IONM Services

Neuromonitoring Technologies, Inc (NMT) utilizes a multi-modality protocol for every surgical procedure that is monitored.  This entails utilizing several if not all of the following applications simultaneously:

    Somatosensory Evoked Potentials (SSEPs)- Monitors the integrity of the dorsal columns in the spinal cord.
        Upper Extremity SSEP
        Lower Extremity SSEP
    Free-Run Electromyography (EMG)- Monitors real-time nerve root function
    Pedicle Screw Stimulation and Triggered EMG- Monitors the integrity of the pedicle wall and the proximity to nerve roots
    Direct Nerve Stimulation and Triggered EMG- Monitors both the location and integrity of nerves and nerve roots
    Transcranial Motor Evoked Potentials (TcMEPs)- Monitors the integrity of the corticospinal tract in the spinal cord
    Train of Four- Monitors the patient’s neuromuscular blockade status
    Auditory Brainstem Response (ABR)- Monitors the integrity of the VIII cranial nerve and brainstem structures
    Electroencephalogram (EEG)- Monitors the bioelectrical activity spontaneously generated by the cerebral cortex
    Cortical Mapping- Used to determine the location of significant areas in the brain associated with, among others, speech and language, sensation and movement
    Direct Nerve Recording- Monitors the integrity of specific nerves


Common IONM Procedures

IONM is routinely utilized during the following surgical procedures:

        Spine Deformity and Degeneration
        Brain and Spinal Cord Tumor
        Cerebral Aneurysm
        Spine Deformity and Degeneration
        Pelvic/Acetabulum Reconstruction
        Carotid Endarterectomy
    Ear Nose and Throat (ENT)
        Parotid Gland Tumor