Intra Operative NeuroPhysiological Monitoring- IONM

For CPT Coding and Billing, - a Search Engine for CPT code etc!, interesting!.

New Book: Comments:: Interesting but ironic to confuse plasticity with that of degenerative changes....!!!.  Book Comments: I posted this recently on my LinkedIn: https://www.linkedin.com/feed/update/urn:li:activity:6472238430750277632 Plasticity in the Nervous System in General or Brain in particular is mainly used to unravel the capacity of new growth such as neuritic or axonal growth after injury or other types of perturbations, furthermore it refers to new neurons formation such as in the case of Neurogenesis and also refers to behavioral recovery which is another form of neuroplasticity. Plasticity is the counteractive or reactive initiation of constructive growth process within the nervous system, either innate or induced. This process takes place in the nervous system due to an insult, injury or trauma, on the other hand, instead of growth (neuroplasticity) when the injury or trauma leads to pathological changes, it is referred into the field of degenerative changes or Neu

Today's LinkedIn Post on this recent study comparing Lumbar Decompression surgery with or without fusion and postsurgical issues..!. Journal article Link https://www.sciencedirect.com/science/article/pii/S1529943017303042

Spinal Stimulation Gets Paralyzed Patients Moving By Emily Waltz Posted 24 Oct 2013 | 15:01 GMT A few months after being discharged from the hospital, in May 2011, Shillcox saw a news report announcing that researchers had for the first time enabled a paralyzed person to stand on his own. Neuroscientist Susan Harkema at the University of Louisville, in Kentucky, used electrical stimulation to “awaken” the man’s lower spinal cord, and on the first day of the experiments he stood up, able to support all of his weight with just some minor assistance to stay balanced. The stimulation also enabled the subject, 23-year-old Rob Summers , to voluntarily move his legs in other ways. Later, he regained some control of his bladder, bowel, and sexual functions, even when the electrodes were turned off. The breakthrough , published in The Lancet , shocked doctors who had previously tried electrically stimulating the spinal nerves of experimental animals and people with spinal-co

Deep Brain Stimulation Improves Paralyzed Rat's Gait By Emily Waltz Posted 23 Oct 2013 | 19:26 GMT Swiss researchers have enabled rats with severe spinal cord injuries to walk and swim by electrically stimulating a group of neurons located deep in the brain. The discovery may give researchers a new approach to treating severe spinal cord injury. The research, led by Lukas Bachmann at the Brain Research Institute at the University of Zurich, was published today in Science Translational Medicine. In most spinal cord injuries, some nerve fibers connecting the brain to the spinal cord below the injury site remain intact, even in severe cases in which a person is paralyzed. Bachmann and his colleagues found that by stimulating a key region of the midbrain called the mesencephalic locomotor region, or MLR, the remaining intact nerve fibers could be recruited to improve walking and swimming movements in spinal-cord injured rats.

NeoSpine Performs First Spinal Stem Cell Injection Procedure in Washington NeoSpine is at the forefront of medicine by utilizing stem cells with the goal to regenerate and thus repair diseased spinal tissue. http://www.theintelligencer.com/article_f5e96e4d-bc96-57c3-a289-22e4def4e76e.html       St. Louis, MO (PRWEB) October 22, 2013   Two physicians from NeoSpine recently performed an innovative stem cell injection procedure on a patient’s spine to treat back pain caused by degenerative disc disease, the first one in the state of Washington. Dr. Richard Rooney and Dr. Kathy Wang, performed the successful pioneering procedure at Microsurgical Spine Center , the Northwest’s leading ambulatory surgery center located just outside of Seattle, Washington. At the forefront of medicine, stem cells use the body’s own healthy cells with the goal to regenerate to repair diseased spinal tissue. “With stem cell treatment, bone marrow is extracted from the patient’s pelvis bone and is

The risks are minimal but they are real, and when you are not using the advanced technology and knowledge available to assess and safeguard the patients from risks of nerve damage or paralysis, your care is flawed and pretty dangerous, if you can spent 25 thousands for surgery and do not use Neuromonitoring that might cost another thousand or two, and you think that is cost effective, then something wrong with such ideas. Bringing safety inside OR must be the top priority of an operating surgeon (performing surgeon). There are several vascular or neurological complications happen during spine surgical procedures that may not be identified timely if you do not use neuromonitoring techniques, and when you find out after the surgery, it is too late.   I agree with Professor Fessler, right views when it comes to the benefits and cost effectiveness of IONM. However, totally regard this is yet another Rat and Mice study that is irrelevant to the better care and safe outcome of surgerie