Powered by OpenAIRE graph
Found an issue? Give us feedback
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ Global Spine Journalarrow_drop_down
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
Global Spine Journal
Article
License: CC BY NC ND
Data sources: UnpayWall
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
versions View all 1 versions
addClaim

This Research product is the result of merged Research products in OpenAIRE.

You have already added 0 works in your ORCID record related to the merged Research product.

Movement along the Spine Induced by Transcranial Electrical Stimulation (TES) Related to the Montage of Electrodes

Authors: Eric Hoebink;

Movement along the Spine Induced by Transcranial Electrical Stimulation (TES) Related to the Montage of Electrodes

Abstract

Introduction Transcranial Electrical Stimulates Motor Evoked Potentials (TES-MEP) is a safe technique for neuromonitoring during spinal surgery. However induced movement can cause injuries and delay surgical procedures. When TES movements are evoked by other than monitored muscles, one may expect that adjustments in stimulation paradigms and electrode montages may minimize movement while preserving quality of monitoring. In this study, TES evoked seismic evoked responses (SER) are studied at different electrodes montage during spinal deformity surgery. Materials and Methods In 12 patients undergoing corrective spine surgery, intra-operative TES-MEP was performed. Accelero transducers recorded SER in two directions at 4 different locations of the spine for TES-electrode montages groups Cz-Fz and C3-C4. A resulting acceleration value, SERr, was computed. A paired t-test was used to compare the means of SER and the relationship between movement and TES electrode montages. Results SER's are the strongest in the upper body. All mean SER's values of the Cz-Fz group are up to 5 times larger when compared with the C3–4 group. However, there are no differences between the C3-C4 and Cz-Fz groups in the lower body locations. Both electrode montage groups show gradual decreasing steps of all mean SER values along the spine from cranial to caudal. For the upper body locations there were no significant correlations of SERr between both montages, whereas in contrast, a significant correlation of SERr exists at the lumbar region. Conclusions At supramaximum levels, movements resulting from multipulse TES is likely caused by relative strong contractions from muscles in the neck resulting from extracranial direct stimulation. When interchanging electrode montages in individual cases, the movement in the neck may become reduced. At lumbar levels transcranial evoked muscle contractions dominate movement in the surgical exposed areas likely dominated by local muscles.

  • BIP!
    Impact byBIP!
    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    0
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold