General Guideline Principles for Intraoperative
Monitoring / Image Guidance / Robotic Surgery
for workers compensation patients

The New York State workers compensation board has developed these guidelines to help physicians, podiatrists, and other healthcare professionals provide appropriate treatment for Intraoperative Monitoring / Image Guidance / Robotic Surgery.

These Workers Compensation Board guidelines are intended to assist healthcare professionals in making decisions regarding the appropriate level of care for their patients with ankle and foot disorders.

The guidelines are not a substitute for clinical judgement or professional experience. The ultimate decision regarding care must be made by the patient in consultation with his or her healthcare provider.

Intraoperative Monitoring / Image Guidance / Robotic Surgery of Therapeutic Procedures: Operative

When inserting pedicle screws and other thoracic and lumbar equipment, intraoperative surveillance has become the norm. Continuation evoked possibilities (SSEP) and motor considerations suggest it may be used in this form of monitoring (MEP).

The evaluation using the following may be used to assess the integrity of the spinal cord and/or nerve roots, as well as the positioning of the instruments used during the operation. To increase the safety of spinal surgical procedures, image guidance/robotic aid for the installation of thoracic and lumbar instruments has become frequent.

  1. Intraoperative Monitoring / Image Guidance / Robotic Surgery of Therapeutic Procedures: OperativeIntraoperative Monitoring / Image Guidance / Robotic Surgery of Therapeutic Procedures: Operative are recommended Intraoperative monitoring/image guidance/robotic surgery as clinically indicated per surgeon discretion.


What our office can do if you have workers compensation Intraoperative Monitoring / Image Guidance / Robotic Surgery

We have the experience to help you with their workers compensation injuries. We understand what you are going through and will meet your medical needs and follow the guidelines set by the New York State Workers Compensation Board.

We understand the importance of your workers compensation cases. Let us help you navigate through the maze of dealing with the workers compensation insurance company and your employer.

We understand that this is a stressful time for you and your family. If you would like to schedule an appointment, please contact us so we will do everything we can to make it as easy on you as possible.


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Dr. Nakul Karkare

I am fellowship trained in joint replacement surgery, metabolic bone disorders, sports medicine and trauma. I specialize in total hip and knee replacements, and I have personally written most of the content on this page.

You can see my full CV at my profile page.