CLINICAL PEARLS: Intraoperative Neuromonitoring-Opening News Doors for spinal surgeries - DR.NEHAL SHAH

It was a nice Monday morning and I was suffering from MONDAY BLUES and suddenly I got a phone call from eminent spine surgeon of the city. More than the call, his purpose of call was surprising and a feelgood factors in itself. He had called to say that he had purchased Intraoperative monitoring equipment and wanted to begin neuromonitoring per operative. I felt honored when I came to know the reason for his call. He said: for doing Intraoperative monitoring, the first person he thought of was me and if I refused, he did not know whom to rely on. Probably it was because of my extensive experience of 18 years of performing EMG/NCV studies. IONM was new for me. But I accepted the challenge and a journey of upgrading me in the field of electro diagnostics began.

The biggest complication for any brain or spinal cord surgery is the damage to neural structure during the surgical procedure. Surgical insults account for app 50%  of post-operative neurological deficits as showed by statistics. Intraoperative neuromonitoring is becoming prevalent now a day to avoid such risks. For any spinal cord surgery the neurological deficit arise during surgery due to ischemia or mechanical injury caused during surgery. If by any means the operating surgeon can be warned regarding such insults, this can definitely reduce the chance of such deficits.

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