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Neuromonitoring During Surgery for Paediatric Spinal Deformity in Canada (2007)

Published online by Cambridge University Press:  02 December 2014

Jonathan Norton  and
Douglas Hedden
Jonathan Norton*
Affiliation:
Division of Pediatric Surgery, Stollery Children's Hospital, Edmonton, Alberta, Canada
Douglas Hedden
Affiliation:
Division of Pediatric Surgery, Stollery Children's Hospital, Edmonton, Alberta, Canada
*
Pediatric Surgery, 2C3 North, WMC Health Sciences Centre, University of Alberta Hospital, 8440 112th Street, Edmonton, Alberta T6G 2S2, Canada
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Abstract

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Background:

Neuromonitoring during paediatric (and adult) spinal deformity surgery helps to reduce the risk of both permanent and short term neurological damage. A shortage of neurophysiologists and technicians limits the availability of this service. Not all surgeons believe neuromonitoring offers neuroprotection during spinal surgery. This study aimed to document the degree to which paediatric patients undergoing spinal deformity correction surgery have their spinal cord function monitored.

Methods:

A questionnaire was sent electronically to all of the surgical members of the Canadian Paediatric Spinal Deformity Study Group.

Results:

Results were received from 9/9 centres indicating that monitoring was performed in 7/9 centres, with one further centre awaiting staffing. Whilst half of those centres that do monitor only monitor sensory and motor evoked potentials, the remaining centres also use EMG and EEG to assess the state of the patient intraoperatively.

Conclusions:

Despite a shortage of staff, most paediatric spinal deformity surgeons in Canada who wish to, are able to neurophysiologically monitor their surgical cases. Neuromonitoring appears to be becoming a standard of care, at least for paediatric spinal deformity surgery. There is an urgent need for the establishment of national standards for both technologists and interpreters, as well as training programmes for both these groups.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 36 , Issue 1 , January 2009 , pp. 47 - 50
Copyright
Copyright © The Canadian Journal of Neurological 2009

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