# Application of neurophysiological monitoring during tethered cord release in children

## TL;DR

This study examines whether using neurophysiological monitoring during surgery for tethered cord syndrome in children improves outcomes.

## Contribution

The study evaluates the impact of intraoperative neurophysiological monitoring on both short-term and long-term outcomes in tethered cord release surgeries.

## Key findings

- In the short-term, there was no significant difference in treatment effectiveness or neurological dysfunction between groups with or without monitoring.
- Long-term follow-up showed better outcomes in the group using neurophysiological monitoring, with higher response rates and lower deterioration rates.

## Abstract

The objective of this study was to explore the effect of intraoperative neurophysiological monitoring (IONM) on tethered spinal cord release in children.

The clinical data of 454 children with tethered cord syndrome who underwent surgery for tethered cord release were retrospectively analyzed. The children were divided into two groups: the non-IONM group and the IONM group. SPSS 26.0 software was used for statistical analysis. The evaluation indices included the effective rate and incidence of new neurological dysfunction.

The short-term results showed that the effective rate of the non-IONM group was 14.8%, while that of the IONM group was 15.2%. Additionally, the incidence of new neurological dysfunction was 7.8% in the non-IONM group and 5.6% in the IONM group. However, there was no significant difference between the two groups (P > 0.05). The medium- to long-term follow-up had significant difference (P < 0.05), the response rate was 32.1% in the IONM group and 23.7% in the non-IONM group, and deterioration rates regarding neurological dysfunction were 3.3% in the IONM group and 8.5% in the non-IONM group.

This study revealed that the use of IONM does not significantly improve the short-term treatment effect of patients undergoing surgery for tethered cord release or reduce the short-term incidence of postoperative new neurological dysfunction. However, the medium- to long-term prognoses of patients in the IONM group were better than those of patients in the non-IONM group.