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Table 3 Value of unimodal and multimodal IONM techniques in detecting neurological complications during PE-TLIF (n = 113)

From: Roles of multimodal intra-operative neurophysiological monitoring (IONM) in percutaneous endoscopic transforaminal lumbar interbody fusion: a case series of 113 patients

 

Intraoperative monitoring techniques

EMG

MEP

SSEP

EMG/ MEP

EMG/ MEP /SSEP

True positive

5

6

2

6

7

True negative

100

100

97

101

101

False positive

6

4

8

3

3

False negative

2

1

5

1

0

Indeterminate

0

2

1

2

2

Sensitivity (%)

71.4

85.7

28.5

85.7

100

Specifcity (%)

94.3

96.2

92.3

97.1

97.1

Positive predictive value (%)

45.4

60.0

20.0

66.7

70

Negative predictive value (%)

98.0

99.0

95.0

99.0

100

  1. EMG electromyography, SSEP spino-spinal evoked potentials, MEP spino-muscular evoked potentials