Intraoperative neural monitoring during head and neck surgery in patients with concern for cervical spine instability

Cervical and craniocervical instability are associated with catastrophic procedural outcomes. We discuss three individuals who required otolaryngologic surgical intervention: two with symptomatic spinal instability and one in whom spinal stability was unable to be assessed. Two cases were managed wi...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2023, Vol.175, p.111749-111749
Main Authors: Matabele, Maya N, Kille, Tony L, Gorelik, Michael, Van Beek-King, Jessica, Legare, Janet M, Stadler, James A, Iskandar, Bermans J, Wheeler, Bryan J, Puricelli, Michael D
Format: Report
Language:English
Online Access:Get full text
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Summary:Cervical and craniocervical instability are associated with catastrophic procedural outcomes. We discuss three individuals who required otolaryngologic surgical intervention: two with symptomatic spinal instability and one in whom spinal stability was unable to be assessed. Two cases were managed with procedural positioning precautions and evoked potential monitoring, and the other with procedural positioning precautions alone. Methods of monitoring and triggers for repositioning are discussed. This series is intended to discuss the approach and potential added value of evoked potential monitoring for risk mitigation in pediatric patients with concern for cervical spine instability.
ISSN:1872-8464
DOI:10.1016/j.ijporl.2023.111749