Intraoperative neurophysiological monitoring of transpedicular screw placement during surgical treatment of fracture of the thoracolumbar spine: clinical case

Surgical interventions accompanied by placement of stabilizing transpedicular systems are widely used for thoracolumbar spine pathology. Due to the morphology of the vertebrae and proximity of vascular and nerve structures, installation of screws leads to a rather high risk of postoperative neurological complications. Intraoperative neurophysiological monitoring is used in spine surgery for a more accurate and safe insertion.Currently, there is no consensus in clinical neurophysiology as to which technique of IONM should be considered the most optimal due to different views on the choice of muscles to be tested and the technique of placing recording electrodes. This article presents a clinical case of surgical treatment of a thoracolumbar spine fracture using an optimized modality of intraoperative neurophysiological monitoring of transpedicular screw placement.