Intraoperative Neuromonitoring During Lateral Lumbar Interbody Fusion

Ram Alluri; Jung Kee Mok; Avani Vaishnav; Tara Shelby; Ahilan Sivaganesan; Raymond Hah; Sheeraz A. Qureshi

doi:10.14245/ns.2142440.220

Intraoperative Neuromonitoring During Lateral Lumbar Interbody Fusion

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Type: Academic journal

Author: Ram Alluri (Hospital for Special Surgery) Jung Kee Mok (Hospital for Special Surgery) Avani Vaishnav (Hospital for Special Surgery) Tara Shelby (Department of Orthopaedic Surgery Keck Medical Center of University of Southern California) Ahilan Sivaganesan (Hospital for Special Surgery)

Journal: The Korean Spinal Neurosurgery Society Neurospine Neurospine 제18권 제3호

Published: 2021.9

Pages: 430 - 436 (7page)

DOI: 10.14245/ns.2142440.220

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Intraoperative Neuromonitoring During Lateral Lumbar Interbody Fusion

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Objective: To review the evidence for the use of electromyography (EMG), motor-evoked potentials (MEPs), and somatosensory-evoked potentials (SSEPs) intraoperative neuromonitoring (IONM) strategies during lateral lumbar interbody fusion (LLIF), as well as discuss the limitations associated with each technique. Methods: A comprehensive review of the literature and compilation of findings relating to clinical studies investigating the efficacy of EMG, MEP, SSEP, or combined IONM strategies during LLIF. Results: The evidence for the use of EMG is mixed with some studies demonstrating the efficacy of EMG in preventing postoperative neurologic injuries and other studies demonstrating a high rate of postoperative neurologic deficits with EMG monitoring. Multimodal IONM strategies utilizing MEPs or saphenous SSEPs to monitor the lumbar plexus may be promising strategies based on results from a limited number of studies. Conclusion: The use of traditional EMG during LLIF remains without consensus. There is a growing body of evidence utilizing multimodal IONM with MEPs or saphenous SSEPs demonstrating a possible decrease in postoperative neurologic injuries after LLIF. Future prospective studies, with clear definitions of neurologic injury, that evaluate different multimodal IONM strategies are needed to better assess the efficacy of IONM during LLIF.

#Lateral lumbar interbody fusion #Intraoperative neuromonitoring #Electromyography #Somatosensory #Motor-evoked potentials

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References (37)

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Ozgur BM / 2006 / Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion / Spine J 6:435~443

Youssef JA / 2010 / Minimally invasive surgery: lateral approach interbody fusion: results and review / Spine 35(26 Suppl):S302~S311

Oliveira L / 2010 / A radiographic assessment of the ability of the extreme lateral interbody fusion procedure to indirectly decompress the neural elements / Spine 35(26 Suppl):S331~S337

Laws CJ / 2012 / Direct lateral approach to lumbar fusion is a biomechanically equivalent alternative to the anterior approach: an in vitro study / Spine 37:819~825

Ploumis A / 2008 / Biomechanical comparison of anterior lumbar interbody fusion and transforaminal lumbar interbody fusion / J Spinal Disord Tech 21:120~125

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