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April 27, 20260 citations

Utility of direct wave intraoperative neuromonitoring for intramedullary spinal cord tumor resection.

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KJKelly JiangAAAbdel‐Hameed Al‐MistarehiJohns Hopkins UniversityKZKhaled J. ZaitounJordan University of Science and Technology

Key Points

  • This research aims to evaluate the effectiveness of direct wave monitoring during spinal cord tumor surgeries.
  • Comparative analysis of d-wave monitoring versus mMEP monitoring and combination monitoring.
  • Assessment of postoperative neurological deficits.
  • Focus on mortality associated with monitoring techniques.
  • D-wave monitoring was associated with reduced mortality.
  • D-wave monitoring outperformed mMEP monitoring alone in accuracy.
  • Combination monitoring was less effective for detecting new neurological deficits.

Abstract

D-wave monitoring was associated with reduced mortality and was more accurate than mMEP monitoring alone or combination monitoring for detecting new postoperative neurological deficits. Further prospective studies are needed to validate these results.

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Cite This Study

Jiang et al. (2026) studied this question.

synapsesocial.com/papers/69eefde9fede9185760d4a7ehttps://doi.org/10.3171/2025.11.spine25124
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