Spine Surgeons Parkersburg WV

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Dr.George Herriott
(304) 485-8040
1600 Murdoch Ave # 100
Parkersburg, WV
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
J Jeffrey McElroy, MD
(304) 485-8040
1600 Murdoch Ave
Parkersburg, WV
Specialties
Orthopedics
Gender
Male
Languages
English
Education
Medical School: Marshall Univ Sch Of Med, Huntington Wv 25755
Graduation Year: 1992

Data Provided By:
George Ephraim Herriott, MD
(304) 485-8040
1600 Murdoch Ave
Parkersburg, WV
Specialties
Orthopedics
Gender
Male
Languages
English
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1994

Data Provided By:
James William Stumbo, DDS
(304) 422-7152
26Th St And Dudley Ave Parkersburg Med Park
Parkersburg, WV
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Armando Santo Colombo, DMD
(304) 485-2341
417 Grand Park Dr Ste 107
Parkersburg, WV
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John Joseph Mc Donough, MD
1230 Garfield Ave
Parkersburg, WV
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267
Graduation Year: 1968

Data Provided By:
Dr.John Mcelroy
(304) 485-8040
1600 Murdoch Ave # 100
Parkersburg, WV
Gender
M
Education
Medical School: Marshall Univ Sch Of Med
Year of Graduation: 1992
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 3, reviews.

Data Provided By:
Raymond Edward Henshaw
(304) 424-4741
600 18th St
Parkersburg, WV
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Raymond E. Henshaw
(304) 424-4741
600 18th Street
Parkersburg, WV
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
Gary Wayne Miller, MD
(304) 485-5531
809 Parson Ave
Belpre, OH
Specialties
Orthopedics, Vascular Surgery
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1970
Hospital
Hospital: Camden-Clark Mem Hosp, Parkersburg, Wv; St Josephs Hospital, Parkersburg, Wv
Group Practice: First Settlement Orthopaedics; First Settlement Orthopedics; First Settlement Orthopedics At Health Bridge Medical Park

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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