Intraoperatives Neuromonitoring bei spinalen operativen Eingriffen – ein Update

Die Methoden des intraoperativen Neuromonitorings (IONM) haben sich bei komplexen intraduralen Wirbelsäuleneingriffen etabliert. Aufgrund der personal- und kostenintensiven Anwendung sowie der Schwierigkeit, intraoperative Signalveränderungen in den Kontext von operativem Ablauf und konkretem neurologischem Outcome zu setzen, wird der Einsatz bei anderen, weniger komplexen Wirbelsäuleneingriffen kontrovers diskutiert. Der Artikel stellt die Wertigkeit und den Nutzen des IONM in der Wirbelsäulenchirurgie dar.

Abstract

The methods of intraoperative neuromonitoring (IONM) have become established in spine surgery, particularly in complex intradural procedures. However, the benefits remain the subject of controversial debate, especially in the context of non-complex or less complex spinal surgery. This is not only due to the high personnel demands and procedure-related costs, but also reflects the difficulty of interpreting intraoperative signal changes in relation to the surgical procedure and translating them directly into clinical outcome predictions. This article presents the value and benefits of IONM in spine surgery based on case studies and highlighting its pros and cons.

Schlüsselwörter

intraoperatives neurophysiologisches Monitoring - spinale Operationen - Indikation

Keywords

introperative neurophysiological monitoring - spinal surgery - indication

Publication History

Article published online:
01 September 2025

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