The Role of Intraoperative Neurophysiologic Monitoring on Surgical Decision Making and Neurologic Outcomes in Pediatric Patients With Intramedullary Spinal Cord Tumors
Multiple IONM modalities are technically feasible in pediatric IMSCTs and help guide surgical decision making. Intraoperative neurophysiologic monitoring alerts were more common in patients with larger tumors and older ages, significantly affecting the surgeon's decision to stop further resection. Although associated with longer hospital/intensive care unit stays and increased discharge rates to rehabilitation, IONM changes did not significantly affect long-term functional outcomes.
Authors
- Katie Pricola Fehnel (ORCID: https://orcid.org/0000-0001-9701-0931)
- Steven J. Staffa (ORCID: https://orcid.org/0000-0002-7588-7596)
- Anna L. Slingerland (ORCID: https://orcid.org/0000-0001-7216-757X)
- Amanda Mosher (ORCID: https://orcid.org/0009-0003-1764-7134)
- Joanna E. Papadakis (ORCID: https://orcid.org/0000-0002-3058-3513)
- John S. Albanese (ORCID: https://orcid.org/0000-0002-6131-2230)
- Mitali Bose
- Matthew Toczylowlski
Institutions
- Boston Children's Hospital (US)
- Harvard University (US)
Publication Details
- Journal
- Journal of Clinical Neurophysiology
- Published
- 2025-02-26
- DOI
- https://doi.org/10.1097/wnp.0000000000001153
- Primary Topic
- Intraoperative Neuromonitoring and Anesthetic Effects
- Type
- article
- Field-Weighted Citation Impact
- 0.00