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. 2007 Jul 4;16(Suppl 2):209–215. doi: 10.1007/s00586-007-0424-9

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