Moderators: Richard Vogel, PhD, DABNM and Adam Doan, DC, DABNM
Use of neuromonitoring (IONM) in spine surgery varies significantly by region in the US and around the globe. For any given surgical procedure, IONM may be standard in some regions and nonexistent in others. When it is used, combinations of modalities (e.g., SSEP/EMG) also vary, as do interventions in the face an alert. In some centers, IONM is a valuable surgical adjunct; in others, it's unreliable due to frequent failure. These variances may explain contrasting reports on the diagnostic and therapeutic utility of IONM. This interactive session will challenge participants with real world scenarios to explore variability in the use and efficacy of IONM in spine surgery. Participants are encouraged to share their perspectives and bring their own examples of neuromonitoring failures for the panel to diagnose.
Upon completion of this session, participants should gain strategies to:
- Practice evidence- and value-based medicine relative to neuromonitoring in spine care;
- Optimize medical treatment in response to a neuromonitoring alert;
- Identify and eliminate common reasons for neuromonitoring failure.
Faculty Panel
Anthony Sestokas, PhD
Nancy Mirarchi, DC, DABNM
John P. Ney, MD, MPH
F. Todd Wetzel, MD
Joshua E. Heller, MD
Agenda
How Should I Monitor This Surgery?
- Interactive audience & panel activity and discussion
Faculty Panel
How Do I Respond to a Neuromonitoring Alert?
- Interactive audience & panel activity and discussion
Faculty Panel
Why Did Neuromonitoring Fail?
- Interactive audience & panel discussion
Faculty Panel