neurosurgery, 10th Military Hospital in Bydgoszcz. Thirty-eight patients operated on with the use of NIOM were compared to a historic population of 36 patients treated before the introduction of NIOM. The number of patients with neurological complications was analyzed in three groups based on surgical location: extradural, intradural extramedullary, and intramedullary procedures. Differences between groups were tested with the Fisher exact test.

Results

The number of neurological complications was significantly lower in the intramedullary procedure group with NIOM. There was no significant difference in the number of complications in patients undergoing intra- or extradural extramedullary procedures with versus without NIOM.

Conclusions

NIOM decreases the risk of neurological complications in spinal cord surgery, but not in extramedullary spinal canal procedures.

Abstract

Background and purpose

Spine surgery carries the risk of neurological complications. Neurophysiological intraoperative monitoring (NIOM) plays some role in preventing adverse events. NIOM is a young technique, and because of its costs and additional personnel it requires constant evaluation of indications. Nowadays, it is generally assumed that if available, NIOM should be used in every intracanal surgical procedure. This study aimed to evaluate the efficacy and indications for NIOM in spine surgery in relation to procedure location.

Material and methods

Effectiveness of NIOM in spinal canal surgery was evaluated by comparison of the number of neurological complications in patients treated surgically with and without NIOM. A total of 74 consecutive patients were surgically treated for spinal canal pathology at the Department of Neurosurgery, 10th Military Hospital in Bydgoszcz. Thirty-eight patients operated on with the use of NIOM were compared to a historic population of 36 patients treated before the introduction of NIOM. The number of patients with neurological complications was analyzed in three groups based on surgical location: extradural, intradural extramedullary, and intramedullary procedures. Differences between groups were tested with the Fisher exact test.

Results

The number of neurological complications was significantly lower in the intramedullary procedure group with NIOM. There was no significant difference in the number of complications in patients undergoing intra- or extradural extramedullary procedures with versus without NIOM.

Conclusions

NIOM decreases the risk of neurological complications in spinal cord surgery, but not in extramedullary spinal canal procedures.

Get Citation

Keywords

neurophysiological monitoring, spine surgery, spinal cord tumors

About this article
Title

Results of intraoperative neurophysiological monitoring in spinal canal surgery

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 47, No 1 (2013)

Pages

27-31

DOI

10.5114/ninp.2013.32937

Bibliographic record

Neurol Neurochir Pol 2013;47(1):27-31.

Keywords

neurophysiological monitoring
spine surgery
spinal cord tumors

Authors

Piotr Zieliński
Rafał Gendek
Dariusz Paczkowski
Marek Harat
Krzysztof Dzięgiel
Paweł Sokal

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl