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Development of Neuro-Monitoring Pedicle Screw - Results of Electrical Resistance and Neurophysiologic Test in Pig Model.

TitleDevelopment of Neuro-Monitoring Pedicle Screw - Results of Electrical Resistance and Neurophysiologic Test in Pig Model.
Publication TypeJournal Article
Year of Publication2020
AuthorsBang W-S, Park J, Kim K-T, Cho D-C, K Riew D, Kim D-H, Han I-B, Hyun S-J, Yoon D-H, Kim Y-B
JournalNeurospine
Date Published2020 Nov 18
ISSN2586-6583
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 two 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 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 lead-nerve 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.

DOI10.14245/ns.2040424.212
Alternate JournalNeurospine
PubMed ID33211943