Show Summary Details
Page of

Intraoperative Monitoring 

Intraoperative Monitoring
Intraoperative Monitoring

Jun Kimura

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 20 September 2021

Intraoperative examination serves a variety of purposes: it characterizes the nerve injury, elucidates the mechanism and severity of the lesion,warns the surgeons if a tissue considered for dissection contains neural elements, and guides them to take an appropriate course of action.Electrodiagnostic techniques available for this purpose comprise nerve stimulation technique and electromyography. Additional techniques to monitor spinal cord surgery include study of scalp-recorded far-field potentials, segmental recording of spinal potential after epidural stimulation, and motor evoked potential elicited by transcranial magnetic stimulation. The same principles apply to any intraoperative monitoring as it pertains to different surgical exploration for peripheral and central nervous system. This chapter reviews common procedures requiring such intraoperative monitoring, which include release of tethered spinal cord, pedicle screw placement, and selective dorsal rhizotomy.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.