Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 15: electrophysiological monitoring and lumbar fusion

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Publication Type Journal Article
School or College School of Medicine
Department Neurosurgery
Creator Dailey, Andrew T.
Other Author Resnick, Daniel K.; Choudhri, Tanvir F.; Groff, Michael W.; Khoo, Larry; Matz, Paul G.; Mummaneni, Praveen; Watters III, William C.; Wang, Jeffrey; Walters, Beverly C.; Hadley, Mark N.
Title Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 15: electrophysiological monitoring and lumbar fusion
Date 2005
Description Standards. There is insufficient evidence to recommend a treatment standard. Guidelines. Use of intraoperative SSEP or DSEP monitoring is recommended as an adjunct in those circumstances during instrumented lumbar spinal fusion procedures in which the surgeon desires immediate intraoperative information regarding the potential of a neurological injury. The occurrence of a postoperative neurological deficit is highly correlated with intraoperative changes in these monitoring modalities. An abnormal SSEP or DSEP during surgery, however, often does not correlate with a postoperative neurological injury because of a high false-positive rate. Use of intraoperative evoked EMG recordings is recommended in those circumstances in which the operating surgeon wishes to confirm the lack of a neurological injury during pedicle screw placement. A normal evoked EMG response is highly predictive of the lack of a neurological injury. An abnormal EMG response during the surgical procedure may or may not be associated with a clinically significant injury. Options. Intraoperative evoked EMG recording is recommended as an option during lumbar spinal fusion surgery in those situations in which the operating surgeon desires immediate information regarding the integrity of the pedicle wall, as a normal evoked EMG response is correlated with an intact pedicle wall.
Type Text
Publisher American Association of Neurological Surgeons (AANS)
Volume 2
Issue 6
First Page 725
Last Page 732
Subject Fusion procedures; Degenerative disease; Lumbar spine; Low-back pain; Lumbar fusion; Electrophysiological monitoring; EMG
Subject LCSH Lumbar vertebrae -- Surgery
Language eng
Bibliographic Citation Resnick, D. K., Choudhri, T. F., Dailey, A. T., Groff, M. W., Khoo, L., Matz, P. G., Mummaneni, P., Watters III, W. C., Wang, J., Walters, B. C., & Hadley, M. N. (2005). Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 15: electrophysiological monitoring and lumbar fusion. Journal of Neurosurgery: Spine, 2(6), 725-32.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 176,622 bytes
Identifier ir-main,13171
ARK ark:/87278/s6kk9whj
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2012-06-13
ID 707289
Reference URL https://collections.lib.utah.edu/ark:/87278/s6kk9whj
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