The value of intraoperative neurophysiological monitoring during positioning in pediatric scoliosis correction: A case report.
Case report
Intraoperative neurophysiological monitoring
Prone position
Scoliosis
Spine surgery
Journal
Clinical neurophysiology practice
ISSN: 2467-981X
Titre abrégé: Clin Neurophysiol Pract
Pays: Netherlands
ID NLM: 101684308
Informations de publication
Date de publication:
2022
2022
Historique:
received:
11
07
2022
revised:
13
10
2022
accepted:
05
11
2022
entrez:
12
12
2022
pubmed:
13
12
2022
medline:
13
12
2022
Statut:
epublish
Résumé
Prone position during posterior spine surgery can represent a potentially risky procedure for the nervous system. Infrequent injuries due to prone positioning consist of subtle spinal cord infarction or myelopathy that can be promptly detected by intraoperative neurophysiological monitoring (IONM), if applied in this phase of surgery. Here, we report a case that stresses the value of IONM even in detecting spinal positioning-related neurological complications during kyphoscoliosis correction. A 3-year-old child with a severe thoracic kyphoscoliosis with the angle in the tract T5-T6 underwent an early treatment of scoliosis with growing rods. Before instrumentation or the reduction maneuver, lower limb somatosensory and motor responses disappeared. The patient was repositioned with neck and chest in a more protective position and neuromonitoring signals returned to baseline. The surgery could be completed and the patient had no postoperative neurologic or vascular deficits. Our findings suggest the importance of extending neuromonitoring in the early phases of anesthesia induction and patient positioning during corrective spinal deformity surgery.
Identifiants
pubmed: 36504686
doi: 10.1016/j.cnp.2022.11.001
pii: S2467-981X(22)00043-9
pmc: PMC9731825
doi:
Types de publication
Case Reports
Langues
eng
Pagination
366-371Informations de copyright
© 2022 International Federation of Clinical Neurophysiology. Published by Elsevier B.V.
Déclaration de conflit d'intérêts
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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