Neuroanesthesia & neurocritical care
Intraoperative neurophysiological monitoring and spinal cord stimulator implantation
Main finding · SCI within 30 daysResult — go to the resultOdds ratio 2.39 95% CI 1.33–4.14Authors' conclusion
Increased SCI risk among patients with IONM likely reflects higher baseline risk
Study context
- Population
- Adults undergoing spinal cord stimulation (SCS) surgical procedures with at least 90 days of follow-up, IBM MarketScan Commercial and Medicare Supplemental Databases, 2016 to 201964.7% percutaneous implants
- Participants
- 9,676 adults
- Exposure
- Intraoperative neurophysiological monitoring (IONM) vs no IONM during SCS implantation
- IONMn = 944
- Outcome
- SCI after SCS implantation
- Follow-up
- 30 days
Methodological detailsadministrative claims database, logistic regression
- Administrative claims database
- Logistic regression
Main finding
SCI within 30 days
Odds ratio
2.39
95% CI 1.33–4.14
P = 0.002
By group
IONM vs No IONM
OR 2.39 (95% CI 1.33–4.14); P = 0.002
As reported in the abstract
- Spinal cord injury (SCI) overall within 30 days
- 81 (0.8%)
Observational data: associations, not effects.
Further findings
Type of sedation used
- Conscious sedation
- 0.9%
- MAC
- 60.2%
- GA
- 28.6%
Original publication
Intraoperative neurophysiological monitoring and spinal cord stimulator implantation. Reg Anesth Pain Med. Published 5 July 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →