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Monday, September 10, 2007

Neuromuscular Scoliosis- Intraoperative Neuromonitoring: Challenges!

Nature Clinical Practice Neurology (2007) 3, 318-319
Received 7 December 2006 Accepted 5 April 2007
Published online: 8 May 2007

Intraoperative monitoring during spinal surgery for neuromuscular scoliosis
Michael G Fehlings* and Michael O Kelleher
Correspondence *Suite 4WW-446, 399 Bathurst Street, Toronto, ON M5T 2S8, Canada Email michael.fehlings@uhn.on.ca
This article has no abstract so we have provided the first paragraph of the full text.

The avoidance of iatrogenic neurological injury is of paramount importance during spinal surgery, and multimodality intraoperative monitoring using a combination of MEPs, SSEPs and electromyographic (EMG) signals is increasingly used in this setting.1, 2 During corrective procedures for neuromuscular scoliosis, however, the successful application of intraoperative monitoring is a challenge
, particularly in the most severely deformed and neurologically compromised patients.3 Difficulties in obtaining reliable baseline recordings of conventional (cortical and subcortical) SSEPs and transcranial MEPs in patients with neuromuscular scoliosis has prompted the use of an epidural electrode to record spinal SSEPs and evoke neurogenic MEPs.

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