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Brain Science Advances 2020, 6(1): 56-67 https://doi.org/10.26599/BSA.2020.9050009
Review Article | Open Access | Issue | Published: 17 July 2020

Intraoperative neurophysiological monitoring in selective dorsal rhizotomy (SDR)

Show Author's Information Wenbin Jiang§,  Qijia Zhan§,  Junlu Wang,  Rong Mei,  Bo Xiao( )
Department of Neurosurgery, Shanghai Children’s Hospital, Shanghai Jiaotong University, Shanghai 200062, China

§ These authors contributed equally to this work.

Keywords:
spasticity, selective dorsal rhizotomy (SDR), rootlet selection, neuroelectrophysiology, electromyography (EMG) interpretation
Cite this article:
Jiang W, Zhan Q, Wang J, et al. Intraoperative neurophysiological monitoring in selective dorsal rhizotomy (SDR). Brain Science Advances, 2020, 6(1): 56-67. https://doi.org/10.26599/BSA.2020.9050009
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Abstract Full text About this article

For decades, intraoperative neurophysiological monitoring (IONM) has been used to guide selective dorsal rhizotomy (SDR) for the treatment of spastic cerebral palsy (CP). Electromyography (EMG) interpretation methods, which are the core of IONM, have never been fully discussed and addressed, and their importance and necessity in SDR have been questioned for years. However, outcomes of CP patients who have undergone IONM-guided SDR have been favorable, and surgery-related complications are extremely minimal. In this paper, we review the history of evolving EMG interpretation methods as well as their neuroelectro- physiological basis.


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Intraoperative neurophysiological monitoring in selective dorsal rhizotomy (SDR)

Show Author's information Wenbin Jiang§, Qijia Zhan§, Junlu Wang, Rong Mei, Bo Xiao( )
Department of Neurosurgery, Shanghai Children’s Hospital, Shanghai Jiaotong University, Shanghai 200062, China

§ These authors contributed equally to this work.

Abstract

For decades, intraoperative neurophysiological monitoring (IONM) has been used to guide selective dorsal rhizotomy (SDR) for the treatment of spastic cerebral palsy (CP). Electromyography (EMG) interpretation methods, which are the core of IONM, have never been fully discussed and addressed, and their importance and necessity in SDR have been questioned for years. However, outcomes of CP patients who have undergone IONM-guided SDR have been favorable, and surgery-related complications are extremely minimal. In this paper, we review the history of evolving EMG interpretation methods as well as their neuroelectro- physiological basis.

Keywords: spasticity, selective dorsal rhizotomy (SDR), rootlet selection, neuroelectrophysiology, electromyography (EMG) interpretation

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Received: 02 March 2020
Revised: 29 March 2020
Accepted: 31 March 2020
Published: 17 July 2020
Issue date: March 2020

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