Predictive value of intraoperative neurophysiological monitoring during cervical spine surgery: a prospective analysis of 1055 consecutive patients.

摘要: Object Despite the growing use of multimodal intraoperative monitoring (IOM) in cervical spinal surgery, limited data exist regarding sensitivity, specificity, and predictive values such a technique detecting new neurological deficits this setting. The authors sought to define incidence significant electrophysiological changes postoperative cohort patients undergoing surgery. Methods conducted prospective analysis consecutive series who had undergone surgery during 5-year period at university-based neurosurgical unit, which IOM was recorded. Sensitivity, positive (PPVs), negative (NPVs) were determined using standard Bayesian techniques. study population included 1055 (614 male 441 female) with mean age 55 years. Results modalities performed somatosensory evoked potential (SSEP...