Spine Surgeons South Portland ME

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 South Portland, ME that will answer all of your questions about Spine Surgeons.

Dirk G Asherman
(207) 828-2100
33 Sewall St
Portland, ME
Specialty
Foot & Ankle Surgery

Data Provided By:
Dr.Gregory Pomeroy
(207) 774-3338
Ste 210, 195 Fore River Parkway
Portland, ME
Gender
M
Education
Medical School: Royal Coll Of Surgeons In Ireland, Med Sch, Dublin
Year of Graduation: 1989
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Timothy Cyrus Gueramy, MD
254 Western Ave
South Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1996

Data Provided By:
Sacha D Matthews
(207) 828-2100
33 Sewall St
Portland, ME
Specialty
Hand Surgery

Data Provided By:
Robert Carl Parisien, MD
(207) 774-5113
1601 Congress St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1999

Data Provided By:
James Donald Kuhn, MD
(207) 774-5113
1601 Congress St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1992

Data Provided By:
Omar D Crothers, MD
33 Sewall St
Portland, ME
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1970

Data Provided By:
Richard Reed Gramse
(207) 774-5113
1601 Congress St
Portland, ME
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery, Sports Medicine

Data Provided By:
Dr.ROBERT PARISIEN
(207) 774-5113
1601 Congress Street
Portland, ME
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:
Vincent N Oliviero
(207) 774-5113
1601 Congress St
Portland, ME
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery, Sports Medicine

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...

Click here to read the rest of this article from eOrthopod.com