Intraoperative neurophysiological monitoring of transpedicular screw placement during surgical treatment of fracture of the thoracolumbar spine: clinical case
https://doi.org/10.56618/2071-2693_2024_16_4_161
EDN: ZKFQTP
Abstract
Surgical interventions accompanied by placement of stabilizing transpedicular systems are widely used for thoracolumbar spine pathology.
Due to the morphology of the vertebrae and proximity of vascular and nerve structures, installation of screws leads to a rather high risk of postoperative neurological complications. Intraoperative neurophysiological monitoring is used in spine surgery for a more accurate and safe insertion.
Currently, there is no consensus in clinical neurophysiology as to which technique of IONM should be considered the most optimal due to different views on the choice of muscles to be tested and the technique of placing recording electrodes.
This article presents a clinical case of surgical treatment of a thoracolumbar spine fracture using an optimized modality of intraoperative neurophysiological monitoring of transpedicular screw placement.
About the Authors
A. V. Krasilnikov
Republican Clinical Hospital
Russian Federation
Russian Federation
Aleksandr V. Krasilnikov – Neurologist, Clinical Neurophysiologist
33 Osipenko street, Yoshkar-Ola, Russian Federation, 424000
I. A. Kozhevnikov
Republican Clinical Hospital
Russian Federation
Russian Federation
Ivan A. Kozhevnikov – Neurosurgeon
33 Osipenko street, Yoshkar-Ola, Russian Federation, 424000
S. N. Trifonov
Republican Clinical Hospital
Russian Federation
Russian Federation
Sergey N. Trifonov – Neurosurgeon, Head at the Neurosurgical Department
33 Osipenko street, Yoshkar-Ola, Russian Federation, 424000
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Review
For citations:
Krasilnikov A.V., Kozhevnikov I.A., Trifonov S.N. Intraoperative neurophysiological monitoring of transpedicular screw placement during surgical treatment of fracture of the thoracolumbar spine: clinical case. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(4):161-168. (In Russ.) https://doi.org/10.56618/2071-2693_2024_16_4_161. EDN: ZKFQTP
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