Spine Surgeons Bartlesville OK

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Carl F Painter
(918) 331-1653
4140 Se Adams Rd
Bartlesville, OK
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Carl Painter
(918) 331-1653
4140 Southeast Adams Road
Bartlesville, OK
Gender
M
Education
Medical School: Univ Of Ks Sch Of Med
Year of Graduation: 1995
Speciality
Orthopedic Surgeon
General Information
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Accepting New Patients: Yes
RateMD Rating
2.9, out of 5 based on 4, reviews.

Data Provided By:
Scott Douglas Cochran, MD
(918) 331-1400
3550 E Frank Phillips Blvd
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1985
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: Bartlesville Orthopedic Assoc

Data Provided By:
Scott D Cochran
(918) 331-1400
3550 E Frank Phillips Blvd
Bartlesville, OK
Specialty
Orthopedic Surgery

Data Provided By:
Jay L Bryngelson
(918) 333-3432
222 Se Debell Ave
Bartlesville, OK
Specialty
Orthopedic Surgery

Data Provided By:
James Wilson Zeiders, MD
(918) 335-1811
222 SE Debell Ave
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1960
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: James W Zeiders Inc

Data Provided By:
William Dale Smith, MD
(918) 333-3469
222 SE Debell Ave
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1967
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: Internal Medicine Assoc

Data Provided By:
Carl Franklin Painter, MD
(918) 331-1653
3550 E Frank Phillips Blvd
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1995
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: Bartlesville Orthopedic Assoc

Data Provided By:
Sperry G Zervas, DDS
(918) 333-3223
4200 SE Adams Rd
Bartlesville, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jay Leigh Bryngelson, MD
(918) 333-3432
222 SE Debell Ave
Bartlesville, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1975
Hospital
Hospital: Jane Phillips Med Ctr, Bartlesville, Ok
Group Practice: Bartlesville Orthopedic Clinic

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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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