Intraoperatives Neuromonitoring in der Wirbelsäulenchirurgie

Ehab Shiban; Sebastian Ille; Bernhard Meyer

doi:10.1055/a-1009-4971

Klinische Neurophysiologie, Table of Contents

Klinische Neurophysiologie 2019; 50(04): 206-212
DOI: 10.1055/a-1009-4971

Übersicht

Intraoperatives Neuromonitoring in der Wirbelsäulenchirurgie

Intraoperative Neuromonitoring in Spine Surgery

Ehab Shiban

¹Neurochirurgische Klinik und Poliklinik; Fakultät für Medizin, Klinikum rechts der Isar, Technische Universität München

²Neurochirurgische Klinik, Universitätsklinikum Augsburg

,

Sebastian Ille

¹Neurochirurgische Klinik und Poliklinik; Fakultät für Medizin, Klinikum rechts der Isar, Technische Universität München

,

Bernhard Meyer

¹Neurochirurgische Klinik und Poliklinik; Fakultät für Medizin, Klinikum rechts der Isar, Technische Universität München

› Author Affiliations

Abstract

Zusammenfassung

Das intraoperative Neuromonitoring (IONM) findet abgesehen von seiner Anwendung bei der Resektion von supratentoriellen Raumforderungen auch Anwendung in der Wirbelsäulenchirurgie. Hier muss einerseits zwischen verschiedenen Indikationen für den Einsatz des IONM, sowie den einzelnen IONM-Modalitäten unterschieden werden. Diese werden teilweise kontrovers diskutiert. Im folgenden Artikel sollen sowohl die Indikationen wie auch die Modalitäten des IONM in der Wirbelsäulenchirurgie beschrieben und basierend auf der aktuellen Evidenz diskutiert werden.

Abstract

Apart from its application during the resection of supratentorial tumors, intraoperative neuromonitoring (IONM) is also used during spine surgery. The indications for its use in spinal surgery and the appropriate IONM modalities are still controversial. In the following manuscript, different indications and modalities of IONM in spine surgery will be introduced and discussed based on current evidence.

Schlüsselwörter

Neurochirurgie, Wirbelsäulenchirurgie, intraoperative Neuromonitoring

Key words

Neurosurgery - spinal surgery - intraoperative neuromonitoring

Full Text

References

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