Reversible Intraoperative Neurophysiologic Monitoring Alerts in Patients Undergoing Arthrodesis for Adolescent Idiopathic Scoliosis: What Are the Outcomes of Surgery?

Conclusions:
Notable IONM changes occurred in 5.3% of the patients who underwent arthrodesis for AIS. Those patients had larger preoperative deformity, a longer operative duration, a greater number of levels fused, a higher estimated blood loss, and a greater volume of autologous blood transfused. Return of IONM data guided the surgeon to safely complete the procedure in 34 of 36 patients, with correction similar to that of patients who did not experience an alert.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Source: JBJS - September 6, 2016 Category: Orthopaedics Authors: Samdani, A. F., Bennett, J. T., Ames, R. J., Asghar, J. K., Orlando, G., Pahys, J. M., Yaszay, B., Miyanji, F., Lonner, B. S., Lehman, R. A., Newton, P. O., Cahill, P. J., Betz, R. R. Tags: Pediatrics, Spine Scientific Articles Source Type: research