{"id":931,"date":"2024-07-19T17:32:04","date_gmt":"2024-07-19T16:32:04","guid":{"rendered":"https:\/\/www.forethoughtmed.com\/?p=931"},"modified":"2024-12-04T09:34:59","modified_gmt":"2024-12-04T09:34:59","slug":"what-are-the-equipments-for-spinal-monitoring%ef%bc%9f","status":"publish","type":"post","link":"http:\/\/www.forethoughtmed.com\/fr\/what-are-the-equipments-for-spinal-monitoring%ef%bc%9f\/","title":{"rendered":"Quels sont les \u00e9quipements pour la surveillance de la colonne vert\u00e9brale ?"},"content":{"rendered":"<p><a href=\"https:\/\/www.forethoughtmed.com\/fr\/\" data-type=\"link\" data-id=\"www.forethoughtmed.com\">Quels sont les \u00e9quipements pour la surveillance de la colonne vert\u00e9brale ?<\/a>Spinal monitoring plays a critical role in modern healthcare, especially during surgeries involving the spine. The spine not only supports the body&#8217;s weight but also protects the spinal cord and surrounding nerves. Intraoperative spinal monitoring is essential for assessing the impact of surgery on a patient\u2019s nervous system, providing real-time data that allows surgeons to make informed decisions and adjust their surgical strategy as needed. This monitoring is vital for minimizing surgical risks and protecting the patient\u2019s nervous system.<\/p><p>In addition to helping surgeons avoid nerve tissue damage, intraoperative spinal monitoring provides real-time assessments of surgical outcomes. Monitoring the activity of the spinal cord and nerves ensures any potential issues are quickly identified and corrected, enhancing both safety and effectiveness. The data collected during spinal monitoring is also valuable for developing personalized postoperative rehabilitation plans, promoting quicker patient recovery.<\/p><figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1000\" height=\"600\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/2660580.png\" alt=\"Quels sont les \u00e9quipements pour la surveillance de la colonne vert\u00e9brale ?\" class=\"wp-image-6946\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/2660580.png 1000w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/2660580-667x400.png 667w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/2660580-768x461.png 768w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/2660580-18x12.png 18w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/figure><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table des mati\u00e8res<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table des mati\u00e8res\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"http:\/\/www.forethoughtmed.com\/fr\/what-are-the-equipments-for-spinal-monitoring%ef%bc%9f\/#Basic_Principles_of_Intraoperative_Spinal_Monitoring\" >Basic Principles of Intraoperative Spinal Monitoring<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.forethoughtmed.com\/fr\/what-are-the-equipments-for-spinal-monitoring%ef%bc%9f\/#Common_Types_of_Spinal_Monitoring_Devices\" >Common Types of Spinal Monitoring Devices<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"http:\/\/www.forethoughtmed.com\/fr\/what-are-the-equipments-for-spinal-monitoring%ef%bc%9f\/#Characteristics_and_Advantages_of_Different_Spinal_Monitoring_Devices\" >Characteristics and Advantages of Different Spinal Monitoring Devices<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"http:\/\/www.forethoughtmed.com\/fr\/what-are-the-equipments-for-spinal-monitoring%ef%bc%9f\/#Introduction_to_Forethoughts_Spinal_Monitoring_Technology_and_Devices\" >Introduction to Forethought\u2019s Spinal Monitoring Technology and Devices<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"http:\/\/www.forethoughtmed.com\/fr\/what-are-the-equipments-for-spinal-monitoring%ef%bc%9f\/#References\" >R\u00e9f\u00e9rences<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Basic_Principles_of_Intraoperative_Spinal_Monitoring\"><\/span>Basic Principles of Intraoperative Spinal Monitoring<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Intraoperative spinal monitoring is a complex and precise technique that involves several critical processes, including signal acquisition, data analysis, and real-time feedback.<\/p><ol class=\"wp-block-list\"><li><strong>Signal Acquisition:<\/strong> Intraoperative spinal monitoring involves capturing signals from the patient\u2019s spinal cord and nervous system. The signals are typically obtained through electrophysiological monitoring, neurophysiological instruments, or imaging devices. Common systems include spinal evoked potentials (SEP) and motor evoked potentials (MEP). SEP systems assess sensory nerve function by stimulating the nervous system, while MEP systems evaluate motor function by monitoring muscle activity. These devices provide real-time assessments of nerve function, helping surgeons detect and mitigate potential risks.<\/li>\n\n<li><strong>Data Analysis and Interpretation:<\/strong> Once acquired, the signals are transmitted to monitoring systems for real-time analysis. The data helps surgeons assess nerve function, identify risks, and make informed adjustments during surgery. Results typically include nerve function status, potential risk factors, and suggested actions.<\/li>\n\n<li><strong>Real-Time Feedback:<\/strong> The feedback loop is vital, as monitoring results are continuously updated and communicated to the surgical team. This real-time data allows for prompt corrective measures, ensuring nerve protection and surgical success.<\/li><\/ol><figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1376\" height=\"800\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/applsci-12-07943-g001-1376x800.webp\" alt=\"Quels sont les \u00e9quipements pour la surveillance de la colonne vert\u00e9brale ?\" class=\"wp-image-6949\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/applsci-12-07943-g001-1376x800.webp 1376w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/applsci-12-07943-g001-688x400.webp 688w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/applsci-12-07943-g001-768x446.webp 768w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/applsci-12-07943-g001-1536x893.webp 1536w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/applsci-12-07943-g001-2048x1190.webp 2048w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/applsci-12-07943-g001-18x10.webp 18w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/07\/applsci-12-07943-g001-1000x581.webp 1000w\" sizes=\"(max-width: 1376px) 100vw, 1376px\" \/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Common_Types_of_Spinal_Monitoring_Devices\"><\/span>Common Types of Spinal Monitoring Devices<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Various devices are used in spinal monitoring, each serving distinct functions:<\/p><ol class=\"wp-block-list\"><li><strong>Electrophysiological Monitoring Devices:<\/strong> SEP and MEP systems are the most commonly used, offering high sensitivity and real-time monitoring. SEP devices measure sensory nerve function, while MEP devices monitor motor function through muscle activity.<\/li>\n\n<li><strong>Neurophysiological Monitoring Instruments:<\/strong> These include multichannel electroencephalography (EEG) and brainstem auditory evoked potential (BAEP) systems. Multichannel EEG monitors brain electrical activity, while BAEP systems assess auditory nerve function. Both provide comprehensive assessments of neural activity.<\/li>\n\n<li><strong>Imaging Devices:<\/strong> X-rays, CT scans, and MRIs offer high-resolution imaging of spinal structures, guiding surgical procedures and evaluating outcomes. These devices provide clear anatomical details that help surgeons precisely locate surgical targets.<\/li><\/ol><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Characteristics_and_Advantages_of_Different_Spinal_Monitoring_Devices\"><\/span>Characteristics and Advantages of Different Spinal Monitoring Devices<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Different devices offer specific advantages based on their intended application:<\/p><ol class=\"wp-block-list\"><li><strong>Electrophysiological Monitoring Devices:<\/strong> Known for their high sensitivity, these devices deliver real-time data with great accuracy. SEP and MEP systems are flexible and adaptable, providing precise information crucial for safeguarding nerve function.<\/li>\n\n<li><strong>Neurophysiological Monitoring Instruments:<\/strong> These offer a broad range of monitoring capabilities, covering various aspects of nerve function, including brain electrical activity and auditory responses. Their diverse functionality makes them invaluable in comprehensive nerve assessments.<\/li>\n\n<li><strong>Imaging Devices:<\/strong> Offering high-resolution visualization, imaging tools like X-rays, CT scans, and MRIs provide comprehensive insights into spinal anatomy. They assist in identifying subtle structural changes and precisely targeting surgical sites, reducing risks and enhancing surgical success.<\/li><\/ol><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Introduction_to_Forethoughts_Spinal_Monitoring_Technology_and_Devices\"><\/span>Introduction to Forethought\u2019s Spinal Monitoring Technology and Devices<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Forethought is at the forefront of spinal monitoring technology with its advanced solutions in electrophysiological monitoring, neurophysiological instruments, and imaging devices. Their innovative systems are designed to provide precise and reliable data, supporting the safety and effectiveness of spinal surgeries. Forethought\u2019s technology emphasizes real-time, high-quality monitoring, making it a critical tool for both intraoperative and postoperative care.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>R\u00e9f\u00e9rences<span class=\"ez-toc-section-end\"><\/span><\/h2><ol class=\"wp-block-list\"><li>MacDonald DB, Skinner S, Shils J, Yingling C. &#8220;Intraoperative motor evoked potential monitoring \u2013 A position statement by the American Society of Neurophysiological Monitoring.&#8221; <em>Clinical Neurophysiology.<\/em> 2013;124(12):2291-2316. doi: <a>10.1016\/j.clinph.2013.07.025<\/a>.<\/li>\n\n<li>Sutter M, Eggspuehler A, Grob D, Porchet F, Jeszenszky D. &#8220;Multimodal intraoperative monitoring: An overview and proposal of a concept.&#8221; <em>European Spine Journal.<\/em> 2007;16(Suppl 2). doi : <a>10.1007\/s00586-007-0409-1<\/a>.<\/li>\n\n<li>Nuwer MR. &#8220;Intraoperative monitoring of neural function.&#8221; <em>Journal of Clinical Neurophysiology.<\/em> 1993;10(4):355-376. doi: <a>10.1097\/00004691-199307000-00001<\/a>.<\/li>\n\n<li>Szelenyi A, Kothbauer KF, Deletis V. \"Crit\u00e8res neurophysiologiques pour le diagnostic perop\u00e9ratoire des l\u00e9sions du tractus corticospinal\". <em>Journal of Clinical Neurophysiology.<\/em> 2007;24(5):386-393. doi : <a>10.1097\/WNP.0b013e31814a55f1<\/a>.<\/li>\n\n<li>Sala F, Lanteri P. &#8220;Intraoperative neurophysiological monitoring in spinal surgery: A review and the state of the art.&#8221; <em>European Spine Journal.<\/em> 2003;12(Suppl 2). doi: <a>10.1007\/s00586-003-0583-y<\/a>.<\/li>\n\n<li>Leppanen RE, Spoor AB. &#8220;Current concepts in intraoperative neurophysiological monitoring during spinal surgery.&#8221; <em>Journal of Bone and Joint Surgery.<\/em> 2005;87(2):473-487. doi: <a>10.2106\/JBJS.E.00221<\/a>.<\/li>\n\n<li>Nuwer MR. \"Surveillance de la moelle \u00e9pini\u00e8re \u00e0 l'aide de techniques somatosensorielles\". <em>Dos.<\/em> 1992;17(5):600-611. doi : <a>10.1097\/00007632-199205000-00002<\/a>.<\/li>\n\n<li>Kothbauer KF. &#8220;Intraoperative neurophysiological monitoring in children: Why, when, and how.&#8221; <em>Le syst\u00e8me nerveux de l'enfant.<\/em> 2007;23(5):527-531. doi : <a>10.1007\/s00381-006-0328-9<\/a>.<\/li>\n\n<li>Deletis V, Sala F. \"Surveillance perop\u00e9ratoire de l'int\u00e9grit\u00e9 fonctionnelle des voies motrices\". <em>Cliniques de neurochirurgie d'Am\u00e9rique du Nord.<\/em> 2001;12(4):657-669. doi : <a>10.1016\/S1042-3680(18)30053-1<\/a>.<\/li>\n\n<li>Hadley MN, Shank CD, Rozzelle CJ. \"Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine\" (Lignes directrices pour l'ex\u00e9cution des proc\u00e9dures de fusion pour les maladies d\u00e9g\u00e9n\u00e9ratives de la colonne lombaire). <em>Journal of Neurosurgery : Spine.<\/em> 2014;21(1):1-10. doi : <a>10.3171\/2014.4.SPINE14270<\/a>.<\/li>\n\n<li>Fehlings MG, Brodke DS, Norvell DC, Dettori JR. \"The evidence for intraoperative neurophysiological monitoring in spine surgery\". <em>Global Spine Journal.<\/em> 2017;7(3 Suppl):104S-115S. doi : <a>10.1177\/2192568217707164<\/a>.<\/li>\n\n<li>Martinez-Lage JF, P\u00e9rez-Espejo MA, Poza M, Piqueras C. \"The role of intraoperative monitoring in the management of scoliosis\". <em>European Journal of Orthopaedic Surgery &amp; Traumatology (Journal europ\u00e9en de chirurgie orthop\u00e9dique et de traumatologie).<\/em> 2000;10(1):15-19. doi : <a>10.1007\/s005900070029<\/a>.<\/li>\n\n<li>Helbig GM, Moquin RR, Bendok BR, et al. \"Intraoperative monitoring and electrophysiological mapping of spinal cord function : Indications et techniques\". <em>Journal of Neurotrauma.<\/em> 2005;22(7):798-808. doi : <a>10.1089\/neu.2005.22.798<\/a>.<\/li>\n\n<li>Romst\u00f6ck J, Strauss C, Fahlbusch R. \"Continuous motor tract monitoring during cerebral and spinal surgery\". <em>Neurochirurgie.<\/em> 2000;46(3):680-691. doi : <a>10.1097\/00006123-200003000-00022<\/a>.<\/li>\n\n<li>MacDonald DB. \"S\u00e9curit\u00e9 de la stimulation \u00e9lectrique transcr\u00e2nienne perop\u00e9ratoire, surveillance des potentiels \u00e9voqu\u00e9s moteurs. <em>Journal of Clinical Neurophysiology.<\/em> 2002;19(5):416-429. doi : <a>10.1097\/00004691-200210000-00004<\/a>.<\/li><\/ol><p><\/p>","protected":false},"excerpt":{"rendered":"<p>What Are The Equipments For Spinal Monitoring\uff1fSpinal monitoring plays a critical role in modern healthcare, especially during surgeries involving the spine. The spine not only supports the body&#8217;s weight but also protects the spinal cord and surrounding nerves. Intraoperative spinal monitoring is essential for assessing the impact of surgery on a patient\u2019s nervous system, providing [&#8230;]","protected":false},"author":3,"featured_media":932,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-931","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/posts\/931","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/comments?post=931"}],"version-history":[{"count":5,"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/posts\/931\/revisions"}],"predecessor-version":[{"id":6951,"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/posts\/931\/revisions\/6951"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/media\/932"}],"wp:attachment":[{"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/media?parent=931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/categories?post=931"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/fr\/wp-json\/wp\/v2\/tags?post=931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}