Academic Journal
Intraoperative neurophysiological monitoring changes during surgical correction of pediatric neuromuscular scoliosis: a single-institution report.
| Τίτλος: | Intraoperative neurophysiological monitoring changes during surgical correction of pediatric neuromuscular scoliosis: a single-institution report. |
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| Συγγραφείς: | Chen M; Research Department, Gillette Children's Specialty Healthcare, St. Paul, MN, USA. mochen@gillettechildrens.com.; Division of Rehabilitation Science, University of Minnesota, Minneapolis, MN, USA. mochen@gillettechildrens.com.; Neurosciences Program, Research Department, Gillette Children's Specialty Healthcare, 200 University Avenue East, St. Paul, MN, 55101, USA. mochen@gillettechildrens.com., Morgan SJ; Research Department, Gillette Children's Specialty Healthcare, St. Paul, MN, USA.; Division of Rehabilitation Science, University of Minnesota, Minneapolis, MN, USA., Patterson A; Research Department, Gillette Children's Specialty Healthcare, St. Paul, MN, USA., Noor S; Research Department, Gillette Children's Specialty Healthcare, St. Paul, MN, USA., Miller DJ; Department of Orthopedic Surgery, Gillette Children's Specialty Healthcare, St Paul, MN, USA.; Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, USA., Thompson ZD; Neurology Department, Gillette Children's Specialty Healthcare, St. Paul, MN, USA., Beauchamp EC; Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA., Truong WH; Department of Orthopedic Surgery, Gillette Children's Specialty Healthcare, St Paul, MN, USA.; Neurology Department, Gillette Children's Specialty Healthcare, St. Paul, MN, USA., Guillaume TJ; Department of Orthopedic Surgery, Gillette Children's Specialty Healthcare, St Paul, MN, USA., Perra JH; Department of Orthopedic Surgery, Gillette Children's Specialty Healthcare, St Paul, MN, USA., Kimber A; Research Department, Gillette Children's Specialty Healthcare, St. Paul, MN, USA., Feyma T; Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, USA. |
| Πηγή: | Spine deformity [Spine Deform] 2026 Sep; Vol. 14 (5), pp. 1881-1890. Date of Electronic Publication: 2026 Apr 16. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Nature Country of Publication: England NLM ID: 101603979 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2212-1358 (Electronic) Linking ISSN: 2212134X NLM ISO Abbreviation: Spine Deform Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2020- : London : Springer Nature Original Publication: New York, N.Y. : Elsevier |
| Ιατρικοί όροι (MeSH): | Scoliosis*/surgery , Intraoperative Neurophysiological Monitoring*/methods , Neuromuscular Diseases*/complications , Neuromuscular Diseases*/surgery, Humans ; Child ; Female ; Male ; Adolescent ; Retrospective Studies ; Postoperative Complications |
| Περίληψη: | Purpose: Intraoperative neurophysiological monitoring (IONM) is a tool that can improve safety during spinal surgery. Patients with neuromuscular scoliosis (NMS) have inherent neural axis or primary muscle pathology that may present challenges to neuromonitoring. An understanding of IONM event rates, patterns, and outcomes would better prepare surgeons to counsel patients and families. Methods: IONM data from pediatric spine deformity correction procedures in patients with neuromuscular scoliosis at a single quaternary care center between 2012 and 2022 were reviewed to determine cases with monitorable IONM data as well as cases with IONM events. Surgical data and radiographic measures were compared between cases with and without lower extremity IONM events. Results: 443 surgical cases were reviewed with 404 (91.2%) monitorable. Of monitorable cases, 37 (9.2%) cases had an IONM event. There were 363 (82.0%) cases were monitorable from the lower extremities, and of these, there were 27 (7.4%) cases had IONM events. One case (1/363 = 0.3%) had clinically identifiable post-surgical neurological complications. Statistical comparisons revealed more blood loss (p = 0.0473) and a trend toward more severe deformity angular ratio (p = 0.07) in cases with lower extremity intraoperative IONM events than those without. Conclusion: This study provides an estimate of IONM events and clinically identifiable neurological injury for children with neuromuscular scoliosis. These rates were similar to those reported in studies of other populations of children with spine deformity which supports the feasibility of IONM. Our data suggest that lower extremity IONM events tend to happen in more severe spine deformity cases. (© 2026. The Author(s), under exclusive licence to Scoliosis Research Society.) |
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| Contributed Indexing: | Keywords: Intraoperative neurophysiological monitoring (IONM); Neuromuscular scoliosis; Pediatric; Spine deformity |
| Entry Date(s): | Date Created: 20260416 Date Completed: 20260908 Latest Revision: 20260908 |
| Update Code: | 20260909 |
| DOI: | 10.1007/s43390-026-01366-2 |
| PMID: | 41991811 |
| Βάση Δεδομένων: | MEDLINE |
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