Usefulness of Intraoperative Neurophysiological Monitoring in Intradural Spinal Tumor Surgeries

被引:1
作者
Cabanes-Martinez, Lidia [1 ]
Fedirchyk-Tymchuk, Olga [1 ]
Vinas, Laura Lopez [2 ]
Abreu-Calderon, Federico [3 ]
Moro, Rodrigo Carrasco
Del alamo, Marta [4 ]
Regidor, Ignacio [1 ]
机构
[1] Hosp Univ Ramon y Cajal, Clin Neurophysiol Dept, Madrid 28034, Spain
[2] Hosp Reg Univ Malaga, Clin Neurophysiol Dept, Malaga 29010, Spain
[3] Hosp Univ Torrejon, Neurosurg Dept, Madrid 28850, Spain
[4] Hosp Univ Ramon y Cajal, Neurosurg Dept, Madrid 28034, Spain
关键词
spinal cord tumors; intraoperative neurophysiological monitoring; somatosensory-evoked potentials; SSEP; motor-evoked potentials; MEP; D-wave; outcome; MOTOR-EVOKED POTENTIALS; CORD TUMORS; CAUDA-EQUINA;
D O I
10.3390/jcm13247588
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: Due to the absence of studies supporting the role of intraoperative neurophysiological monitoring (IONM) in intradural spinal tumors, this study evaluates the clinical outcome after these surgeries in relation to the use of the advanced intraoperative neurophysiological techniques. Methods: This is an observational, descriptive and retrospective study of two cohort groups in relation to the presence or absence of IONM during the intervention and the subsequent evaluation of the clinical and functional results in the short and medium terms. Ninety-six patients with extra- or intramedullary intradural spinal tumors operated on by the neurosurgery team of our center completed the current study. Results: We observed improvements in the Prolo, Brice and McKissock and McCormick scales scores in the monitored patients. These results examine the usefulness of IONM to preserve neurological functions and, therefore, its impact on quality of life. The rate of neurological deficits in the unmonitored patients was 14.5%, whereas it was 8.3% of the patients whose treatment included IONM. Conclusions: It is important to emphasize the importance of implementing IONM for early recognition of possible neurological damage, the improvement of postoperative functional outcomes, and for decreasing the rate of neurological complications. Significance: This study provides reliable results on the importance of IONM in intradural spinal tumor surgeries.
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页数:14
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