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Intraoperative Neurophysiologic Monitoring for Degenerative Cervical Myelopathy
Masaaki Takeda1, Satoshi Yamaguchi1, Takafumi Mitsuhara1
1Department of Neurosurgery, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima City, Hiroshima, Japan.
Abstract:
Multimodal intraoperative neurophysiologic monitoring is a reliable tool for detecting intraoperative spine injury and is recommended during surgery for degenerative cervical myopathy (DCM). Somatosensory evoked potential (SEP) can be used to monitor spine and peripheral nerve injury during positioning in surgery for DCM. Compensation technique for transcranial evoked muscle action potentials (tcMEPs) should be adopted in intraoperative monitoring during surgery for DCM. Free-running electromyography is a useful real-time monitoring add-on modality in addition to SEP and tcMEP.
