Spine Surgeons Bellaire TX

This page provides useful content and local businesses that can help with your search for Spine Surgeons. You will find helpful, informative articles about Spine Surgeons, including "Monitoring Spinal Function During Spine Surgery". You will also find local businesses that provide the products or services that you are looking for. Please scroll down to find the local resources in Bellaire, TX that will answer all of your questions about Spine Surgeons.

Henry Small MD
(713) 864-1506
5420 W Loops S
Bellaire, TX
Specialties
Orthopedics

Data Provided By:
David M Bloome
(713) 333-9334
5420 West Loop South
Bellaire, TX
Specialty
Orthopedic Surgery

Data Provided By:
Bret Hunter Miller, MD
(210) 846-0660
4537 Beech St
Bellaire, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1986

Data Provided By:
Catherine A Kerr, DDS
(713) 838-9990
6750 West Loop S Ste 410
Bellaire, TX
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Richard Randolph Maxwell Francis, MD, MBA
(713) 383-7100
5420 W. Loop South
Bellaire, TX
Specialties
Orthopedics, Pediatric Surgery
Gender
Male
Languages
English, Spanish, French, ASL
Education
Medical School: Univ Of West Indies, Fac Med Sci, Kingston, Jamaica (950-01 Pr 1/71)
Graduation Year: 1988

Data Provided By:
Christoph Meyer, MD
(713) 484-6200
8200 Wednesbury Ln
Houston, TX
Business
Center for Spinal Reconstruction
Specialties
Orthopedics

Data Provided By:
Charles Lawrence Metzger
(713) 333-9334
5420 West Loop S
Bellaire, TX
Specialty
Hand Surgery

Data Provided By:
Kyle Farr Dickson
(713) 838-8300
6700 W Loop S
Bellaire, TX
Specialty
Orthopedic Surgery

Data Provided By:
Charles Bruce Malone III, MD
(713) 768-1500
4615 Spruce St
Bellaire, TX
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1969
Hospital
Hospital: St Davids Med Ctr, Austin, Tx; Seton Med Ctr, Austin, Tx
Group Practice: Austin Bone & Joint Clinic

Data Provided By:
Rex A Marco
(713) 838-8300
6700 West Loop S
Bellaire, TX
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

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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