Current trends in intraoperative neurophysiological monitoring among Asia–Pacific countries: an Asia–Pacific Spine Society survey
Study Design A prospective web-based survey. Purpose Although intraoperative neurophysiological monitoring (IONM) is critical in spine surgery, its usage is largely based on the surgeon’s discretion, and studies on its usage trends in Asia–Pacific countries are lacking. This study aimed to examine c...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Spine Society
2024-12-01
|
| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://asianspinejournal.org/upload/pdf/asj-2024-0273.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849309612337004544 |
|---|---|
| author | Hideki Shigematsu Akimasa Yasuda Ronald Tangente Chris Yin Wei Chan Ajoy Prasad Shetty Jason Pui Yin Cheung Yong Hai Daisuke Sakai Kyu-Jung Cho Chih-Wei Chen Gabriel Liu I Gusti Lanang Ngurah Agung Artha Wiguna Brian Hsu Mun Keong Kwan |
| author_facet | Hideki Shigematsu Akimasa Yasuda Ronald Tangente Chris Yin Wei Chan Ajoy Prasad Shetty Jason Pui Yin Cheung Yong Hai Daisuke Sakai Kyu-Jung Cho Chih-Wei Chen Gabriel Liu I Gusti Lanang Ngurah Agung Artha Wiguna Brian Hsu Mun Keong Kwan |
| author_sort | Hideki Shigematsu |
| collection | DOAJ |
| description | Study Design A prospective web-based survey. Purpose Although intraoperative neurophysiological monitoring (IONM) is critical in spine surgery, its usage is largely based on the surgeon’s discretion, and studies on its usage trends in Asia–Pacific countries are lacking. This study aimed to examine current trends in IONM usage in Asia–Pacific countries. Overview of Literature IONM is an important tool for minimizing neurological complications and detecting spinal cord injuries after spine surgery. IONM can be performed using several modalities, such as transcranial electrical stimulation-muscle evoked potentials (Tc-MEP) and somatosensory evoked potentials (SEP). Methods Spine surgeons of the Asia–Pacific Spine Society were asked to respond to a web-based survey on IONM. The questionnaire covered various aspects of IONM, including its common modality, Tc-MEP details, necessities for consistent use, and recommended modalities in major spine surgeries and representative surgical procedures. Results Responses were received from 193 of 626 spine surgeons. Among these respondents, 177 used IONM routinely. Among these 177 respondents, 17 mainly used SEP, whereas the majority favored Tc-MEPs. Although a >50% decrease is the commonly used alarm point in Tc-MEP, half of the Tc-MEP users had no protocols planned for such scenarios. Moreover, half of the Tc-MEP users experienced complications, with bite injuries being the most common. Most respondents strongly recommended IONM in deformity surgery for pediatric and adult populations and tumor resection surgery for intramedullary spinal cord tumors. Conversely, IONM was the least recommended in lumbar spinal canal stenosis surgery. Conclusions Spine surgeons in Asia–Pacific countries favored IONM use, indicating widespread routine utilization. Tc-MEP was the predominant modality for IONM, followed by SEPs. |
| format | Article |
| id | doaj-art-c0955bcd36fd4e5b8a5211349b879bfc |
| institution | Kabale University |
| issn | 1976-1902 1976-7846 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj-art-c0955bcd36fd4e5b8a5211349b879bfc2025-08-20T03:54:01ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462024-12-0118681382110.31616/asj.2024.02731690Current trends in intraoperative neurophysiological monitoring among Asia–Pacific countries: an Asia–Pacific Spine Society surveyHideki Shigematsu0Akimasa Yasuda1Ronald Tangente2Chris Yin Wei Chan3Ajoy Prasad Shetty4Jason Pui Yin Cheung5Yong Hai6Daisuke Sakai7Kyu-Jung Cho8Chih-Wei Chen9Gabriel Liu10I Gusti Lanang Ngurah Agung Artha Wiguna11Brian Hsu12Mun Keong Kwan13 Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Japan Department of Orthopaedic Surgery, National Hospital Organization Saitama Hospital, Wako, Japan Orthopedic Center, Davao Doctors Hospital, Davao City, Philippines Orthopaedic Surgery Department, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Department of Orthopaedic Surgery, Ganga Medical Centre and Hospitals, Coimbatore, India Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong Department of Orthopaedic Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China Department of Orthopaedic Surgery, Tokai University School of Medicine, Isehara, Japan Department of Orthopaedic Surgery, Inha University Hospital, Incheon, Korea Department of Orthopaedics, National Taiwan University Hospital, Taipei, Taiwan Department of Orthopaedic Surgery, National University Health System, Singapore Department of Orthopaedics and Traumatology, Prof. Ngoerah Hospital (Sanglah General Hospital), Denpasar, Indonesia Department of Orthopaedics, The Children’s Hospital at Westmead, Sydney, NSW, Australia Orthopaedic Surgery Department, Faculty of Medicine, University of Malaya, Kuala Lumpur, MalaysiaStudy Design A prospective web-based survey. Purpose Although intraoperative neurophysiological monitoring (IONM) is critical in spine surgery, its usage is largely based on the surgeon’s discretion, and studies on its usage trends in Asia–Pacific countries are lacking. This study aimed to examine current trends in IONM usage in Asia–Pacific countries. Overview of Literature IONM is an important tool for minimizing neurological complications and detecting spinal cord injuries after spine surgery. IONM can be performed using several modalities, such as transcranial electrical stimulation-muscle evoked potentials (Tc-MEP) and somatosensory evoked potentials (SEP). Methods Spine surgeons of the Asia–Pacific Spine Society were asked to respond to a web-based survey on IONM. The questionnaire covered various aspects of IONM, including its common modality, Tc-MEP details, necessities for consistent use, and recommended modalities in major spine surgeries and representative surgical procedures. Results Responses were received from 193 of 626 spine surgeons. Among these respondents, 177 used IONM routinely. Among these 177 respondents, 17 mainly used SEP, whereas the majority favored Tc-MEPs. Although a >50% decrease is the commonly used alarm point in Tc-MEP, half of the Tc-MEP users had no protocols planned for such scenarios. Moreover, half of the Tc-MEP users experienced complications, with bite injuries being the most common. Most respondents strongly recommended IONM in deformity surgery for pediatric and adult populations and tumor resection surgery for intramedullary spinal cord tumors. Conversely, IONM was the least recommended in lumbar spinal canal stenosis surgery. Conclusions Spine surgeons in Asia–Pacific countries favored IONM use, indicating widespread routine utilization. Tc-MEP was the predominant modality for IONM, followed by SEPs.http://asianspinejournal.org/upload/pdf/asj-2024-0273.pdfintraoperative neurophysiological monitoringtranscranial electrical stimulationsomatosensory evoked potentialsasia-pacific |
| spellingShingle | Hideki Shigematsu Akimasa Yasuda Ronald Tangente Chris Yin Wei Chan Ajoy Prasad Shetty Jason Pui Yin Cheung Yong Hai Daisuke Sakai Kyu-Jung Cho Chih-Wei Chen Gabriel Liu I Gusti Lanang Ngurah Agung Artha Wiguna Brian Hsu Mun Keong Kwan Current trends in intraoperative neurophysiological monitoring among Asia–Pacific countries: an Asia–Pacific Spine Society survey Asian Spine Journal intraoperative neurophysiological monitoring transcranial electrical stimulation somatosensory evoked potentials asia-pacific |
| title | Current trends in intraoperative neurophysiological monitoring among Asia–Pacific countries: an Asia–Pacific Spine Society survey |
| title_full | Current trends in intraoperative neurophysiological monitoring among Asia–Pacific countries: an Asia–Pacific Spine Society survey |
| title_fullStr | Current trends in intraoperative neurophysiological monitoring among Asia–Pacific countries: an Asia–Pacific Spine Society survey |
| title_full_unstemmed | Current trends in intraoperative neurophysiological monitoring among Asia–Pacific countries: an Asia–Pacific Spine Society survey |
| title_short | Current trends in intraoperative neurophysiological monitoring among Asia–Pacific countries: an Asia–Pacific Spine Society survey |
| title_sort | current trends in intraoperative neurophysiological monitoring among asia pacific countries an asia pacific spine society survey |
| topic | intraoperative neurophysiological monitoring transcranial electrical stimulation somatosensory evoked potentials asia-pacific |
| url | http://asianspinejournal.org/upload/pdf/asj-2024-0273.pdf |
| work_keys_str_mv | AT hidekishigematsu currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT akimasayasuda currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT ronaldtangente currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT chrisyinweichan currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT ajoyprasadshetty currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT jasonpuiyincheung currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT yonghai currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT daisukesakai currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT kyujungcho currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT chihweichen currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT gabrielliu currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT igustilanangngurahagungarthawiguna currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT brianhsu currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey AT munkeongkwan currenttrendsinintraoperativeneurophysiologicalmonitoringamongasiapacificcountriesanasiapacificspinesocietysurvey |