What You Should Know

What You Should Know

brain

IONM is the only functional nural test

IONM has emerged as a vitally important part of many surgical procedures because it allows surgeons to improve surgical outcomes and reduce incidences of post-operative neurophysiological deficits by over 50%. The combined use of SSEPs, EMGs and tceMEP techniques can produce reproducible and accurate data. The specialized intraoperative tests are designed to detect any deterioration in the functionality of nural pathways. These highly specialized studies are the only tools in the operating room that can investigate the functional status of the nervous system, while imaging studies like fluoroscopy, CT scans or MRI are visual aids that only look at the structure or anatomy of a particular body part or organ. Only intraoperative neurophysiological monitoring can tell if the neural pathways at risk from the surgery are still functional.

IONM Is A Powerful Tool

IONM is a powerful tool that provides early warning feedback to the surgical team concerning the sensory and motor function of the spinal cord and cauda equina. It has become a standard of care for many procedures. IONM can be helpful in clarifying anatomical structures that have been distorted by degenerative disease, congenital anomalies, revision surgery, tumor, or inflammatory processes that may obscure normal anatomic relationships and surgical landmarks

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IONM Can Help Identify

It can help identify new systematic (nervous system) impairment and identify or separate nervous system structures (for instance, around or in a tumor or scar tissue), and can demonstrate which tracts or nerves are still functional. When a surgeon has the benefit of early warning of altered neurological functions, they can intervene immediately and avoid or reverse the potential for injury.

The American Academy of Neurology has recognized IONM
as an effective and essential means to prevent complications
and identifying neural structures during surgical procedures.