1. Development of Neuromonitoring Pedicle Screw - Results of Electrical Resistance and Neurophysiologic Test in Pig Model
- Author
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Woo-Seok Bang, Jonghoo Park, Kyoung-Tae Kim, Dae-Chul Cho, K. Daniel Riew, Du-Hwan Kim, In-Bo Han, Seung-Jae Hyun, Do-Heum Yoon, and Young-Baeg Kim
- Subjects
electromyography ,electrical resistance ,gold lead ,neuromonitoring ,pedicle screw ,titanium alloy ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Objective To analyze the electrical resistance of a newly developed neuromonitoring pedicle screw (Neuro-PS) and to verify the electrophysiologic properties of the Neuro-PS in a pig model. Methods We developed 2 types of the Neuro-PS in which a gold lead was located internally (type I) and externally (type II). We measured the electrical resistance of the Neuro-PS and the conventional screw and analyzed the electrical thresholds of triggered EMG (t-EMG) of each screw by intentionally penetrating the medial pedicle wall and contacting the exiting nerve root in a pig model. Results The electrical resistances of the Neuro-PS were remarkably lower than that of the conventional screw. In electrophysiologic testing, only the type II Neuro-PS under the leadnerve contact condition showed a significantly lower stimulation threshold as compared to the conventional screw. Conclusion The Neuro-PS demonstrated lower electrical resistances than the conventional screw. The type II Neuro-PS under the lead-nerve contact condition showed a significantly lower stimulation threshold compared to that of the other screws in the t-EMG test.
- Published
- 2021
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