Spine Surgeons Mcalester OK

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Ronald C Schatzman Jr, MD
(918) 420-1181
PO Box 908 1401 E Van Buren
McAlester, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1963

Data Provided By:
Richard Wade Corley, DDS
(918) 423-2628
215 E Choctaw Ave Ste 108
Mcalester, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Patrick Russell Gannon
(918) 426-0240
1401 E Van Buren Ave
Mcalester, OK
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth William Jackson, MD
(703) 383-5400
7301 N Comanche Ave
Warr Acres, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1979

Data Provided By:
Dr.Hal Martin
(405) 427-6776
Ste 200, 6205 North Santa Fe Avenue
Oklahoma City, OK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.4, out of 5 based on 5, reviews.

Data Provided By:
Chad Crawley
(918) 426-0240
1401 E Van Buren Ave
Mcalester, OK
Specialty
Orthopedic Surgery

Data Provided By:
Patrick Russel Gannon, MD
(918) 421-8760
1401 E Van Buren Ave
McAlester, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1993
Hospital
Hospital: Mc Alester Regional Health Cen, McAlester, Ok
Group Practice: Warren Clinic McAlester Division

Data Provided By:
Harvey C Jenkins Jr., MD
(405) 686-1700
8603 S Western Ave
Oklahoma City, OK
Business
Aria Orthopedics
Specialties
Orthopedics

Data Provided By:
Thomas Gilbert Craven Jr, MD
(918) 445-0454
7395 S 26th West Ave
Tulsa, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1989

Data Provided By:
Robert Matthew Bernstein, MD
(580) 436-3980
1001 N Country Club Rd
Ada, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1988

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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