Thanks for visiting synapseneuro.com.
This site makes use of Cascading Style Sheets for its layout.
Unfortunately, your browser can't properly display the site content.
C5 Root Palsy Following Cervical Spinal Surgery
Intraoperative Neuromonitoring is invaluable in surgical procedures that place neural structures at risk. The main goal of any surgical intervention has been and continues to be the protection of the patient and prevention of iatrogenic complications. The implementation of Intraoperative electromyography (EMG) allows real time feedback to the surgeon during procedures regarding tolerance of individual nerve roots.
Cervical spinal surgery is commonly performed without Intraoperative Neuromonitoring because it carries a low risk of spinal cord injury. However, it is common that patients undergoing cervical spinal surgery suffer post-operative C5 root palsy. The C5 root is at higher risk because it is short in length. Because of resultant severe deltoid and bicep muscle weakness, this injury is debilitating to the patient. Often the patient cannot return to work for many months following rehabilitative therapy. Cervical root traction may contribute to post-operative C5 palsy and significant shoulder distraction (during patient positioning) may contribute to C5 palsy secondary to brachial plexus injury.
Each patient tolerates root traction or distraction differently. Cervical EMG monitoring is an important adjunct to cervical spinal surgery to alert the surgeon to activity seen in free-running EMG recordings.
EMG monitoring is a useful real time Intraoperative diagnostic tool during these
procedures because it allows the surgeon to make appropriate alterations in
“Palsies of the fifth cervical nerve root after cervical decompression: prevention
Juan C. Jimenez, M.D. Sepehr Sani, M.D. Berton Braverman, PhD. Harel Deutsch,
Departments of Neurological Surgery and Anesthesiology, Rush University
Michelle Nagel R.EEG/EPT, CNIM