Abstract
The lateral approach to minimally invasive lumbar spine surgery has been around since the 1980s [1–6]. However, this approach had been fraught with resultant nerve injuries which were appreciated postoperatively. In its beginnings, the rate of intraoperative nerve injury during lateral approaches to lumbar spine surgery was approximately 30 %, making this approach unappealing compared to alternative approaches to the lumbar spine [1]. The addition and advances of intraoperative neuromonitoring (IONM) have made this technique safer with lesser rates of postsurgical paresis. Advances in IONM made this previously morbid approach less morbid by means of awareness to the surrounding neural structures that can be compromised with the lateral access approach to the spine. In this chapter, we describe the considerations, benefits, and utility of IONM in lateral access lumbar spine surgery.
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Hoshide, R.R., Taylor, W.R. (2017). Intraoperative Electrophysiologic Monitoring. In: Wang, M., Sama, A., Uribe, J. (eds) Lateral Access Minimally Invasive Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-28320-3_9
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DOI: https://doi.org/10.1007/978-3-319-28320-3_9
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