Sentient offers expertise in the supervision of the neurophysiological aspects of a broad range of surgical procedures. With over 17 years’ experience in the practice of Neurosurgical Physiology, Sentient has monitored over 150,000 patients. Annually, Sentient is involved in over 16,000 spinal procedures.

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Procedures

Including but not limited to:

Anterior/Posterior Spinal Fusion with/without Instrumentation

  • Cervical (including C1/2 for spinal instability)
  • Thoracic
  • Thoracolumbar
  • Lumbosacral
  • Multilevel

Spinal Decompression with/without Discectomy

  • Cervical (including C1/2 for spinal instability)
  • Thoracic
  • Thoracolumbar
  • Lumbosacral
  • Multilevel

Intradural, Extramedullary and Intramedullary Spinal Surgery

  • Removal of primary and secondary neoplasia of the spine
  • Removal of benign lesions of the spinal cord and peripheral nerves
  • Implantation of spinal stimulators
  • Untethering of cauda equine

Minimally Invasive Procedures

  • ALIF
  • XLIF
  • TLIF

Pedicle Screw Insertion Monitoring

  • Thoracic
  • Thoracolumbar
  • Lumbosacral
  • Multilevel

Open Reduction and Internal Fixation

  • Pelvis
  • Other sites

Arthroplasty

  • Shoulder
  • Hip
  • Knee

Correction of Spinal Curvature

  • Scoliosis surgery
  • VEPTR rod insertion
  • VEPTR rod lengthening procedures

Monitoring of Patients’ Positioning During Surgery

  • Peripheral nerve compression
  • Brachial plexus stress

Other

  • Discography
  • Triangle tilt procedure

Supervising Neurologist Oversight

Sentient has led the industry in providing physicians trained in electrophysiology, neurophysiology, and intraoperative neurophysiological monitoring to work with our surgical neurophysiologists during surgery. Known as supervising neurologists, these individuals are part of our “real time” monitoring program that consists of transmitting data from the operating room to the neurologist in real-time.

The supervising neurologist interprets the data that is provided by the surgical neurophysiologist and communicates directly with the monitorist and surgical team during the entire surgery. When appropriate, our supervising neurologists speak with the surgeon regarding changes in data.

With the number of full-time and dedicated supervising neurologists we employ, we are able to provide this type of quality assurance and added protection during all of our surgeries on a 24/7 365 day basis.

Supervising Neurologist Technical and Board Certification

Our Supervising Neurologists are held to the highest of standards by our Chief Medical Officer who is a Board Certified Neurologist. Our Supervising Neurologists are generally either Board Certified or Board Eligible in Neurology (or other relevant clinical areas) and Clinical Neurophysiology.

To ensure clinical competency, a detailed checklist has been developed by our staff in conjunction with ASET and is maintained on every surgical neurophysiologist. Sentient also requires all surgical neurophysiologists to be Joint Commission compliant and to pass the following tests in support of our customer’s high standards:

  • Annual CPR and TB test
  • Age specific competency tests
  • Additional mandatory programs such as safety and infection control
Additional Information

Additional Information

Surgical Neurophysiologist Qualifications and Training

Several years ago the American Society of Electroneurodiagnostic Technologists (ASET) developed a board certification program for surgical neurophysiologists. This board certification is called the Neurophysiologic Intraoperative Monitoring (CNIM) and is the only board certification program available for surgical neurophysiologists. Sentient requires that all of its surgical neurophysiologists obtain and maintain their CNIM as a condition of continued employment. Learn More

Quality Assurance

The Sentient Quality Assurance Program was instituted in 2006. The Quality Assurance Committee meets regularly to review reports on clinician performance, alerts and adverse outcomes in addition to other matters that affect the delivery of care. Learn More

Surgical Monitoring

Surgical Monitoring

Neurosurgery Procedures (including but not limited to):

Craniotomy

  • Excision of primary and secondary neoplasia from supratentorial and infratentorial locations (including CPA locations for schwannomas).
  • Microvascular decompression procedures
  • Intracerebral aneurysm and AVM surgery
  • Glomus tumor resection and jugular foramen procedures including skull base surgery.
  • Arnold Chiari Malformations.

Other Procedures on Extracranial and Intracranial Arteries

  • Carotid endarterectomy
  • EC-IC bypass procedures

Spinal Procedures

  • Intradural abscess or neoplasm resection
  • Drainage and marsupialization of cysts including syrinxes.
  • Procedures on the Cauda Equina including removal of lipomas, and cord untethering
  • Monitoring spinal cord stimulator placement
  • Spinal AVM surgery

Funtional Neurosurgery (supervision of Doctoral Neurophysiologists in the OR is directly by the Neurosurgeon)

  • Deep brain stimulation for Parkinsonism, tremors, dystonias and other movement disorders

Interventional Procedures

  • Embolization of intracranial and extracranial/spinal arteriovenous malformations
  • Embolization of intracranial and extracranial/spinal aneurysms
  • Endovascular chemotherapy
  • Reperfusion with t-PA and other lytic agents
  • Endovascular atherothrombectomy.
  • Intracranial and extracranial stent placement.
  • Angioplasty of intracranial and extracranial vessels.

Cranial and Peripheral Nerve Procedures

  • Tumor resection including schwannomas/sarcomas of cranial/peripheral nerves.
  • Exploration of brachial plexus
  • Exploration of post-traumatic peripheral nerves- anastomosis procedures
Orthopedic Surgery Procedures

Orthopedic Surgery Procedures

Orthopedic Surgery Procedures (including but not limited to):

Anterior/Posterior Spinal Fusion with/without Instrumentation

  • Cervical (including C1/2 for spinal instability)
  • Thoracic
  • Thoracolumbar
  • Lumbosacral
  • Multilevel

Pedicle Screw Insertion Monitoring

  • Thoracic
  • Thoracolumbar
  • Lumbosacral
  • Multilevel

Intradural, Extramedullary and Intramedullary Surgery

  • Removal of primary and secondary neoplasia of the spine
  • Removal of benign lesions of the spinal cord and peripheral nerves
  • Implantation of spinal stimulators
  • Untethering of cauda equina

Monitoring of Patients’ Positioning During Surgery

  • Peripheral nerve compression
  • Brachial plexus stretching

Open Reduction and Internal Fixation

  • Pelvis
  • Other sites

Spinal Decompression with/without Discectomy

  • Cervical (including C1/2 for spinal instability)
  • Thoracic
  • Thoracolumbar
  • Lumbosacral
  • Multilevel

Minimally Invasive Procedures

  • ALIF
  • XLIF
  • TLIF

Correction of Spinal Curvature

  • Scoliosis surgery
  • VEPTR rod insertion
  • VEPTR rod lengthening procedures

Arthroplasty

  • Shoulder
  • Hip
  • Knee

Other

  • Discography
  • Triangle tilt procedure
Contact Us

Contact Us

For more information, contact us.