Ability of electromyographic monitoring to determine the presence of malpositioned pedicle screws in the lumbosacral spine: Analysis of 2450 consecutively placed screws - Clinical article

Journal of Neurosurgery: Spine

Volumn 15, Issue 2, 2011, Pages 130-135

  Parker, Scott L ^a   Amin, Anubhav G ^a   Farber, S Harrison ^a   McGirt, Matthew J ^b   Sciubba, Daniel M ^a   Wolinsky, Jean Paul ^a   Bydon, Ali ^a   Gokaslan, Ziya L ^a   Witham, Timothy F ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Electromyography; EMG; Lumbar spine; Pedicle screw

Indexed keywords

ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; DEVICE MALPOSITION; DIAGNOSTIC ACCURACY; ELECTROMYOGRAM; ELECTROMYOGRAPHY; FALSE POSITIVE RESULT; HUMAN; LUMBOSACRAL SPINE; MAJOR CLINICAL STUDY; MUSCLE EXCITATION; PATIENT MONITORING; PEDICLE SCREW; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; SURGICAL ANATOMY;

ADULT; AGED; BONE SCREWS; ELECTROMYOGRAPHY; FEMALE; HUMANS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; SACRUM; SENSITIVITY AND SPECIFICITY; SPINAL DISEASES; SPINAL FUSION;

EID: 80051684265     PISSN: 15475654     EISSN: 15475646     Source Type: Journal    
DOI: 10.3171/2011.3.SPINE101     Document Type: Article

References (18)

1. Belmont PJ Jr, Klemme WR, Dhawan A, Polly DW Jr: In vivo accuracy of thoracic pedicle screws. Spine (Phila Pa 1976) 26:2340-2346, 2001
2. Boucher HH: A method of spinal fusion. J Bone Joint Surg Br 41-B:248-259, 1959
3. Calancie B, Lebwohl N, Madsen P, Klose KJ: Intraoperative evoked EMG monitoring in an animal model. A new technique for evaluating pedicle screw placement. Spine (Phila Pa 1976) 17:1229-1235, 1992
4. Choi WW, Green BA, Levi AD: Computer-assisted fluoroscopic targeting system for pedicle screw insertion. Neurosurgery 47:872-878, 2000 (Pubitemid 32103663)
5. Frank EH: The use of small malleable endoscopes to assess pedicle screw placement: technical note. Minim Invasive Neurosurg 41:10-12, 1998
6. Fu TS, Chen LH, Wong CB, Lai PL, Tsai TT, Niu CC, et al: Computer-assisted fluoroscopic navigation of pedicle screw insertion: an in vivo feasibility study. Acta Orthop Scand 75:730-735, 2004
7. Glassman SD, Dimar JR, Puno RM, Johnson JR, Shields CB, Linden RD: A prospective analysis of intraoperative electromyographic monitoring of pedicle screw placement with computed tomographic scan confirmation. Spine (Phila Pa 1976) 20:1375-1379, 1995
8. Holland NR: Intraoperative electromyography during thoracolumbar spinal surgery. Spine (Phila Pa 1976) 23:1915-1922, 1998
9. Karapinar L, Erel N, Ozturk H, Altay T, Kaya A: Pedicle screw placement with a free hand technique in thoracolumbar spine: is it safe? J Spinal Disord Tech 21:63-67, 2008
10. Kim YJ, Lenke LG, Bridwell KH, Cho YS, Riew KD: Free hand pedicle screw placement in the thoracic spine: is it safe? Spine (Phila Pa 1976) 29:333-342, 2004
11. Kotil K, Bilge T: Accuracy of pedicle and mass screw placement in the spine without using fluoroscopy: a prospective clinical study. Spine J 8:591-596, 2008 (Pubitemid 351893130)
12. Lenke LG, Padberg AM, Russo MH, Bridwell KH, Gelb DE: Triggered electromyographic threshold for accuracy of pedicle screw placement. An animal model and clinical correlation. Spine (Phila Pa 1976) 20:1585-1591, 1995
13. Maguire J, Wallace S, Madiga R, Leppanen R, Draper V: Evaluation of intrapedicular screw position using intraoperative evoked electromyography. Spine (Phila Pa 1976) 20:1068-1074, 1995
14. Raynor BL, Lenke LG, Bridwell KH, Taylor BA, Padberg AM: Correlation between low triggered electromyographic thresholds and lumbar pedicle screw malposition: analysis of 4857 screws. Spine (Phila Pa 1976) 32:2673-2678, 2007
15. Roy-Camille R, Saillant G, Berteaux D, Salgado V: Osteosynthesis of thoraco-lumbar spine fractures with metal plates screwed through the vertebral pedicles. Reconstr Surg Traumatol 15:2-16, 1976
16. Schulze CJ, Munzinger E, Weber U: Clinical relevance of accuracy of pedicle screw placement. A computed tomographicsupported analysis. Spine (Phila Pa 1976) 23:2215-2221, 1998
17. Xu R, Ebraheim NA, Ou Y, Yeasting RA: Anatomic considerations of pedicle screw placement in the thoracic spine. Roy-Camille technique versus open-lamina technique. Spine (Phila Pa 1976) 23:1065-1068, 1998
18. Youkilis AS, Quint DJ, McGillicuddy JE, Papadopoulos SM: Stereotactic navigation for placement of pedicle screws in the thoracic spine. Neurosurgery 48:771-779, 2001 (Pubitemid 32268086)