THE ROLE OF INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING TO ENHANCE SUCCESSFUL ORTHOPEDIC SURGERY

Authors

  • Panji Sananta Departemen Orthopaedi dan Traumatologi, Fakultas Kedokteran Universitas Brawijaya
  • Anindita Eka Pramana Wijaya Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Brawijaya
  • Marvin Anthony Putera Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Brawijaya

DOI:

https://doi.org/10.21776/ub.mnj.2022.008.01.8

Keywords:

Intraoperative Neurophysiologic Monitoring, nerve injury, orthopaedic surgical procedure

Abstract

One of the main advance in orthopaedic surgery domain has a goal to investigates the safest and harmless method in surgical procedures. Less complications means a better outcome of surgery. One of the commonest risks at orthopaedic surgery is central and peripheral nerve injury. The modality of Intraoperative Neurophysiologic Monitoring (IONM) which act to limit the risk of nerve injury during operative procedure through the evaluation of nerve integrity and function enable the surgeon to decrease injury to the nerve associated with orthopaedic surgical procedure in the operating room. This article aims to explain and describe the latest modality of IONM, its basic concept and its function at surgery. The last part of the article discussed about orthopaedic surgical techniques which use IONM. The authors hope that this article will enhance the knowledge of all the readers about IONM. This article was written based on literature study searched at Google Scholar, Medline and PubMed. The references were taken from a relatively up to date study ranging from 2013-2018. The article was selected according to the authors inclusion criteria and six articles was chosen as the references for this review. As a conclusion, IONM has an important role to increase successful rate of surgery through minimizing nerve injury risk during surgical procedure.

References

Kim, Sung-Min., Kim, Seung Hyun., Seo, Dae-Won., and Lee, Kwang-Woo. Intraoperative Neurophysiologic Monitoring: Basic Principles and Recent Update. Journal of Korean Medical Sciences 2013; 28: 1261 – 1269. DOI: 10.3346/jkms.2013.28.9.1261

Georgoulis, G., Brinzeu, A., and Sindou, M. Dorsal Rhizotomy for Children with Spastic Diplegia of Cerebral Palsy Origin: Usefulness of Intraoperative Monitoring. Journal of Neurourgery Pediatric. 2018; 22: 89 – 101. DOI: 10.3171/2018.1.PEDS17577

Liu, Y., Tian, L., Raj, M. S., Cotton, M., Ma, Y., Ma, S., et al. Intraoperative Monitoring of Neuromuscular Function with Soft, Skin – Mounted Wireless Devices. Nature Partner Journals. 2018; 1: 19.

DOI: 10.1038/s41746-018-0023-7

Pramesti FA, Husna M, Kurniawan SN, Rahayu M. Diagnosis and Management of Nonconvulsive Status Epilepticus. Malang Neurology Journal. 2017; 3(1): 30-38. DOI: 10.21776/ub.mnj.2017.003.01.6

Parameswaran S, Vijayamma AKT, Pillai AM. Efficacy of Short Term Video EEG in Detecting Psychogenic Non-Epileptic Seizures. Malang Neurology Journal. 2019; 5(2): 65-67.

DOI: 10.21776/ub.mnj.2019.005.02.3

Porat, M., Orozco, F., Goyal, N., Post, Z., and Ong, A. Neurophysiologic Monitoring Can Predict Iatrogenic Injury During Acetabular and Pelvic Fracture Fixation. Hospital for Special Surgery Journal. 2013; 9: 218 – 222. DOI: 10.1007/s11420-013-9347-7

Hammett, T.C., Boreham, B., Quraishi, N. A., and Mehdian, S. M. Intraoperative Spinal Cord Monitoring During the Surgical Correction of Scoliosis due to Cerebral Palsy and Other Neuromuscular Disorders. European Spine Journal. 2013. 22 (Suppl 1): 538 – 541. DOI: 10.1007/s00586-012-2652-x

Salehi, S., Nemati, H., and Soltani, A. Intraoperative Neurophysiology Monitoring During Selective Dorsal Rhizotomy for Spastic Cerebral Palsy. Iranian Journal of Neurosurgery. 2018; 4: 117 – 122.

DOI: 10.32598/irjns.4.2.117

Downloads

Published

2021-12-27

Issue

Section

Review