Spine Surgeons Dickson TN

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Ronald Gerard Derr, DO
(615) 790-3290
115 Highway 70 E
Dickson, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Ohio Univ, Coll Of Osteo Med, Athens Oh 45701
Graduation Year: 1988

Data Provided By:
James L Rushford
(615) 446-2708
758 Highway 46 South
Dickson, TN
Specialty
Orthopedic Surgery

Data Provided By:
D Marshall Jemison, MD
(423) 756-7134
979 E 3rd St
Chattanooga, TN
Business
The Plastic Surgery Group PC
Specialties
Orthopedics

Data Provided By:
Tracy L Pack, DDS
(615) 898-1000
147 E Clark Blvd
Murfreesboro, TN
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ronald J French
(865) 483-8478
988 Oak Ridge Tpke
Oak Ridge, TN
Specialty
Hand Surgery

Data Provided By:
Jan M Gorzny, MD
(615) 441-4574
113 Highway 70 E
Dickson, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1974

Data Provided By:
Dr. Chad Upchurch
Life Source Wellness Center
(615) 441-6115
491 Henslee Dr
Dickson, TN
Specialty
Chiropractor
Conditions
Back pain,Chronic pain,Leg pain,Lower back pain,Neck pain,Upper back pain
Treatments
Chiropractic adjustment,Chiropractic care,Spinal manipulation
Proffesional Affiliation
Tennessee Chiropractic Association

Roy Clarence Terry, MD
(615) 444-5119
1616 W Main St
Lebanon, TN
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1989
Hospital
Hospital: Summit Med Ctr, Hermitage, Tn; University Med Ctr, Lebanon, Tn
Group Practice: Tennessee Orthopaedics

Data Provided By:
Dale Clifford Ingram, MD
(423) 267-4585
979 E 3rd St Ste C220
Chattanooga, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1981

Data Provided By:
Timothy David Sweo
(731) 427-7888
569 Skyline Dr
Jackson, TN
Specialty
Orthopedic Surgery

Data Provided By:
Data Provided By:

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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