Recording triggered EMG thresholds from axillary chest wall electrodes: A new refined technique for accurate upper thoracic (T2-T6) pedicle screw placement

European Spine Journal

Volumn 20, Issue 10, 2011, Pages 1620-1625

  Regidor, Ignacio ^a   De Blas, Gema ^a   Barrios, Carlos ^b   Burgos, Jesús ^a   Montes, Elena ^a   García Urquiza, Sergio ^a   Hevia, Edurado ^c  

^a HOSPITAL RAMÓN Y CAJAL   (Spain)

^b UNIVERSITY OF VALENCIA   (Spain)

^c Hospital la Fraternidad   (Spain)

Author keywords

Idiopathic scoliosis; Thoracic pedicle screws; Triggered EMG

Indexed keywords

ADOLESCENT; ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; ELECTRODE; ELECTROMYOGRAM; FLUOROSCOPY; HUMAN; IDIOPATHIC SCOLIOSIS; INTRAOPERATIVE PERIOD; MAJOR CLINICAL STUDY; MYOTOME; PEDICLE SCREW; PRIORITY JOURNAL; PROSTHESIS FAILURE; THORACIC SPINE; THORAX WALL; VERTEBRAL CANAL;

ADOLESCENT; BONE SCREWS; ELECTRODES; ELECTROMYOGRAPHY; HUMANS; INTERCOSTAL MUSCLES; MONITORING, INTRAOPERATIVE; SCOLIOSIS; SENSORY THRESHOLDS; SPINAL FUSION; THORACIC VERTEBRAE; THORACIC WALL;

EID: 84855186608     PISSN: 09406719     EISSN: 14320932     Source Type: Journal    
DOI: 10.1007/s00586-011-1800-z     Document Type: Article

References (19)

1. Calanchie B, Lebwohl N, Madsen P, Klose KJ (1992) Intraoperative evoked EMG monitoring in an animal model. Spine 17:1229-1235
2. Lenke LG, Padberg AM, Russo MH, Bridwell Kh, Gelb DE (1995) Triggered electromyographic threshold for accuracy of pedicle screw placement. An animal model and clinical correlation. Spine 20:1585-1591
3. Danesh-Clough T, Taylor P, Hodgson B, Walton M (2001) The use of evoked EMG in detecting misplaced thoracolumbar pedicle screws. Spine 26:1313-1316 (Pubitemid 32552505)
4. Raynor BL, Lenke LG, Kim Y, Hanson DS, Wilson-Holden TJ, Bridwell KH, Padberg AM (2002) Can triggered electromyography thresholds predict safe thoracic pedicle screw placement? Spine 27:2030-2035
5. De Blas G, Burgos J, Regidor I, Barrios C, Solá R, García- Urquiza S, Hevia E (2009) Recording diffusion responses from contralateral intercostal muscles after stimulus-triggered electromyography. Refining a tool for the assessment of thoracic pedicle screw placement in an experimental porcine model. Spine 34:391-396
6. Norton JA, Hedden DM (2009) Monitoring placement of high thoracic pedicle screws by triggered electromyography of the intercostal muscles. Can J Surg 52:E47-E48
7. Rodriguez-Olaverri JC, Zimick NC, Merola A, De Blas G, Burgos J, Piza-Vallespir G, Hevia E, Vicente J, Sanpera I, Domenech P, Regidor I (2008) Using triggered electromyographic threshold in the intercostal muscles to evaluate the accuracy of upper thoracic pedicle screw placement (T3-T6). Spine 33:194-197
8. Kim YJ, Lenke LG, Bridwell KH, Cho YS, Riew KD (2004) Free hand pedicle screw placement in the thoracic spine: is it safe? Spine 29:333-342 (Pubitemid 38155737)
9. Suk S, Lee C, Kim W, Chung Y, Park Y (1995) Segmental pedicle screw fixation in the treatment of thoracic idiopathic scoliosis. Spine 20:1399-1405
10. Vaccaro AR, Rizzolo SJ, Allardyce TJ, Ramsey M, Salvo J, Balderston RA, Cotler JM (1995) Placement of pedicle screws in the thoracic spine: I. Morphographic analysis of the thoracic vertebrae. J Bone Joint Surg Am 77:1193-1199
11. Vaccaro AR, Rizzolo SJ, Balderston RA, Allardyce TJ, Garfin SR, Dolinkas C, An HS (1995) Placement of pedicle screws in the thoracic spine: II. An anatomical and radiographic assessment. J Bone Joint Surg Am 77:1200-1206
12. Xu R, Ebraheim N, Ou Y, Yeasting RA (1998) Anatomic considerations of pedicle screw placement in the thoracic spine. Spine 23:1065-1068
13. Weinstein J, Rydevik B, Rauschning W (1992) Anatomic and technical considerations of pedicle screw fixation. Clin Orthop 284:34-46
14. Panjabi MM, O'Holleran JD, Crisco JJ 3rd, Kothe R (1997) Complexity of the thoracic spine pedicle anatomy. Eur Spine J 6:19-24 (Pubitemid 27143837)
15. Ugur HC, Attar A, Uz A, Tekdemir I, Egemen N, Genç Y (2001) Thoracic pedicle: surgical anatomic evaluation and relations. J Spinal Disord 14:39-45 (Pubitemid 32162831)
16. Lewis SJ, Lenke LG, Raynor B, Long J, Bridwell KH, Padberg A (2001) Triggered electromyographic threshold for accuracy of thoracic pedicle screw placement in a porcine model. Spine 26:2485-2489 (Pubitemid 33065061)
17. Shi Y-B, Binette M, Martin WH, Pearson JM, Hart RA (2003) Electrical stimulation for intraoperative evaluation of thoracic pedicle screw placement. Spine 28:595-601 (Pubitemid 36343750)
18. Holland N (1998) Intraoperative electromyography during thoracolumbar spinal surgery. Spine 23:1915-1922
19. Reidy DP, Houlden D, Nolan PC, Kim M, Finkelstein JA (2001) Evaluation of electromyographic monitoring during insertion of thoracic pedicle screws. J Bone Joint Surg Br 83:1009-1014 (Pubitemid 32923133)