Significance of Multimodal Intraoperative Monitoring During Surgery in Patients with Craniovertebral Junction Pathology

World Neurosurgery
Jung Jae LeeJong Hyeok Park

Abstract

Although many studies have investigated the benefits of multimodal intraoperative monitoring (MIOM) during cervical spine surgery, the benefits of MIOM in craniovertebral junction (CVJ) surgery remain unclear. The objectives of the present study were to report our clinical experience in CVJ surgery with the use of MIOM and to identify risk factors that could affect MIOM changes during surgery of CVJ pathology. We reviewed the MIOM records of 146 patients who had undergone high cervical spinal surgery. The patients were grouped by the MIOM data recorded during surgery; the patients were included in either the MIOM or non-MIOM change group. The analyzed risk factors included demographic, myelopathy, preoperative Japanese Orthopedic Association (JOA) score, spinal cord diameter, and surgical factors. Univariate and multivariate analyses were performed to identify the risk factors for changes in MIOM data during surgery and postoperative neurological deficits. Our results revealed that the incidence of postoperative neurological complications was 4.1% after CVJ surgery; this rate was significantly greater in the MIOM change group than in the non-MIOM change group (21.7% vs. 0.8%; P < 0.01). Multiple regression analysis revealed tha...Continue Reading

Citations

Oct 7, 2020·Neurospine·Jae Taek HongSang Hyo Lee
Feb 7, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jae Taek HongIl Sup Kim

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