Spine Surgeons Bangor ME

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Richard Dana Bower, MD
(207) 973-7420
PO Box 404
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1969

Data Provided By:
George N Partal
(207) 973-7000
489 State St
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
John Additon Bradford, MD
(207) 945-9461
151 Broadway
Bangor, ME
Specialties
Orthopedics
Gender
Male
Languages
French, Spanish
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1978
Hospital
Hospital: Eastern Maine Med Ctr, Bangor, Me; St Joseph Hospital, Bangor, Me

Data Provided By:
Dr.Julie Long
(207) 947-8381
404 State Street #400
Bangor, ME
Gender
F
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Robert Williamson Gause, MD
(207) 945-3496
404 State St Ste 500
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1968

Data Provided By:
Philip Ridlon Kimball, MD
(207) 947-0768
78 Ridgewood Dr
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1963

Data Provided By:
Gordon Stewart Campbell
(207) 945-6695
417 State St
Bangor, ME
Specialty
Hand Surgery

Data Provided By:
Jordan Julius Shubert, MD
(207) 947-8381
404 State St
Bangor, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1970

Data Provided By:
James R Curtis
(207) 973-7000
489 State St
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
Rajendra Tripathi
(207) 973-5035
489 State St
Bangor, ME
Specialty
Orthopedic Surgery

Data Provided By:
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Monitoring Spinal Function During Spine Surgery

Any spine surgery is a very delicate operation. Care must be taken to prevent damage to the spinal cord, spinal nerves, and blood vessels supplying these neural components. Damage to the blood vessels and loss of blood supply to the spinal cord can have serious consequences.

Surgeons have an important tool available during spinal surgery to monitor patients called intraoperative neuromonitoring or IOM. IOM methods include the wake-up test, somatosensory-evoked potentials (SSEP), transcranial motor-evoked potentials (tcMEP), spinal cord MEPs, spontaneous electromyography (sEMG), and triggered electromyography (tEMG).

Each one of these tests has its own purposes and functions. But the basic idea behind this type of monitoring is to make sure moment-by-moment during the procedure that no injury has occurred. This is called real-time monitoring. Warning is given so that any damage can be prevented or reversed.

The tests must be accurate enough to avoid any false positives or false negatives. A false positive means the test says there's a problem when there really isn't one. A false negative is a test that doesn't indicate a problem when there is one.

In this study, neurosurgeons from the University of Pennsylvania and University of Virginia reviewed studies published on intraoperative neuromonitoring (IOM). They wanted to know how sensitive are each of the tests. Surgeons need to know what test values require immediate action.

Having these tests makes it possible to perform more complex spinal surgeries. That's important for patients with severe scoliosis undergoing spinal correction to get the best possible result. The same is true for cancer patients with spinal tumors that have to be removed. It allows the surgeon to be more aggressive when it's needed and with less risk of complications.

For each of the IOM tests, the authors provide a description of the test, when it would be used, and what the research reports about reliability, validity, and effectiveness of each test. Surgeons are given ways to avoid problems and obstacles with each test. A summary of all the technical information is provided with key points from the article offered in the conclusion.

Here's a sample of the type of information surgeons can obtain from this review. The wake-up test (gradually reducing the amount of anesthesia until the patient wakes up enough to move their arms and legs) has many more drawbacks than benefits compared to the other tests. It's easy to do but only offers a one-time look at what's going on when really ongoing monitoring is much better. It should only be used along with a more consistent test.

Somatosensory-evoked potentials (SSEPs) became popular in the late 1980s and early 1990s. They were thought to be reliable but it turned out there was a high rate of false negatives. SSEPs don't monitor all aspects of spinal cord, spinal nerve, and vascular (blood supply) function. They are not reliable to test mot...

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