Rehabilitation Systems

Intraoperative Neurophysiological Monitoring (IONM)

Intraoperative Neurophysiological Monitoring (IONM): http://www.spinesurgeon.co.uk/content/iom

Critical neurological structures may be easily damaged unintentionally during surgical procedures. During cases which involve general anesthesia nervous system damage may not be apparent until the patient awakens. Intraoperative neurophysiological monitoring (IONM) allows the detection of neurological compromise early enough that permanent deficits may be avoided. Within the past few years, dramatic improvements in equipment and techniques have allowed a new level of precision when monitoring the central and peripheral nervous system during surgery. Modern methods have moved far beyond the sensory evoked potentials (SEPs) used exclusively in the past. Electroencephalography (EEG), Motor evoked potentials (MEPs), brainstem auditory evoked potentials (BAEPs), cranial nerve monitoring, free run electromyography (EMG), and triggered responses have become the standard of care. Several other methods remain looming on the horizon.

IONM has become the gold standard for ensuring patient safety while undergoing operations which place the central or peripheral nervous system at risk. Technological advancements within the last few years have allowed monitoring techniques to evolve. Computer systems and Neurophysiological training program are advancing rapidly. Allowing neurologists and surgeons to work together to provide better patient outcomes during more complicated procedures in close proximity to vital neurological tissues.

Helpful Spine Education Links: http://www.spinesurgeon.co.uk/content/iom