Letter to the Editor. Incorrect analysis of motor evoked potential efficacy for pedicle subtraction osteotomy

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  • 1 Peak Neurophysiology Group, Troy, NY; and
  • 2 University of California, San Francisco, CA

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Contributor Notes

Correspondence Jeremy A. Lieberman: jeremy.lieberman@ucsf.edu.

INCLUDE WHEN CITING Published online January 10, 2020; DOI: 10.3171/2019.8.SPINE19909.

Disclosures The authors report no conflict of interest.

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    Lau D, Dalle Ore CL, Reid P, Utility of neuromonitoring during lumbar pedicle subtraction osteotomy for adult spinal deformity. J Neurosurg Spine. 2019;31(3):397407.

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  • 2

    Langeloo DD, Journée HL, de Kleuver M, Grotenhuis JA. Criteria for transcranial electrical motor evoked potential monitoring during spinal deformity surgery A review and discussion of the literature. Neurophysiol Clin. 2007;37(6):431439.

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    Lieberman J, Lyon R, Feiner J, The efficacy of motor evoked potentials in fixed sagittal imbalance deformity correction surgery. Spine (Phila Pa 1976). 2008;33(13):E414E424.

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  • 4

    Yoshida G, Ushirozako H, Kobayashi S, Intraoperative neuromonitoring during adult spinal deformity surgery: alert-positive cases for various surgical procedures. Spine Deform. 2019;7(1):132140.

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    Lyon R, Gibson A, Burch S, Lieberman J. Increases in voltage may produce false-negatives when using transcranial motor evoked potentials to detect an isolated nerve root injury. J Clin Monit Comput. 2010;24(6):441448.

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    Lyon R, Burch S, Lieberman J. Mixed-muscle electrode placement (“jumping” muscles) may produce false-negative results when using transcranial motor evoked potentials to detect an isolated nerve root injury in a porcine model. J Clin Monit Comput. 2009;23(6):403408.

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    Tamkus A, Rice K, McCaffrey M. Perils of intraoperative neurophysiological monitoring: analysis of “false-negative” results in spine surgeries. Spine J. 2018;18(2):276284.

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    Guo L, Li Y, Han R, Gelb AW. The correlation between recordable MEPs and motor function during spinal surgery for resection of thoracic spinal cord tumor. J Neurosurg Anesthesiol. 2018;30(1):3943.

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    Bhalodia V, Schwartz D, Sestokas A, Efficacy of intraoperative monitoring of transcranial electrical stimulation-induced motor evoked potentials and spontaneous electromyography activity to identify acute-versus delayed-onset C-5 nerve root palsy during cervical spine surgery. J Neurosurg Spine. 2013;19(4):395402.

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    Tamkus A, Rice K, Kim H. Differential rates of false-positive findings in transcranial electric motor evoked potential monitoring when using inhalational anesthesia versus total intravenous anesthesia during spine surgeries. Spine J. 2014;14(8):14401446.

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  • 1

    Lieberman JA, Lyon R, Feiner J, The efficacy of motor evoked potentials in fixed sagittal imbalance deformity correction surgery. Spine (Phila Pa 1976). 2008;33(13):E414E424.

    • Search Google Scholar
    • Export Citation
  • 2

    Tamkus AA, Rice KS, McCaffrey MT. Perils of intraoperative neurophysiological monitoring: analysis of “false-negative” results in spine surgeries. Spine J. 2018;18(2):276284.

    • Search Google Scholar
    • Export Citation
  • 3

    Griner PF, Mayewski RJ, Mushlin AI, Greenland P. Selection and interpretation of diagnostic tests and procedures. Principles and applications. Ann Intern Med. 1981;94(Pt 2):557592.

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  • 4

    Yoshida G, Ushirozako H, Kobayashi S, Intraoperative neuromonitoring during adult spinal deformity surgery: alert-positive cases for various surgical procedures. Spine Deform. 2019;7(1):132140.

    • Search Google Scholar
    • Export Citation
  • 5

    Kamerlink JR, Errico T, Xavier S, Major intraoperative neurologic monitoring deficits in consecutive pediatric and adult spinal deformity patients at one institution. Spine (Phila Pa 1976). 2010;35(2):240245.

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  • 6

    Thirumala PD, Bodily L, Tint D, Somatosensory-evoked potential monitoring during instrumented scoliosis corrective procedures: validity revisited. Spine J. 2014;14(8):15721580.

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    Thirumala PD, Huang J, Thiagarajan K, Diagnostic accuracy of combined multimodality somatosensory evoked potential and transcranial motor evoked potential intraoperative monitoring in patients with idiopathic scoliosis. Spine (Phila Pa 1976). 2016;41(19):E1177E1184.

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