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Review Article | Open Access

Intraoperative neurophysiological monitoring in selective dorsal rhizotomy (SDR)

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.

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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.

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Brain Science Advances
Pages 56-67

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Review Status: {{reviewData.commendedNum}} Commended , {{reviewData.revisionRequiredNum}} Revision Required , {{reviewData.notCommendedNum}} Not Commended Under Peer Review

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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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Received: 02 March 2020
Revised: 29 March 2020
Accepted: 31 March 2020
Published: 17 July 2020
© The authors 2020

This article is published with open access at journals.sagepub.com/home/BSA

Creative Commons Non Commercial CC BY- NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/ en-us/nam/open-access-at-sage).