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  • 2002
  • Alaranta H, Luoto S, Konttinen YT (2002) Traumatic spinal cord injury as a complication to ankylosing spondylitis. (springer.com)
  • Messori A, Rychlicki F, Salvolini U (2002) Spinal epidural en-plaque meningioma with an unusual pattern of calcification in a 14-year-old girl: case report and review of the literature. (springer.com)
  • multimodal
  • and 2 female, 17 and 16 years old) kyphoscoliosis corrections, patient's history, preoperative physical examination and MIOM were performed using a multimodal 40-channel electrophysiologic monitoring system (Nicolet Endeavor, VIASYS Healthcare, 2005, USA). (jivresearch.org)
  • Objective To analyze multimodal intraoperative monitoring (MIOM) for different combinations of methods based on the collected data and determine the best combination. (nih.gov)
  • deformities
  • Spinal surgery is an effective way of correcting deformities of the spine, but also entails the risk of damage to the spinal cord. (bmj.com)
  • Founded in 1966 with 35 members, the SRS has grown to include almost 1100 spinal deformity surgeons in 41 countries, with a primary focus on providing continuing medical education for health care professionals and on funding/supporting research in spinal deformities. (wikipedia.org)
  • Current membership primarily includes spinal deformity surgeons, as well as some researchers, physician assistants, and orthotists who are involved in research and treatment of spinal deformities. (wikipedia.org)
  • Strict membership criteria ensure that the individual SRS Fellows are dedicated to the highest standards of care for adult and pediatric spinal deformities, utilizing both non-operative and operative techniques. (wikipedia.org)
  • epidural
  • This may include invasive monitoring (TEE, CVP, arterial pressure), neuraxial nerve blocks (spinal or epidural), peripheral nerve blocks (selectively anesthetizing a specific part of the body), and/or various levels of sedation including reversible unconsciousness known as "General Anesthesia. (wikipedia.org)
  • variety of spinal
  • For patients, a variety of spinal deformity topics and treatment options are explained in layman's terms, and serve as a way for patients and their families to educate themselves about an otherwise complex medical condition. (wikipedia.org)
  • benign
  • These relatively benign lesions grow very slowly, reaching large sizes, and may lead to compression of the spinal cord causing delayed and/or sudden symptoms. (hindawi.com)
  • SSEP
  • During the operation, free running EMG monitoring prompted a surgical alert in case of irritation, whereas TcMEP and SSEP amplitudes remained unchanged. (springer.com)
  • cord injuries
  • The Neurosurgical ICU nursing staff is specially trained in the care of patients with spinal cord injuries. (nymc.edu)
  • With the threat of infection always lurking, certain researchers set out to help a very specific group of orthopedic patients-those with higher than thoracic level 5 spinal cord injuries. (ryortho.com)
  • The bulbocavernosus reflex (BCR), bulbospongiosus reflex (BSR) or "Osinski reflex" is a polysynaptic reflex that is useful in testing for spinal shock and gaining information about the state of spinal cord injuries (SCI). (wikipedia.org)
  • transcranial
  • To investigate if intraoperative focused high frequency repetitive transcranial magnetic stimulation (rTMS) can localise the primary motor cortex without exposure of the cortical surface. (bmj.com)
  • procedure
  • This monitoring procedure is based on time domain detection. (bmj.com)
  • The SSEPs, bilateral EMGs of paravertebrals and related muscle, stimulus-evoked evoked EMGs by mid-dural spinal stimulation, stimulus-evoked EMGs through root stimulation (pre/post foraminal) were performed when required during different stages of operation procedure. (jivresearch.org)
  • The primary surgical procedure of choice is posterior long segment spinal fusion. (springer.com)
  • Posterior approach for anteriorly located meningiomas is a safe procedure with the use of intraoperative monitoring, less invasive and well-tolerated especially in older patients. (springer.com)
  • Although the basic procedure is the same, a variety of specialized techniques can be used to do spinal fusion. (uwhealth.org)
  • Prior to a planned procedure, the anaesthetist reviews medical records and/or interviews the patient to determine the best combination of drugs and dosages and the degree to which monitoring will be required to ensure a safe and effective procedure. (wikipedia.org)
  • According to these lawsuits, patients were purposefully misdiagnosed and told that the procedure used for tethered spinal cord syndrome would alleviate the symptoms of their Chiari malformations. (wikipedia.org)
  • The Tessys method (transforaminal endoscopic surgical system) is a minimally-invasive, endoscopic spinal procedure for the treatment of a herniated disc. (wikipedia.org)
  • Another spinal indication for the Tessys procedure would be cauda equina syndrome, in a case where conservative methods of treatment failed to ameliorate the pain, or if only surrounded nerves are affected. (wikipedia.org)
  • roots
  • Findings of our study demonstrated that MIOM should be used in all patients undergoing surgery around spinal roots. (jivresearch.org)
  • Absence of this reflex in instances where spinal shock is not suspected could indicate a lesion or injury of the conus medullaris or sacral nerve roots. (wikipedia.org)
  • not in citation given] Adductor longus is derived from the myotome of spinal roots L2, L3, and L4. (wikipedia.org)
  • Monitoring of the compressed nerves and associated pathways is indicated due to the proximity of surgical manipulations that are in contact with nerve roots and/or the spinal cord. (wikipedia.org)
  • surgery
  • The use of spinal cord monitoring can minimise such risks and has become a widely used technique in conjunction with spinal surgery. (bmj.com)
  • The technique has become one of the most popular clinical tools in identifying impairment of the cord during spinal surgery. (bmj.com)
  • Ryan and Britt 5 applied fast Fourier transform (FFT) analysis to intraoperative SEP monitoring and found that the power spectra of the SEPs remained stable during surgery. (bmj.com)
  • One hour after the start of surgery, when the spinal column was exposed to the operating theatre temperature, a minimal prolongation of latencies as well as amplitude reduction of SSEPs was observed. (jivresearch.org)
  • Multimodality intraoperative neurophysiologic monitoring findings during surgery for adult tethered cord syndrome: analysis of a series of 44 patients with long-term follow-up. (nih.gov)
  • Lower complication rate was found for patient who had surgery with intraoperative neurophysiologic monitoring (IOM) [ 9 ]. (hindawi.com)
  • A Multicenter Study by the Monitoring Committee of the Japanese Society for Spine Surgery and Related Research. (nih.gov)
  • We evaluated ten consecutive patients that underwent surgery for spinal meningiomas. (springer.com)
  • Sacko O, Haegelen C, Mendes V (2009) Spinal meningioma surgery in elderly patients with paraplegia or severe paraparesis: a multicenter study. (springer.com)
  • Spinal fusion is major surgery that usually takes several hours to complete. (uwhealth.org)
  • Both neurophysiologists and spinal surgeons should have great interest in future research to reduce this uncertainty and provide unbiased and accurate evidence-based guidelines for use of IOM in spinal surgery. (deepdyve.com)
  • the motor cortex is stimulated transcranially, and recordings made from muscles in the limbs, or from spinal cord caudal to the surgery. (wikipedia.org)
  • This annual scientific meeting includes scientific presentations related to spine surgery and spinal deformity, which are selected through a process of abstract submission and peer review. (wikipedia.org)
  • This second meeting includes scientific presentations pertaining to all aspects of spinal surgery and treatment, not specifically relating to spinal deformity. (wikipedia.org)
  • interneurons
  • Jankowska E, Edgley S (1993) Interaction between pathways controlling posture and gait at the level of spinal interneurons in the cat. (springer.com)
  • We found that after a period of one month, the number of connections between spinal cord interneurons and autonomic neurons that directly control immune function increases dramatically. (ryortho.com)
  • peripheral
  • Signals can be recorded from cerebral cortex, brain stem, spinal cord and peripheral nerves. (wikipedia.org)
  • When recording SEPs, one usually seeks to study peripheral, spinal, brainstem, and early cortical SEPs during the same run. (wikipedia.org)
  • Electrodes placed on the scalp pick up both SEPs generated in the cortex and thalamocortical fibers (which are picked up as near-field responses located in restricted areas) and far-field positivities reflecting the evoked activity generated in peripheral, spinal and brainstem somatosensory fibers. (wikipedia.org)
  • cerebral cortex
  • Common areas of the central nervous system whose functions are interrupted or changed during general anaesthesia include the cerebral cortex, thalamus, reticular activating system, and spinal cord. (wikipedia.org)
  • nerves
  • Tests that are conducted are concerned with measuring the electrical functions of the brain, spinal cord, and nerves in the limbs and muscles. (wikipedia.org)
  • The access to the prolapse is achieved using a three-step guide wire technique: The surgeon gradually dilates through the soft tissue with the aid of C-Arm radiographic monitoring and stretches the foramen step-by-step, with little or no disturbance to the surrounding muscles and nerves. (wikipedia.org)
  • clinical
  • There are two major accomplishments in the practice of contemporary medicine of spinal cord injury (SCI): the first consists of significant new developments in clinical criteria for the assessment of spinal cord functions (Ditunno et al . (springer.com)
  • The method chosen will depend on a number of things, including the child's age, spinal maturity, the location and severity of the curve, the clinical opinion of the surgeon, and the preference of the child and parents. (uwhealth.org)
  • Polysomnography: A type of sleep study employed to diagnose disorders associated with abnormal sleep behavior Intraoperative monitoring, Intraoperative neurophysiologic monitoring: The pathway to becoming a clinical neurophysiologist in the U.S. includes completing an undergraduate degree, medical school, and postgraduate medical education, usually in neurology. (wikipedia.org)
  • Trauma
  • The absence of the reflex in a person with acute paralysis from trauma indicates spinal shock whereas the presence of the reflex would indicate spinal cord severance. (wikipedia.org)
  • lesions
  • SEPs are routinely used in neurology today to confirm and localize sensory abnormalities, to identify silent lesions and to monitor changes during surgical procedures. (wikipedia.org)
  • 1990
  • Bonduranti FJ, Cotler HB, McArdle CB, Harris JH (1990) Acute spinal cord injury: A study using physical examination and magnetic resonance imaging. (springer.com)
  • Dimitrijevic MR, Lissens MA, McKay WB (1990) Characteristics and extent of motor activity recovery after spinal cord injury. (springer.com)
  • bone
  • CONCLUSIONS: Previous case reports of nocardia spinal osteomyelitis describe treatment with antibiotics, debridements, and arthrodesis with autologous bone graft. (biomedsearch.com)
  • The grafts will grow together with the spinal bone, fusing it into the proper position. (uwhealth.org)
  • Magnetic resonance imaging (MRI) is considered the best imaging modality for Chiari malformation since it visualizes neural tissue such as the cerebellar tonsils and spinal cord as well as bone and other soft tissues. (wikipedia.org)
  • anesthetic
  • An alternative definition is a "reversible lack of awareness," including a total lack of awareness (e.g. a general anesthetic) or a lack of awareness of a part of the body such as a spinal anesthetic. (wikipedia.org)
  • patients
  • Two patients (pregabalin group) did not fulfil the inclusion criteria and one patient's (placebo group) spinal monitoring was technically incomplete and these were excluded from the final data. (springer.com)
  • Daverat P, Petit H, Kemoun G, Dartigues JF, Barat (1995) The long term outcome in 149 patients with spinal cord injury. (springer.com)
  • Cohen-Gadol AA, Zikel OM, Koch CA (2003) Spinal meningiomas in patients younger than 50 years of age: a 21-year experience. (springer.com)
  • The "Glossary" contains a comprehensive list of spinal terminology to help patients and their families make sense of the complex nomenclature and terms that are used in discussing spinal deformity. (wikipedia.org)
  • Anaesthesia
  • For example, a patient who consumes significant quantities of alcohol or illicit drugs could be undermedicated if they fail to disclose this fact, and this could lead to anaesthesia awareness or intraoperative hypertension. (wikipedia.org)
  • An anaesthesia machine allows composing a mixture of oxygen, anaesthetics and ambient air, delivering it to the patient and monitoring patient and machine parameters. (wikipedia.org)
  • injury
  • Current SEP monitoring techniques measure the amplitude and latency of the waveform to quantify any changes in SEP and to detect injury to the spinal cord. (bmj.com)
  • Previous studies 5- 9 have proved that deficits in spinal cord function cause localised changes (that is, changes occurring at various time instances or delays) in the morphology and therefore in the spectrum of the SEP waveform, 7 suggesting that the frequency (or spectral) changes occurring in the SEP may be an important indicator of spinal cord injury. (bmj.com)
  • However, spinal cord injury is not only triggered by mechanical factors, biochemical factors and vascular factors may cause spinal cord ischemia-reperfusion injury. (redorbit.com)
  • Dimitrijevic MR (1996) Motor recovery in humans after spinal cord injury. (springer.com)
  • however, it has been associated with increased risk of spinal cord injury. (springer.com)
  • cord injuries
  • In case you are not familiar, Shriners Hospitals are a network of cutting-edge specialty orthopedic hospitals that is some cases also treat children with burns or spinal cord injuries. (scoliosis.org)
  • The bulbocavernosus reflex (BCR), bulbospongiosus reflex (BSR) or "Osinski reflex" is a polysynaptic reflex that is useful in testing for spinal shock and gaining information about the state of spinal cord injuries (SCI). (wikipedia.org)
  • surgeon
  • As anatomy changes between a preoperative CT and intraoperative fluoroscopy because of patient positioning and the insertion of stiff material, a much more precise planning is possible if the surgeon performs an intraoperative rotational angiography, takes an automatic segmentation of the aorta, places markers for the renal arteries and other landmarks in 3D and then overlays the contours on 2D fluoroscopy. (wikipedia.org)
  • function
  • Traditionally, the "specific focus of chiropractic practice" is the chiropractic subluxation and historical chiropractic practice assumes that a vertebral subluxation or spinal joint dysfunction interferes with the body's function and its Innate Intelligence, as promulgated by D. D. Palmer, the inventor of chiropractic. (wikipedia.org)
  • Within the chiropractic tradition, a vertebral subluxation complex is believed to be a dysfunctional biomechanical spinal segment which actively alters neurological function, which in turn, is believed to lead to neuromusculoskeletal and visceral disorders. (wikipedia.org)
  • significant
  • This is in contrast to the medical definition of spinal subluxation which, according to the WHO, is a "significant structural displacement", and therefore visible on X-rays. (wikipedia.org)