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Questionnaire study of neuromonitoring availability and usage for spine surgery
David P Magit1, Alan S Hilibrand, Jessica Kirk
1Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, PO Box 208071, New Haven, CT 065120-8071, USA.
Journal of Spinal Disorders & Techniques
|June 1, 2007
Summary
Spine surgeons prefer somatosensory evoked potentials (SSEPs) for intraoperative neuromonitoring, with availability influencing choices. Fellowship training correlates with increased neuromonitoring use, enhancing surgeon satisfaction.
Area of Science:
- Spine surgery
- Neuromonitoring
- Surgical safety
Background:
- Intraoperative neuromonitoring enhances spinal procedure safety.
- It helps limit iatrogenic neurologic injury during spine surgery.
Purpose of the Study:
- To assess surgeon preferences for electrophysiologic neuromonitoring modalities.
- To determine the availability of these techniques for various spine surgeries.
Main Methods:
- A questionnaire was distributed to 180 orthopedic spine surgeons and neurosurgeons.
- Surgeons were asked about their preferences and the availability of neuromonitoring techniques for different procedures.
- Demographic data were also collected.
Main Results:
- Somatosensory evoked potentials (SSEPs) were the most available and preferred modality.
- Motor-evoked potentials (MEPs) were favored for myelopathic cervical cases.
- Surgeon satisfaction increased with greater neuromonitoring availability.
Conclusions:
- SSEPs are the most available and preferred neuromonitoring technique among spine surgeons.
- Surgical case type and patient's neurologic status influence neuromonitoring choices.
- Fellowship-trained surgeons are more inclined to utilize neuromonitoring.