Pulse-Width Modulation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorDartmouth-Hitchcock Medical Center

About this trial

The overarching aim of this project is to modulate the pulse-width during stimulation of pedicle screws and record the response thresholds associated with each PWM setting. During this initial phase of the investigation, no further data will be collected.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

A patient will be eligible for study participation once they have been booked for a surgery involving pedicle screw placement and intraoperative neuromonitoring.

Disqualifiers

The study excludes neonates, minors, pregnant women, prisoners and cognitively impaired patients.

Trial design

Design model

Single group

Treatments tested in this trial

  • Pulse width modulation

    Diagnostic test

    Will be stimulating the pedicle screws utilizing three different pulse-width settings, 0.4 milliseconds, 0.2 milliseconds, and 0.05 milliseconds.

Treatment groups

50 Participants
are divided into 1 treatment group
Group A: Pedicle Screw Stimulation ArmExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

CMAP response under three different pulse-width settings

Upon completion of the pedicle screw placements, each screw will be stimulated utilizing three different pulse-width settings, 0.4 milliseconds, 0.2 milliseconds, and 0.05 milliseconds. The stimulation intensity required to elicit a compound muscle action potential (CMAP) will be recorded for each pulse-width parameter. This is measured in microvolts (uV).

Time frame
Within operating room upon completion of pedicle screw placement. 1 day

Secondary outcomes

Other outcomes

Sponsors and contacts

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