Orthopedics and spinal surgery - scoliosis

Neuromonitoring is becoming the standard of care for Scoliosis procedures and the placement of pedicle screws

Surgical interventions on the spinal column >>, including the treatment of scoliosis, would be inconceivable in modern medicine without intraoperative neurophysiological monitoring. Monitoring of the motor conduction pathways using EMG/MEP >> recordings, somatosensory pathway testing using SEPs and direct stimulation of nerve roots enable the most important neural functions to be monitored during such procedures.

Reduced risk during scoliosis surgery

Spinal cord injury with partial or complete paralysis is very rare in the surgical treatment of scoliosis. However, there is still a finite risk and this risk in scoliosis procedures can be further reduced or minimized through the use of inomed neuromonitoring technology. This is particularly important when maximizing and optimizing outcomes from corrections to curvature of the spine (scoliosis) or the rotation of the vertebrae. In these cases, stabilization of vertebral bodies using pedicle screws for scoliosis or other surgeries on the spine can be performed safely with monitoring.

The real-time and continuous monitoring of neural function enables the surgeon to react immediately to changes to neural function. This enables the surgeon to adapt or change the surgical approach in order to avoid postoperative complications. Testing pedicle screw placement and documenting correct positioning can be performed quickly and intuitively using inomed neuromonitoring systems.

Precise pedicle screw placement

The accurate and correct placement of pedicle screws is essential to achieving an optimal outcome from spine straightening/scoliosis procedures. Intraoperative neural monitoring provides an established and reliable tool for the precise placement of the coil systems. Nerves and neural structures can be protected using intraoperative monitoring during spinal procedures, resulting in the reduction in the possible loss of function or pain sensations.

Nerve stimulation techniques used for pedicle screw placement are also available for use in minimally-invasive disc surgery, delivering significant improvement in outcomes. In addition to the treatment of scoliosis, intraoperative neurophysiological monitoring is also used in the following procedures:

  • Anterior cervical discectomy and fusion
  • Posterior spinal instrumentation
  • Lateral approach
  • Minimally-invasive disc surgery