Spine Surgeons Madison NJ

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 Madison, NJ that will answer all of your questions about Spine Surgeons.

Cohen Marc
(973) 966-0077
300 Madison Ave # 1
Madison, NJ
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Chalmers Douglas
(973) 822-2882
123 Columbia Tpke
Florham Park, NJ
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
De Luca Francis
(908) 522-4555
33 Overlook Rd # 201
Summit, NJ
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Berg Howard
(908) 654-6200
324 South Ave E
Westfield, NJ
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Chan Peter SH
(973) 538-5200
111 Madison Avenue
Morristown, NJ
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Basch David Ben
(973) 966-0077
300 Madison Ave # 1
Madison, NJ
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Aminian Afshin
(973) 538-7700
218 Ridgedale Avenue
Cedar Knolls, NJ
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Bush Andrew
(908) 000-2222
38 Dunlap St
New Providence, NJ
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Cook Jerome
(908) 232-3879
541 E Broad St
Westfield, NJ
Specialties
Orthopedics
Insurance
Medicare Accepted: No
Workmens Comp Accepted: No
Accepts Uninsured Patients: No
Emergency Care: No


Data Provided By:
Paul Michael Lombardi, MD
(973) 538-2334
160 E Hanover Ave
Morristown, NJ
Business
Tri-Country Orthopeadic Sports Medicine
Specialties
Orthopedics

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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