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One of the investigators left the Institution
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The purpose of this study is to collect data while monitoring muscles and nerves during spine surgery. The data being collected and analyzed will be used to learn more about how the body's nerves and muscles are distributed and develop a map of human muscle innervation patterns.
In this large scale study it is proposed to examine root-to-muscle innervation directly, using the standard Intra-Operative Monitoring procedures during scheduled cervical and lumbar spinal surgeries. The study would directly map muscle and sensory distributions of nerve root innervations with no additional risk to patients.
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| Measure | Description | Time Frame |
|---|---|---|
| Build a database of spinal nerve root innervation utilizing direct nerve root stimulation | Data collected during surgery and a 30 day post-op visit |
| Measure | Description | Time Frame |
|---|---|---|
| Compare clinical symptoms of the patient to the direct muscle activation via spinal nerve root stimulation | Data collected during surgery and a 30 day post-op visit |
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Inclusion Criteria:
Exclusion Criteria:
Past medical history significant for any of the following:
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All neurosurgical patients will be screened for potential eligibility from the Neurosurgery Department's Clinical and operative schedules.
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| Name | Affiliation | Role |
|---|---|---|
| Subu N. Magge, M.D. | Lahey Clinic, Inc. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Neurosurgery Department, Lahey Clinic, Inc. | Burlington | Massachusetts | 01805 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 6115429 | Background | Dykes RW, Terzis JK. Spinal nerve distributions in the upper limb: the organization of the dermatome and afferent myotome. Philos Trans R Soc Lond B Biol Sci. 1981 Aug 12;293(1070):509-54. doi: 10.1098/rstb.1981.0083. | |
| 12508296 | Background | Tsao BE, Levin KH, Bodner RA. Comparison of surgical and electrodiagnostic findings in single root lumbosacral radiculopathies. Muscle Nerve. 2003 Jan;27(1):60-4. doi: 10.1002/mus.10291. |
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| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| ID | Term |
|---|---|
| D013568 | Pathological Conditions, Signs and Symptoms |
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| 8780083 | Background | Levin KH, Maggiano HJ, Wilbourn AJ. Cervical radiculopathies: comparison of surgical and EMG localization of single-root lesions. Neurology. 1996 Apr;46(4):1022-5. doi: 10.1212/wnl.46.4.1022. |
| 8579167 | Background | Moller AR. Intraoperative neurophysiologic monitoring. Am J Otol. 1995 Jan;16(1):115-7. No abstract available. |
| 15016399 | Background | Bose B, Sestokas AK, Schwartz DM. Neurophysiological monitoring of spinal cord function during instrumented anterior cervical fusion. Spine J. 2004 Mar-Apr;4(2):202-7. doi: 10.1016/j.spinee.2003.06.001. |
| 12477987 | Background | MacDonald DB. Safety of intraoperative transcranial electrical stimulation motor evoked potential monitoring. J Clin Neurophysiol. 2002 Oct;19(5):416-29. doi: 10.1097/00004691-200210000-00005. |
| Background | Deletis, V. (2002), Intraoperative Neurophysiology and Methodologies Used to Monitor the Functional Integrity of the Motor System |
| Background | Chiappa, K.H. (1997) Evoked Potentials in Clinical Medicine |