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Neuroophysiologic monitoring during spine surgery

机译:脊柱手术中的神经生理监测

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.
机译:公开了用于外科手术过程中的神经生理学评估的系统和方法。下运动神经通路的健康和状态在具有神经结构的组织中建立,如果接触或撞击该神经结构,可能会导致患者神经受损。一种计算机实现的方法,可以在脊柱外科手术之前监测下运动神经通路的健康状况。该方法包括将第一经皮经腹刺激信号传递至高于手术目标部位的脊神经根;基于刺激信号到位于手术目标部位以下的肌肉的传输,确定神经肌肉反应数据集。

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