Electrical stimulation properties of carbon fiber versus titanium pedicle screw instrumentation: illustrative case

Surgeons and intraoperative monitoring teams should be aware of lower EMG stimulation thresholds for CF screws than titanium. Additional adjuncts, such as intraoperative imaging, may be helpful in these cases. https://thejns.org/doi/10.3171/CASE25786.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2026-01-26
DOI
https://doi.org/10.3171/case25786
Primary Topic
Intraoperative Neuromonitoring and Anesthetic Effects
Type
article
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article

Electrical stimulation properties of carbon fiber versus titanium pedicle screw instrumentation: illustrative case

D. Lubelski, Jawad M. Khalifeh, Yuanxuan Xia, Joseph M. Dardick et al.
Journal of Neurosurgery Case Lessons
Intraoperative Neuromonitoring and Anesthetic Effects
article

Electrical stimulation properties of carbon fiber versus titanium pedicle screw instrumentation: illustrative case

D. Lubelski, Jawad M. Khalifeh, Yuanxuan Xia, Joseph M. Dardick, Sang Hun Lee, Nicholas Theodore, Tej D. Azad
article en

Abstract

Surgeons and intraoperative monitoring teams should be aware of lower EMG stimulation thresholds for CF screws than titanium. Additional adjuncts, such as intraoperative imaging, may be helpful in these cases. https://thejns.org/doi/10.3171/CASE25786.

Journal of Neurosurgery Case LessonsVol. 11(4)
Johns Hopkins University (US), Johns Hopkins Medicine (US)
Openalex Percentile: Top 78%
Intraoperative Neuromonitoring and Anesthetic Effects
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