Table 5.
MIOM of true positive cases (n = 10) out of 246 patients operated on cervical spine
True positive cases of cervical | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Patient | Region | Pathology | Surgery | Duration (h) | IOM modalities | IOM-baseline | IOM-changes | Neurological deterioration | Duration | Recovery |
F, 44 years | C0–C7 | Rheumatoid arthritis | Decompression and fusion, ventral and dorsal | 6 | csEP, cmEP BR ADM, nsEP, ncEP MN, TN, cont EMG | All available, but pathologic | Deterioration of pyramidal tract and dorsal tract function left arm | Central paresis left arm | After 2 days reoperation | Complete |
F, 77 years | C1–C6 | Rheumatoid arthritis | Decompression and fusion C0–T1 | 3.8 | csEP, cmEP BR ADM | All available, but pathologic | Alteration of csEP and cmEP left arm | Central paresis left arm | 3 months | Complete |
M, 40 years | C3–C4 | Spondylotic cervical myelopathy | Decompression and fusion ventral | 2.8 | cmEP BR ADM, ncEP MN, cont EMG | All available, but pathologic | Loss of cmEP BR right | Sensomotor radiculopathy C5 right | 2 months | Complete |
M, 79 years | C3–C5 | Degenerative stenosis and instability | Decompression and fusion ventral and dorsal | 4.8 | csEP, cmEP BR ADM, ncEP MN, cont EMG | All available, but pathologic | Alteration of ncEP MN right | Proprioceptiv deficits arm right | 1 day | Complete |
M, 66 years | C3–C5 | Spondylotic cervical myelopathy | Decompression dorsal | 3.5 | csEP, cmEP BR ADM, ncEP MN TN, nsEP, cont EMG | All available but pathologic | Alteration cmEP arm and leg right | Deterioration of preexisting heavy spasticity | 2 months | Complete |
F, 61 years | C5–C6 | Spondylotic cervical myelopathy | Decompressin and fusion ventral and dorsal | 3.3 | csEP, cmEP BR ADM, ncEP MN, cont EMG | All available but pathologic | Deterioration of cmEP ADM right at end of decompression | Central paresis arm right | 1 day | complete |
M, 78 years | C3–C7 | Spondylotic cervical myelopathy | Laminoplasty C3–C7 | 3.8 | cmEP BR ADM, ncEP MN, cont EMG | All available but pathologic ncEP | Deterioration of cmEP and ncEP left | Deterioration of central paresis left | 1 day | Complete |
F, 56 years | C4–6 | Spondylotic myelopathy and radiculopthy C6 bilateral | Decompression and fusion, ventral | 3.5 | cmEP BB TM TA, ncEP MN, cont EMG | All available but pathologic | Deterioration of all cmEP right | Deterioration of preexisting paresis right | 3 months | Complete |
m, 73 y | C4–C6 | Spondylotic cervical myelopathy | Decompression and fusion ventral | 4.8 | cmEP DM BB TA, cont EMG, ncEP MN TN | All available but pathologic | Deterioration of cmEP DM left | C5 radiculopathy left | 1 month | Complete |
M, 65 y | C4–C7 | Spondylotic cervical myelopathy | Decompression and fusion ventral | 6 | cmEP DM BR ADM, cont EMG, ncEP MN TN | All available but pathologic | Deterioration of cmEP DM left | C5 radiculopathy left | 5 months | Complete |