Post tetanic facilitation of TcMEP neuromonitoring with partial Neuromuscular Blockade and Total Intravenous Anesthesia (Propofol - Dexmedetomidine) in Adolescent Idiopathic Scoliosis Surgery
DOI:
https://doi.org/10.48047/cr6ee524Keywords:
transcranial motor evoked potentials – spine surgery monitoring - partial neuromuscular blockade- posttetanic facilitation.Abstract
Background: Adolescent idiopathic scoliosis (AIS) is a common spinal deformity characterized by threedimensional spinal curvature, affecting primarily adolescents between the ages of 10 and 18. While the exact etiology remains unclear, the condition can progress to significant spinal deformity, necessitating surgical intervention. Surgical correction of spinal deformity poses a risk of neurological injury, emphasizing the importance of intraoperative neurophysiological monitoring (IONM) to safeguard against potential complications.
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References
Biscevic, Mirza, Aida Sehic, and Ferid Krupic. 2020. “Intraoperative Neuromonitoring in Spine Deformity Surgery: Modalities, Advantages, Limitations, Medicolegal Issues–Surgeons’ Views.” EFORT Open Reviews 5(1):9–16. Buhl, Lauren K., Andres Brenes Bastos, Richard J. Pollard, Jeffrey E. Arle, George P. Thomas, Yinchen Song, and M. Dustin Boone. 2021. “Neurophysiologic Intraoperative Monitoring for Spine Surgery: A Practical Guide from Past to Present.” Journal of Intensive Care Medicine 36(11):1237–49.
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