摘要:
A system and methods for neurophysiological assessements during surgical procedures are disclosed. The health and status of the lower motor neural pathway is established in tissues having neural structures which if contacted or impinged may result in neural impairment for the patient. A computer-implemented method monitors the health of the lower motor neural pathway before, during spinal surgery. The method includes delivering a first transcutaneous, trans-abdominal stimulation signal to a spinal nerve root superior to a surgical target site; and determining neuromuscular response data set based on transmission on the stimulation signal to a muscle located inferior to the surgical target site.
摘要:
The present invention involves systems (20) and related methods for performing percutaneous pedicle integrity assessments involving the use of neurophysiology. The fundamental method steps for performing the percutaneous pedicle integrity assessments include (a) percutaneously introducing an insulation member to a pedicle target site; (b) establishing electrical communication between a stimulation element and an interior of a pedicle screw pilot hole; (c) applying a stimulation signal to the stimulation element; and (d) monitoring to assess whether nerves adjacent the pedicle are innervating as a result of the step of applying the stimulation signal to the stimulation element.
摘要:
Systems and methods for determining a desired trajectory and/or monitoring the trajectory of surgical instruments and/or implants in any number of surgical procedures, such as (but not limited to) spinal surgery, including (but not limited to) ensuring proper placement of pedicle screws during pedicle fixation procedures and ensuring proper trajectory during the establishment of an operative corridor to a spinal target site.
摘要:
The present invention involves systems and related methods for performing surgical procedures and assessments, including the use of neurophysiology-based monitoring to: (a) determine nerve proximity and nerve direction to surgical instruments employed in accessing a surgical target site; (b) assess the pathology (health or status) of a nerve or nerve root before, during, or after a surgical procedure; and/or (c) assess pedicle integrity before, during or after pedicle screw placement, all in an automated, easy to use, and easy to interpret fashion so as to provide a surgeon-driven system.
摘要:
A surgical access system including a tissue distraction assembly and a tissue retraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.