Neurophysiological Intraoperative Monitoring in Patients with Cochlear Implant Undergoing Posterior Spinal Fusion: A Case Report

Tommy Pan, Adeshina Adeyemo, Douglas G. Armstrong, Joseph L. Petfield

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Case:Transcranial electric stimulation motor-evoked potentials (tcMEPs) are the most sensitive technique in multimodality intraoperative neuromonitoring (IONM) for posterior spinal fusion (PSF). The presence of a cochlear implant (CI) is considered a contraindication to IONM because of theoretical risk of implant device and local tissue damage from voltages induced by tcMEPs. We present the case of a 10-year-old girl with CI who underwent successful PSF with tcMEP and monopolar electrocautery (MoEC) without perioperative complications or CI damage.Conclusion:With proper precautions, such as MoEC usage at a minimal voltage, motor-evoked potential monitoring can be safely performed in pediatric patients with CI undergoing PSF.

Original languageEnglish (US)
Article numbere21.00609
JournalJBJS case connector
Volume12
Issue number1
DOIs
StatePublished - Jan 20 2022

All Science Journal Classification (ASJC) codes

  • General Medicine

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