Document Detail


Diathermy testing: a novel method with electric knife stimulation to avoid nerve injuries during lumbar pedicle screw placement. Technical note.
MedLine Citation:
PMID:  17542518     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this retrospective study was to demonstrate the utility of diathermy in avoiding nerve injuries due to misplacement of lumbar pedicle screws (PSs). The authors used diathermy to assess whether a screw deviated from the pedicle by observing synchronous leg movements caused by intermittently touching an electric knife to the pedicular instrument. Diathermy was performed in 259 cases in which 1301 PSs had been placed. Leg movements were observed in 36 cases, and the sensitivity of diathermy was 85.7%, with a specificity of 99.5%. No neurological complications associated with the placement of PSs were observed after adding diathermy testing to conventional methods. Diathermy testing may be a way to avoid nerve injuries during lumbar PS placement.
Authors:
Takashi Yamazaki; Ko Matsudaira
Related Documents :
1999828 - Oculofacialbulbar palsy in mother and son: review of 26 reports of familial transmissio...
14635578 - Pediatric migraines: a case report.
8729178 - Tomaculous neuropathy with unusual clinical aspects.
10355718 - Endoscopic release of the carpal ligament for carpal tunnel syndrome: long-term results...
17075668 - Massive unilateral chylous pleural effusion: a rare initial presentation of behcet's di...
22698638 - Race matters: a systematic review of racial/ethnic disparity in society for assisted re...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Spine     Volume:  6     ISSN:  1547-5654     ISO Abbreviation:  -     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101223545     Medline TA:  J Neurosurg Spine     Country:  United States    
Other Details:
Languages:  eng     Pagination:  479-84     Citation Subset:  IM    
Affiliation:
Department of Orthopedics, Musashino Red Cross Hospital, Tokyo, Japan. yamazaki@musashino.jrc.or.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Bone Screws* / adverse effects
Diathermy*
Female
Humans
Iatrogenic Disease / prevention & control*
Lumbar Vertebrae / radiography,  surgery*
Male
Retrospective Studies
Spinal Cord Injuries / prevention & control*
Spinal Fusion / instrumentation*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Sacral epidural noncommunicating arachnoid cyst. Case report and review of the literature.
Next Document:  Unilateral multilevel interlaminar fenestration instead of laminectomy or hemilaminectomy: an altern...