The Indispensable Role of Intraoperative Neurophysiological Monitoring in Tethered Cord Release Surgeries

Authors

  • Huma Aziz Department of Neuroscience, School of Behavioral & Brain Sciences, The University of Texas at Dallas, Richardson, Texas, USA; Global Innervation LLC, Dallas, Texas, USA https://orcid.org/0009-0005-1558-1463
  • Faisal R Jahangiri Department of Neuroscience, School of Behavioral & Brain Sciences, The University of Texas at Dallas, Richardson, Texas, USA; Global Innervation LLC, Dallas, Texas, USA https://orcid.org/0000-0002-1342-1977

DOI:

https://doi.org/10.5281/zenodo.13952961

Keywords:

ionm, emg, mep, tcemep, ssep, bcr, tcr, tcs, neuromonitoring, neurophysiology, split cord, spina bifida occulta, tethered cord, surgery

Abstract

Untethering of the spinal cord is performed to surgically treat abnormal spinal cord fixation, which tends to arise from conditions such as spina bifida, spinal dysmorphisms (including diastematomyelia, lipomyelomeningocele, and myelomeningocele), trauma, or tumors. This fixation often leads to complications known as Tethered Cord Syndrome (TCS), where the spinal cord becomes abnormally anchored, resulting in restricted mobility and progressive neurological deficits [1]. Surgical untethering aims to prevent further damage or potentially reverse symptoms, with intraoperative neuromonitoring (IONM) playing a vital role in distinguishing functional neural tissue from fibrous tissue to reduce the risk of nerve damage.

References

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Published

2024-10-18

How to Cite

Aziz, H., & Jahangiri, F. R. (2024). The Indispensable Role of Intraoperative Neurophysiological Monitoring in Tethered Cord Release Surgeries. J of Neurophysiological Monitoring, 2(3), 63–66. https://doi.org/10.5281/zenodo.13952961

Issue

Vol. 2 No. 3 (2024): Journal of Neurophysiological Monitoring

Section

Students Corner

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