Role of visuohaptic surgical training simulator in resident education of orthopedic surgery

J Shi, Y Hou, Y Lin, H Chen, W Yuan - World neurosurgery, 2018 - Elsevier
Objective We sought to assess the validity of a virtual surgical training system on lumbar
pedicle screw placement for residents. Methods Ten inexperienced residents were randomly …

[HTML][HTML] Absent baseline intraoperative neuromonitoring signals part I: Adolescent idiopathic scoliosis

AB Spitzer, RS Patel, SS Hasan, D Blas… - Journal of the Pediatric …, 2022 - Elsevier
One of the most important tools we have to enhance patient safety during spine surgery for
adolescent idiopathic scoliosis (AIS) is the combined use of somatosensory (SSEP) and …

A systematic review with meta-analysis of the diagnostic test accuracy of pedicle screw electrical stimulation

P Fonseca, M Goethel, JP Vilas-Boas, M Gutierres… - European Spine …, 2022 - Springer
Purpose To provide a systematic review with meta-analysis providing evidence of the
current diagnostic test accuracy (DTA) of pedicle screw electrical stimulation. Methods A …

Impact of multimodal intraoperative neurophysiological monitoring of the spinal cord during spine and spinal cord surgeries

W Elwakil, M Imam, M Hassan, W Elsaadany… - Egyptian Rheumatology …, 2023 - Springer
Background There is growing evidence of the valuable role of multimodal intraoperative
neurophysiological monitoring (IONM) during spine and spinal cord surgeries, as it provides …

Threshold-based monitoring of compound muscle action potentials for percutaneous pedicle screw placement in the lumbosacral spine: Can we rely on stimulation of …

Y Tani, T Saito, S Taniguchi, M Ishihara, M Paku… - Spine, 2022 - journals.lww.com
Study Design. A prospective analysis. Objective. To test if threshold-based monitoring of
compound muscle action potentials (CMAPs) by stimulating the screw loaded to uninsulated …

Intraoperative triggered electromyographic monitoring of pedicle screw efficiently reduces the lumbar pedicle breach and re-operative rate-a retrospective analysis …

T Yongjun, Z Yuntian, C Biao, J Zenghui - BMC Musculoskeletal Disorders, 2023 - Springer
Background To investigate whether intraoperative triggered electromyographic (T-EMG)
monitoring could effectively reduce the breach rate of pedicle screws and the revision rate …

Robotic-assisted spine surgery allows for increased pedicle screw sizes while still improving safety as indicated by elevated triggered electromyographic thresholds

CW Kanaly, DM Backes, N Toossi, B Bucklen - Journal of Robotic Surgery, 2023 - Springer
The present study used triggered electromyographic (EMG) testing as a tool to determine the
safety of pedicle screw placement. In this Institutional Review Board exempt review, data …

Optimal “low” pedicle screw stimulation threshold to predict new postoperative lower-extremity neurologic deficits during lumbar spinal fusions

SR Melachuri, MK Melachuri, A Mina, K Anetakis… - World Neurosurgery, 2021 - Elsevier
Objective Previous studies have shown that pedicle screw stimulation thresholds≤ 6− 8 mA
yield a high diagnostic accuracy of detecting misplaced screws. Our objective was to …

Practice Pattern Variations in the Use of Neuromonitoring, Image Guidance, and Robotics for Lumbar Pedicle Screw Placement Based on a Nationwide Neurosurgery …

H Karimi, N Taylor, J Patel, L Wiepert… - World Neurosurgery, 2024 - Elsevier
Objective Lumbar pedicle screw placement surgery involves various assistive technologies,
including fluoroscopic, stereotactic, or robotic navigation and intraoperative neuromonitoring …

[HTML][HTML] Neuromonitoring in cervical spine surgery: when is a signal drop clinically significant?

J Decruz, AK Kaliya-Perumal, KHY Wong… - Asian Spine …, 2021 - ncbi.nlm.nih.gov
Methods Clinical and neuromonitoring data of 207 consecutive adult patients who
underwent cervical spine surgeries at multiple surgical centers using bimodal IONM were …