"Paraparesis, paraplegia, and quadriplegia are potential serious complications of surgeries where the spinal cord is at risk," said guideline lead author Marc R. Nuwer, MD, PhD, of UCLA and a Fellow of the American Academy of Neurology. "Monitoring can help prevent damage by identifying problems early enough to allow for interventions. If intraoperative monitoring raises warnings, surgeons and anesthesiologists can modify the surgery to reduce the risk of these complications."
Intraoperative monitoring of the spinal cord involves monitoring of somatosensory evoked potentials (SEPs) and motor evoked potentials (MEPs). The guideline found that in all cases where paralysis occurred, the patients had changes in their evoked potentials during the surgery, while there were no cases of paralysis in patients without any changes in their evoked potentials.
"The best way to treat paralysis is to prevent it in the first place," said Nuwer. "Spinal cord monitoring supervised by a neurologist can help meet this goal."
Source: Eurekalert