Significance and cost-effectiveness of somatosensory evoked potential monitoring in cervical spine surgery

LAUR Repository

Show simple item record

dc.contributor.author Zreik, Tony
dc.contributor.author Ayoub, Chakib
dc.contributor.author Sawaya, Raja
dc.contributor.author Domloj, Nathalie
dc.contributor.author Sabbagh, Amira
dc.contributor.author Skaff, Ghassan
dc.date.accessioned 2015-10-22T08:24:03Z
dc.date.available 2015-10-22T08:24:03Z
dc.date.copyright 2010
dc.date.issued 2016-05-06
dc.identifier.issn 0028-3886 en_US
dc.identifier.uri http://hdl.handle.net/10725/2305
dc.description.abstract Background : Intraoperative somatosensory evoked potential (SSEP) monitoring during cervical spine surgery is not a universally accepted standard of care. Our retrospective study evaluated the efficacy and cost-effectiveness of intraoperative SSEP in a single surgeon's practice. Materials and Methods : Intraoperative SSEP monitoring was performed on 210 consecutive patients who had cervical spine surgery: anterior cervical approach 140 and posterior approach 70. They were screened for degradation or loss of SSEP data. A cost analysis included annual medical costs for health and human services, durable goods and expendable commodities. Results : Temporary loss of the electrical wave during cauterization resolved upon discontinuation of the cautery. We had no loss of cortical wave with preservation of the popliteal potential. A drop in the amplitude of the cortical wave was observed in three patients. This drop was resolved after hemodynamic stabilization in the first patient, readjusting the bone graft in the second patient, and interrupting the surgery in the third patient. The additional cost for SSEP monitoring was $835 per case and the total cost of the surgery was $13,835 per case. By spending $31,546 per year on SSEP, our institution is saving a total cost ranging from $64,074 to $102,192 per patient injured per year. Conclusion : Intraoperative SSEP monitoring is a reliable and cost-effective method for preventing postoperative neurological deficit by the early detection of vascular or mechanical compromise, and the immediate alteration of the anesthetic or surgical technique. en_US
dc.language.iso en en_US
dc.title Significance and cost-effectiveness of somatosensory evoked potential monitoring in cervical spine surgery en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 200802707
dc.author.woa N/A en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Neurology India en_US
dc.journal.volume 58 en_US
dc.journal.issue 3 en_US
dc.article.pages 424-428 en_US
dc.keywords Cervical spine surgery en_US
dc.keywords Healthcare costs en_US
dc.keywords Somatosensory evoked potential monitoring en_US
dc.identifier.doi http://dx.doi.org/10.4103/0028-3886.66454 en_US
dc.identifier.ctation Ayoub, C., Zreik, T., Sawaya, R., Domloj, N., Sabbagh, A., & Skaf, G. (2010). Significance and cost-effectiveness of somatosensory evoked potential monitoring in cervical spine surgery. Neurology India, 58(3), 424. en_US
dc.author.email tgzreik@lau.edu.lb
dc.identifier.url http://neurologyindia.com/article.asp?issn=0028-3886;year=2010;volume=58;issue=3;spage=424;epage=428;aulast=Ayoub

Files in this item

This item appears in the following Collection(s)

Show simple item record

Search LAUR

Advanced Search


My Account