Which patients do we need to consider augmentation of muscle active potentials regarding transcranial electrical stimulation motor-evoked potentials monitoring before spine surgery?

Takahiro MuiHideki ShigematsuTsunenori TakataniMasaki IkejiriSachiko KawasakiHironobu HayashiMasahiko KawaguchiYasuhito Tanaka

Published in: The spine journal : official journal of the North American Spine Society (2024)

Patients with preoperative MMT 3 or below highly needed p-MEP. The success rate of baseline MEP monitoring increased with tetanic stimulation, even in patients with preoperative motor deficits. We believe that p-MEP monitoring can result in reliable CMAP recording, especially in cases of preoperative motor deficits with MMT scores of 3 or below.

Keyphrases

patients undergoing
traumatic brain injury
end stage renal disease
newly diagnosed
spinal cord injury
skeletal muscle
prognostic factors