The Influence of Anesthesia on Neuromonitoring During Scoliosis Surgery
Author Information
Author(s): Reysner Malgorzata, Reysner Tomasz, Janusz Piotr, Kowalski Grzegorz, Geisler-Wojciechowska Alicja, Grochowicka Monika, Pyszczorska Monika, Mularski Aleksander, Wieczorowska-Tobis Katarzyna
Primary Institution: Poznan University of Medical Sciences
Hypothesis
How do different anesthetic techniques affect the quality and reliability of motor-evoked potentials and somatosensory-evoked potentials during scoliosis surgery?
Conclusion
The Erector Spinae Plane Block (ESPB) is a safer and more effective option for maintaining neuromonitoring accuracy and minimizing complications during scoliosis surgery.
Supporting Evidence
- Thirty-one studies reported no significant impact of the anesthetic regimen on MEPs.
- Ten studies demonstrated that TIVA preserved MEP amplitude and latency better than inhalational anesthetics.
- Four studies reported that ESPB preserved MEP amplitude and latency with no adverse effects on neuromonitoring.
Takeaway
This study looked at how different types of anesthesia can help doctors monitor the spine during surgery, finding that one method, called ESPB, works best.
Methodology
A systematic review was conducted following PRISMA guidelines, analyzing studies from PubMed, MEDLINE, EMBASE, and Cochrane databases published between 2017 and 2024.
Potential Biases
Potential biases due to methodological differences and incomplete outcome reporting in the included studies.
Limitations
The studies varied in design, sample size, and anesthetic protocols, which limits generalizability.
Participant Demographics
Studies included both pediatric and adult patients undergoing scoliosis surgery.
Digital Object Identifier (DOI)
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