"Intraoperative neurophysiological monitoring in selective dorsal rhizo" by Wenbin Jiang, Qijia Zhan et al.

Article Title

Intraoperative neurophysiological monitoring in selective dorsal rhizotomy (SDR)

Authors

Wenbin Jiang, Department of Neurosurgery, Shanghai Children’s Hospital, Shanghai Jiaotong University, Shanghai 200062, China
Qijia Zhan, Department of Neurosurgery, Shanghai Children’s Hospital, Shanghai Jiaotong University, Shanghai 200062, China
Junlu Wang, Department of Neurosurgery, Shanghai Children’s Hospital, Shanghai Jiaotong University, Shanghai 200062, China
Rong Mei, Department of Neurosurgery, Shanghai Children’s Hospital, Shanghai Jiaotong University, Shanghai 200062, China
Bo Xiao, Department of Neurosurgery, Shanghai Children’s Hospital, Shanghai Jiaotong University, Shanghai 200062, China

Keywords

spasticity, selective dorsal rhizotomy (SDR), rootlet selection, neuroelectrophysiology, electromyography (EMG) interpretation

Abstract

For decades, intraoperative neurophysiological monitoring (IONM) has been used to guide selective dorsal rhizotomy (SDR) for the treatment of spastic cerebral palsy (CP). Electromyography (EMG) interpretation methods, which are the core of IONM, have never been fully discussed and addressed, and their importance and necessity in SDR have been questioned for years. However, outcomes of CP patients who have undergone IONM-guided SDR have been favorable, and surgery-related complications are extremely minimal. In this paper, we review the history of evolving EMG interpretation methods as well as their neuroelectro- physiological basis.

DOI

https://doi.org/10.26599/BSA.2020.9050009

Publisher

Tsinghua University Press

Recommended Citation

Wenbin Jiang, Qijia Zhan, Junlu Wang et al. Intraoperative neurophysiological monitoring in selective dorsal rhizotomy (SDR). Brain Science Advances 2020, 06(01): 56-67.

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