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

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.