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Medical Business Services NewsPRESS RELEASE:
Intraoperative Monitoring as a Crucial Component of the Spinal Surgery
Wed, 26 Jun 2013, 15:33:20 EDT
WHITE PLAINS, N.Y., June 26, 2013 (SEND2PRESS NEWSWIRE) --Spinal surgery involves a wide variety of complex procedures,according to Westchester N.Y.-based Neuro Alert. There is a potentialfor major neurological deficits if they are not recognized duringsurgery, so effective corrective action can be taken quickly. It goeswithout saying that early detection of potential complications is crucialfor patient safety. Therefore, any tool or technique that can prevent or reduce the rate of intraoperative injuries holds tremendous appeal for patients and surgeons alike.In recent years, there has been an increasing interest in intraoperativeneurophysiological neuromonitoring (IONM) procedures designed toalert surgeons of potential damage to the nervous system duringsurgery, and help them rectify the situation. Real time monitoringassists surgeons and anesthesiologists with assessing neuralstructures, including the neuromuscular junction, peripheral nerve, spinal cord, brainstem, and cerebral cortex. Conducted byan on-site technician and remote interpreting physician, IONM can make spinal surgeries safer and prevent neurologicaldeficits and/or morbidity.Why is IONM so Important?Oftentimes, spinal surgery involves the following procedures:1) Decompression of the spinal nerve roots and/or the spinal cord.2) The use of instrumentation (i.e. plates, screws, rods, cages, etc.).3) Deformity Correction (Scoliosis, Kyphosis, spondylolisthesis).Possible complications may include damage to the spinal cord and nerve roots. As a result, the patient can developradiculopathy (spinal nerve root injury) or myelopathy (spinal cord injury).Traditionally, surgeons have relied on X-rays and computed tomography (CT) scans to check the placement of hardwareduring surgery."Unfortunately, imaging techniques do not always identify improperly placed hardware, damage to nerve tissue, or smallfractures of certain parts of vertebra," says Dr. T.V. Seshan, the founder and clinical director of Neuro Alert, a Westchester N.Y.-based healthcare organization providing neuromonitoring services for surgeons, surgical groups and hospitals."Evidence suggests that IONM has proven to be more effective in instantly spotting certain types of neurological damage.Furthermore, it is easy-to-use and cost-efficient. IONM is commonly used for spinal fusion, total disc replacement, scoliosis,kyphosis, spondylolisthesis, pain stimulator placement, spinal tumor resection, and other treatment procedures."How Does it Work?
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