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dc.contributor.authorTraba, Alfredo
dc.contributor.authorRomero Muñoz, Juan Pablo 
dc.contributor.authorArranz, Beatriz
dc.contributor.authorVilela, Concepción
dc.date.accessioned2019-09-10T11:49:59Z
dc.date.available2019-09-10T11:49:59Z
dc.date.issued2018
dc.identifier.issn1388-2457spa
dc.identifier.urihttp://hdl.handle.net/10641/1676
dc.description.abstractObjective Our objective is to use the area of the motor evoked potential (MEP) as a diagnostic tool for intraoperative radicular injury. Methods We analyzed the intraoperative neurophysiological monitoring data and clinical outcomes of 203 patients treated for dorsolumbar spine deformity. The decrease in amplitude was compared with the reduction in the MEP area. Results In 11 cases, new intraoperative injuries occurred, nine of them were lumbar radiculopathies. Our new criteria, a decrease MEP area of 70%, yielded a sensitivity and specificity of 1, since it detected all the radicular injuries, with no false positive cases. Using a 70% amplitude decrease criteria, we obtained a sensitivity of 0,89 and a specificity of 0,99. A lower threshold (65% amplitude reduction) yielded a higher number of false positives, whereas a higher threshold (75 and 80%) gave rise to a higher number of false negatives. Conclusions The measurement of the MEP area gave evidence to be more reliable and accurate than the measurement of the amplitude reduction in order to assess and detect intraoperative radicular injuries.spa
dc.language.isoengspa
dc.publisherClinical Neurophysiologyspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subjectTranscranial electrical stimulationspa
dc.subjectMotor evoked potentialspa
dc.subjectIntraoperative radiculopathyspa
dc.titleA new criterion for detection of radiculopathy based on motor evoked potentials and intraoperative nerve root monitoring.spa
dc.typearticlespa
dc.description.versionpre-printspa
dc.rights.accessRightsopenAccessspa
dc.description.extent960 KBspa
dc.identifier.doi10.1016/j.clinph.2018.07.005spa


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Atribución-NoComercial-SinDerivadas 3.0 España
Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 3.0 España