Multimodal Neuromonitoring Improves Detection of Deficits in Thoracic Spine Surgery
By Admin | October 05, 2025
Multimodal intraoperative neuromonitoring (IONM) provides high diagnostic accuracy for detecting neurological injury during non-tumor thoracic spine surgeries, according to findings published in the Journal of Clinical Neuroscience.
Thoracic spine surgeries are associated with a greater risk for neurologic complications compared with cervical or lumbar procedures because of the narrow spinal canal and limited vascular supply in this region. To address this risk, researchers evaluated the effectiveness of IONM, which uses somatosensory-evoked potentials (SSEP), transcranial motor-evoked potentials (TcMEP), or a multimodal combination, to detect intraoperative neurological compromise.
The researchers conducted a systematic review, analyzing 19 studies encompassing 3261 patients. Eligible studies included more than 10 patients undergoing thoracic spine surgery for non-tumor indications and reported both intraoperative monitoring data and postoperative neurological outcomes. Study quality was assessed with the QUADAS-2 tool, and diagnostic accuracy was evaluated using a bivariate random-effects model.
Overall, 9.3% of patients experienced...(More)
For more info please read, Multimodal Neuromonitoring Improves Detection, by Neurology Advisor
