Work

Prolonged Neuromuscular Paralysis Following Succinylcholine Induction Leading to a Trans-Kambin Oblique Lateral Lumbar Interbody Fusion (OLLIF) Procedure Performed Without Neuromonitoring

Year: 2026

Type: article

Abstract: Intraoperative neuromonitoring (IONM) is widely used during minimally invasive spine procedures, including trans-Kambin oblique lateral lumbar interbody fusion, to reduce the risk of neural injury. We present a unique case in which prolonged neuromuscular paralysis following succinylcholine induction resulted in the absence of effective neuromonitoring. After careful multidisciplinary consideration of case cancellation and a detailed risk-benefit assessment, the procedure was completed because it involved a single level without complicating anatomical factors. The patient experienced an excellent clinical outcome with no postoperative neurological deficit. This case highlights important anesthetic considerations, potential pharmacogenetic variability, and nuanced intraoperative decision-making when neuromonitoring becomes unexpectedly unavailable.

Source: Cureus

DOI: 10.7759/cureus.105797

Authors: Hamid Abbasi, Abdul Rauf, Dominic Moore

Institution: Inspired Spine

Language: English

Topic: Intraoperative Neuromonitoring and Anesthetic Effects

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7140223238