Successful Neonatal, Intraoperative Neuromonitoring in the Surgical Correction of a Thoracic Dermal Sinus Tract: Technical Note.

Journal Article

INTRODUCTION: Intraoperative neuromonitoring (IONM) is commonly used during surgery of the spine and spinal cord for early surveillance of iatrogenic injury to the central and peripheral nervous system. However, for infants and young children under 3 years of age, the use of IONM is challenging due to incomplete central and peripheral myelination. CASE PRESENTATION: We report a case of a T4-T6 dermal sinus tract (DST) that was resected on day of life 23, with the successful use of IONM. CONCLUSION: To our knowledge, this is the youngest reported case of the use of IONM in the surgical correction of a DST in a neonatal patient. This case demonstrates the potential efficacy of IONM in neonatal spine surgery and the techniques used to adapt the technology to an immature nervous system.

Full Text

Duke Authors

Cited Authors

  • Shalita, C; Sankey, EW; Bergin, SM; McManigle, J; Buckley, AF; Radtke, R; Torres, C; Dear, GL; Thompson, EM

Published Date

  • 2022

Published In

Volume / Issue

  • 57 / 4

Start / End Page

  • 295 - 300

PubMed ID

  • 35512661

Electronic International Standard Serial Number (EISSN)

  • 1423-0305

Digital Object Identifier (DOI)

  • 10.1159/000524924


  • eng

Conference Location

  • Switzerland