Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 15: Electrophysiological monitoring and lumbar fusion

Update item information
Publication Type pre-print
School or College School of Medicine
Department Neurosurgery
Creator Dailey, Andrew T.
Other Author Sharan, Alok; Groff, Michael W.; Ghogawala, Zoher; Resnick, Daniel K.; Watters III, William C.; Mummaneni, Praveen V.; Choudhri, Tanvir F.; Eck, Jason C.; Wang, Jeffrey C.; Dhall, SanJay S.; Kaiser, Michael G.
Title Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 15: Electrophysiological monitoring and lumbar fusion
Date 2014-01-01
Description Intraoperative monitoring (IOM) is commonly used during lumbar fusion surgery for the prevention of nerve root injury. Justification for its use stems from the belief that IOM can prevent nerve root injury during the placement of pedicle screws. A thorough literature review was conducted to determine if the use of IOM could prevent nerve root injury during the placement of instrumentation in lumbar or lumbosacral fusion. There is no evidence to date that IOM can prevent injury to the nerve roots. There is limited evidence that a threshold below 5 mA from direct stimulation of the screw can indicate a medial pedicle breach by the screw. Unfortunately, once a nerve root injury has taken place, changing the direction of the screw does not alter the outcome. The recommendations formulated in the original guideline effort are neither supported nor refuted with the evidence obtained with the current studies.
Type Text
Publisher American Association of Neurological Surgeons
Volume 21
Issue 1
First Page 102
Last Page 105
Language eng
Bibliographic Citation Sharan, A., Groff, M. W., Dailey, A. T., Ghogawala, Z., Resnick, D. K., Watters III, W. C., Mummaneni, P. V., Choudhri, T. F., Eck, J. C., Wang, J. C., Dhall, S. S., & Kaiser, M. G. (2014). Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 15: Electrophysiological monitoring and lumbar fusion. Journal of Neurosurgery: Spine, 21(1), 102-5.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 866,885 bytes
Identifier uspace,18807
ARK ark:/87278/s6x386k2
Setname ir_uspace
Date Created 2014-08-06
Date Modified 2014-08-06
ID 712619
Reference URL https://collections.lib.utah.edu/ark:/87278/s6x386k2
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