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Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
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Usefulness of Intraoperative Neurophysiological Monitoring in Intradural Spinal Tumor Surgeries.
Lidia Cabañes-Martínez1, Olga Fedirchyk-Tymchuk1, Laura López Viñas2
1Clinical Neurophysiology Department, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain.
Journal of Clinical Medicine
|January 8, 2025
Summary
Intraoperative neurophysiological monitoring (IONM) significantly improves outcomes for patients undergoing surgery for intradural spinal tumors. Implementing IONM reduces neurological deficits and enhances functional recovery, improving patient quality of life.
Area of Science:
- Neurosurgery
- Neurophysiology
Background:
- Intradural spinal tumors necessitate surgical intervention.
- The role of intraoperative neurophysiological monitoring (IONM) in these surgeries is not well-established.
- Evaluating clinical outcomes related to IONM use is crucial.
Purpose of the Study:
- To assess the clinical outcomes of intradural spinal tumor surgeries with and without IONM.
- To determine the impact of advanced intraoperative neurophysiological techniques on patient results.
- To evaluate the effectiveness of IONM in preserving neurological function.
Main Methods:
- Observational, descriptive, and retrospective study design.
- Two cohort groups: patients with and without IONM.
- Ninety-six patients with intradural spinal tumors were included.
- Evaluation of short- and medium-term clinical and functional results.
Main Results:
- Monitored patients showed improved scores on Prolo, Brice, McKissock, and McCormick scales.
- The rate of neurological deficits was 8.3% in monitored patients versus 14.5% in unmonitored patients.
- IONM demonstrated usefulness in preserving neurological function and impacting quality of life.
Conclusions:
- IONM implementation is vital for early detection of neurological damage.
- IONM contributes to improved postoperative functional outcomes.
- IONM is effective in decreasing the rate of neurological complications in spinal tumor surgeries.
