Spine Surgeons Grand Forks ND

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Bennie J Clayburgh, MD
(701) 775-8080
1626 Belmont Rd
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
David M Schall
(701) 746-7521
3035 Demers Ave
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Robert Hahn Cofield, MD
(701) 738-0790
3035 Demers Ave
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1969
Hospital
Hospital: Rochester Methodist Hospital, Rochester, Mn
Group Practice: Mayo Clinic

Data Provided By:
Paul R MacLeod
(701) 780-6000
1000 S Columbia Rd
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
David M Rathbone
(701) 780-6000
1000 S Columbia Rd
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Brian Thomas Briggs, MD
(701) 775-5244
2617 S Columbia Rd
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Saskatchewan, Coll Of Med, Saskatoon, Sask, Canada
Graduation Year: 1974

Data Provided By:
Joffrey G Thompson
(701) 746-7521
3035 Demers Ave
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Robert H Clayburgh
(701) 746-7521
3035 Demers Ave
Grand Forks, ND
Specialty
Orthopedic Surgery

Data Provided By:
Paul Rodger Macleod, MD
(701) 795-6778
PO Box 6003
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Ga Sch Of Med, Augusta Ga 30912
Graduation Year: 1981

Data Provided By:
Robert Alan Johnson, MD
(701) 775-8309
PO Box 6003
Grand Forks, ND
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1976

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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