• J Clin Monit Comput · Aug 2016

    Safe transcranial electric stimulation motor evoked potential monitoring during posterior spinal fusion in two patients with cochlear implants.

    • Joseph L Yellin, Cheryl R Wiggins, Alier J Franco, and Wudbhav N Sankar.
    • Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia, 34th Street and Civic Center Blvd., Richard D. Wood Ambulatory Care Building, Second Floor, Philadelphia, PA, 19104, USA.
    • J Clin Monit Comput. 2016 Aug 1; 30 (4): 503-6.

    AbstractTranscranial electric stimulation (TES) motor evoked potentials (MEPs) have become a regular part of intraoperative neurophysiologic monitoring (IONM) for posterior spinal fusion (PSF) surgery. Almost all of the relative contraindications to TES have come and gone. One exception is in the case of patients with a cochlear implant (CI). Herein we illustrate two cases of pediatric patients with CIs who underwent PSF using TES MEPs as part of IONM. In both instances the patients displayed no untoward effects from TES, and post-operatively both CIs were intact and functioning as they were prior to surgery.

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