• Enhanced patient care, surgical outcome and reduced provider liability
  
• Experienced staff involved in over 10,000 brain, peripheral nerve and spine surgeries since 1996
  
• Complete staff coverage in three counties allows for impromptu surgical additions
  
• Locally based M.D. & interpretation service
  
• Continuous assessment evaluations and diagnosis resulting in a lower patient complication ratio
  
• Advanced Intraoperative monitor techniques that go beyond “SSEP” only
  
• Professional Staff on–call 24 hours a day
  
• Board certified technicians provide crucial data that reduce surgeon and hospital liability
  
• Identification of nerve compromise during surgical retractor and patient positioning that would otherwise go undetected
  
  

Cervical

• Nerve root irritation
• Overdistraction with graft placement
• Positioning problems of arms
• Complications of intubation
• Feedback on decompression
• Retractor changes
• Laryngeal nerve compromise
  

Lumbar (Performed with or without instrumentation)

• Early detection of potential complications of cervical stenosis and plexopathies
• LE ischemic changes on Jackson Tables
• Feedback on decompression
• Mechanical and physiologic nerve root changes
• Ischemic and mechanical insults of the spinal cord
  

Conus

• Tethered Cord
• Rhizotomy
• L1-S4- nerve root monitoring
• Sphincter monitoring including stimulation in the operative field to identify rootlets
• Bowel/Bladder Function
  

Thoracic

• Spinal cord positioning changes
• Ischemic changes
• Thoracic EMG-for screw placement
• Motor evoked potentials and other non-dorsal column responses
  
  

Peripheral Nerve – Brachial & Plexus

• Used for decompression or neurolysis-able to record from multiple muscles
• Direct nerve for anastamosis and/or neurolysis
• Tripolar, bipolar and monopolar stimulators available

Facial Nerve Monitoring & other Cranial Nerves

• 4 channels or greater and sensitivities less than 50 uV increase yield over “stand alone” monitors
• Recurrent laryngeal nerve for thyroid procedures
• Parotidectomies

Craniotomies

• Posterior fossa
• Vestibular neurinectomy-direct VIII nerve
• Pituitary, optic chiasm Tumors
• Aneurysm
• Brainstem Tumors
• CP Angle Tumors
• Cranial nerve 3,4,5,6,7,8,9,10,11,12 – stretch ischemia mechanical injury
• Frontal parietal tumors, cortical strips for motor/sensory mapping
• Microelectrode recordings for deep brain stimulation
  

HIP Revisions

• EMG and tibial and peroneal SSEP
• Stretch, injury and ischemic changes

Extra Cranial Vascular

• Carotid endartarectomy
• Subclavian Steel
• CABG