Utility of Intraoperative Neuromonitoring during Minimally Invasive Fusion of the Sacroiliac Joint
Joint Authors
Woods, Michael
Birkholz, Denise
MacBarb, Regina
Capobianco, Robyn
Woods, Adam
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-04
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Study Design.
Retrospective case series.
Objective.
To document the clinical utility of intraoperative neuromonitoring during minimally invasive surgical sacroiliac joint fusion for patients diagnosed with sacroiliac joint dysfunction (as a direct result of sacroiliac joint disruptions or degenerative sacroiliitis) and determine stimulated electromyography thresholds reflective of favorable implant position.
Summary of Background Data.
Intraoperative neuromonitoring is a well-accepted adjunct to minimally invasive pedicle screw placement.
The utility of intraoperative neuromonitoring during minimally invasive surgical sacroiliac joint fusion using a series of triangular, titanium porous plasma coated implants has not been evaluated.
Methods.
A medical chart review of consecutive patients treated with minimally invasive surgical sacroiliac joint fusion was undertaken at a single center.
Baseline patient demographics and medical history, intraoperative electromyography thresholds, and perioperative adverse events were collected after obtaining IRB approval.
Results.
111 implants were placed in 37 patients.
Sensitivity of EMG was 80% and specificity was 97%.
Intraoperative neuromonitoring potentially avoided neurologic sequelae as a result of improper positioning in 7% of implants.
Conclusions.
The results of this study suggest that intraoperative neuromonitoring may be a useful adjunct to minimally invasive surgical sacroiliac joint fusion in avoiding nerve injury during implant placement.
American Psychological Association (APA)
Woods, Michael& Birkholz, Denise& MacBarb, Regina& Capobianco, Robyn& Woods, Adam. 2014. Utility of Intraoperative Neuromonitoring during Minimally Invasive Fusion of the Sacroiliac Joint. Advances in Orthopedics،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1015960
Modern Language Association (MLA)
Woods, Michael…[et al.]. Utility of Intraoperative Neuromonitoring during Minimally Invasive Fusion of the Sacroiliac Joint. Advances in Orthopedics No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1015960
American Medical Association (AMA)
Woods, Michael& Birkholz, Denise& MacBarb, Regina& Capobianco, Robyn& Woods, Adam. Utility of Intraoperative Neuromonitoring during Minimally Invasive Fusion of the Sacroiliac Joint. Advances in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1015960
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1015960