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Neurophysiological Assessment of Thoracic and Cervical Pedicle Screw Integrity
Journal article   Peer reviewed

Neurophysiological Assessment of Thoracic and Cervical Pedicle Screw Integrity

Neil R. Holland
Journal of clinical neurophysiology, v 29(6), pp 489-492
01 Dec 2012
PMID: 23207587

Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences Neurosciences & Neurology Science & Technology
Transpedicular instrumentation of the thoracic and cervical spine is technically more difficult than at lumbar levels because of narrower pedicles and less sensitive intraoperative fluoroscopic assessment. Furthermore, the potential implications of a misplaced screw are greater because of the close proximity of the spinal cord and vertebral artery. Real-time confirmation of correct pedicle screw placement in the operating room is therefore considered even more important, and this article reviews the availability, utility, and limitations of electrophysiologic testing techniques that can be used for this purpose. (J Clin Neurophysiol 2012; 29: 489-492)

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Web of Science research areas
Clinical Neurology
Neurosciences
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