Intraoperative Services
Many orthopedic, neuro, vascular and ENT surgical procedures have the potential to negatively effect neurological structures and systems within the patient. The highly trained and experienced technicians at Neuromonitoring Technologies, Inc. (NMT) use several, if not all of the following intraoperative neuromonitoring (IONM) applications simultaneously:
IONM Modalities
Somatosensory Evoked Potentials (SSEPs)- Monitors the integrity of the dorsal columns in the spinal cord.
Upper Extremity SSEP
Lower Extremity SSEP
Free-Run Electromyography (EMG)- Monitors real-time nerve root function
Pedicle Screw Stimulation and Triggered EMG- Monitors the integrity of the pedicle wall and the proximity to nerve roots
Direct Nerve Stimulation and Triggered EMG- Monitors both the location and integrity of nerves and nerve roots
Transcranial Motor Evoked Potentials (TcMEPs)- Monitors the integrity of the corticospinal tract in the spinal cord
Train of Four- Monitors the patient’s neuromuscular blockade status
Auditory Brainstem Response (ABR)- Monitors the integrity of the VIII cranial nerve and brainstem structures
Electroencephalogram (EEG)- Monitors the bioelectrical activity spontaneously generated by the cerebral cortex
Cortical Mapping- Used to determine the location of significant areas in the brain associated with, among others, speech and language, sensation and movement
Direct Nerve Recording- Monitors the integrity of specific nerves
Common IONM Procedures
Neurosurgical
Spine Deformity and Degeneration
Brain and Spinal Cord Tumor
Cerebral Aneurysm
Orthopaedic
Spine Deformity and Degeneration
Pelvic/Acetabulum Reconstruction
Vascular
Carotid Endarterectomy
Ear Nose and Throat (ENT)
Parotid Gland Tumor
Thyroidectomy
