Spine Surgeons Mustang OK

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

Data Provided By:
Neal Conrad Capel, MD
(601) 605-0934
Yukon, OK
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1955

Data Provided By:
Dr.Michael Davoli
(405) 350-6770
1617 Professional Circle
Yukon, OK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.3, out of 5 based on 3, reviews.

Data Provided By:
John Bernard Hughes
(405) 682-5351
2149 Southwest 59th Street
Oklahoma City, OK
Specialty
Orthopedic Surgery

Data Provided By:
Kelly J Klontz, DDS
(405) 691-8100
9751 S Pennsylvania Ave
Oklahoma City, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Michael James Davoli, MD FACS
(405) 350-6770
1617 Professional Cir
Yukon, OK
Gender
Male
Education
Medical School: New Jersey
Graduation Year: 1977

Data Provided By:
Stuart Brady Stephens, DDS
(405) 350-0700
1025 E Vandament Ave Ste 100
Yukon, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Stephen Mc Cullough, DDS
(405) 350-1343
508 W Vandament Ave # 200
Yukon, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Paul Daniel Maitino, DO
2149 SW 59th St Ste 201
Oklahoma City, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of New England, Coll Of Osteo Med, Biddeford Me 04005
Graduation Year: 1992

Data Provided By:
Dr.Paul Maitino
(405) 735-6270
3115 Southwest 89th Street
Oklahoma City, OK
Gender
M
Education
Medical School: Univ Of New England, Coll Of Osteo Med
Year of Graduation: 1992
Speciality
Orthopedic Surgeon
General Information
Hospital: Bone And Joint, Surgical Hospital Of Oklahoma
Accepting New Patients: Yes
RateMD Rating
3.2, out of 5 based on 17, reviews.

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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