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Shoakazemi A, Moisi M, Tubbs RS, et al. Necrotizing Fasciitis: A Life-threatening Complication of Intraoperative Electromyography. Cureus. 2016;8(1):e468doi: 10.7759/cureus.468.
Shoakazemi, A., Moisi, M., Tubbs, R. S., Wingerson, M., Ajayi, O., Zwillman, M. E., Gottlieb, J., & Hanscom, D. (2016). Necrotizing Fasciitis: A Life-threatening Complication of Intraoperative Electromyography. Cureus, 8(1), e468. https://doi.org/10.7759/cureus.468
Shoakazemi, Alireza, et al. "Necrotizing Fasciitis: A Life-threatening Complication of Intraoperative Electromyography." Cureus vol. 8,1 (2016): e468. doi: https://doi.org/10.7759/cureus.468
Shoakazemi A, Moisi M, Tubbs RS, Wingerson M, Ajayi O, Zwillman ME, Gottlieb J, Hanscom D. Necrotizing Fasciitis: A Life-threatening Complication of Intraoperative Electromyography. Cureus. 2016 Jan 25;8(1):e468. doi: 10.7759/cureus.468. PMID: 26973803; PMCID: PMC4771574.
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Cureus. 2016 Jan 25;8(1):e468. doi: 10.7759/cureus.468.

Necrotizing Fasciitis: A Life-threatening Complication of Intraoperative Electromyography.

Cureus

Alireza Shoakazemi, Marc Moisi, R Shane Tubbs, Mary Wingerson, Olaide Ajayi, Michael E Zwillman, Jourdan Gottlieb, David Hanscom

Affiliations

  1. Neurosurgery, Swedish Neuroscience Institute.
  2. Neurosurgery, Seattle Science Foundation.
  3. Anesthesiology and Critical Care, Houston Methodist Hospital.
  4. Plastic Surgery, Swedish Medical Center.

PMID: 26973803 PMCID: PMC4771574 DOI: 10.7759/cureus.468

Abstract

Intraoperative neurophysiological monitoring is a commonly used practice during spine surgery. Complications of electromyography (EMG) needle electrode placement are very uncommon. We present a patient who was infected with necrotizing fasciitis in her left thigh due to an EMG needle electrode during a two-stage complex spine procedure. This case demonstrates that providers should continue to meticulously adhere to protocol when inserting and removing EMG needles, but also be cognizant during postoperative observation of the possibility of infection caused by EMG needles.

Keywords: emg; intraoperative neurophysiological monitoring; necrotizing fasciitis; needle electrode infection; soft tissue infection; spine surgery

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