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Pre-Operative Packages at the Vertebrogenic Centre – Neurologie Mištríková

Specialized Pre-Operative Diagnostics for Neuro- and Spondylo- Surgery

A significant number of patients must undergo neurosurgical or spondylosurgical operations due to spine pain. Therefore, the Vertebrogenic Centre offers specialized pre-operative diagnostics for patients who have been recommended for, or have planned, a neurosurgical or spondylosurgical consultation, as well as those with an already scheduled surgery date for the cervical (neck) or lumbar (low back) spine.Many patients arrive at their surgeon's office with incomplete or outdated documentation, lacking a precise neurological evaluation or current neuroelectrophysiology. A pre-operative neurological examination supplemented by EMG (Electromyography) and MEP (Motor Evoked Potentials) allows us to precisely determine the level and severity of the impairment, differentiate radiculopathy from other causes of symptoms, and provide the operating surgeon with complete data for a safe and effective decision on the next steps.


NEUROELECTROPHYSIOLOGICAL DIAGNOSTICS 

  • EMG (electromyography/ nerve conduction studies) 
  • MEP (motor evoked potentials) 
  • An advanced evaluation of nerves, nerve roots, and muscles, alongside an assessment of potential motor pathway impairment—such as spinal cord compression caused by a herniated disc or spinal canal stenosis (narrowing). This workup is essential not only for differential diagnostics (distinguishing neuropathies from nerve root damage) but also prior to scheduled surgical procedures on the cervical and lumbar spine (and, in specific cases, following surgery).


Pre-Operative Packages at the Vertebrogenic Centre

For patients with a scheduled neurosurgical or spondylosurgical consultation, or a planned surgery on the cervical or lumbar spine, I offer three tiers of pre-operative diagnostics. These packages combine a clinical neurological examination and neuroelectrophysiology (EMG and MEP) based on whether the patient has already undergone a neurological evaluation or requires a complete diagnostic workup from scratch.These packages ensure that the operating surgeon (neurosugeron or spine surgeon) receives complete, current, and precise data essential for safe and effective decision-making. Neuroelectrodiagnostics are a vital component in assessing the indication for surgery and its timing, evaluating the current functional state of peripheral nerves, nerve roots, and the spinal cord before the procedure, and significantly contributing to determining the prognosis of the spinal condition.


⭐ 1) Comprehensive Pre-Operative Neuroelectrophysiological Diagnostics

(For patients who have not yet been evaluated by a neurologist)

  • Package Content:
    • Comprehensive clinical neurological examination (60 min)- a comprehensive assessment of the nervous system, radicular (nerve root) syndromes, functional blockages, and other related spinal conditions.
    • EMG – Nerve conduction studies of upper limbs (cervical spine) or lower limbs (lumbar spine)
    • Needle EMG focusing on nerve root impairment
    • MEP of upper and/or lower limbs
    • Complete, detailed medical report for the operating surgeon
  • Who this package is for:
    • Patients prior to their initial neurosurgical or spondylosurgical consultation
    • Patients without any prior neurological evaluation
    • Patients with newly developed or rapidly worsening symptoms
    • Patients seeking complete diagnostics at a single facility
  • Price: CZK 4,900

⭐ 2) Targeted Pre-Operative Neuroelectrophysiological Diagnostics

(For patients who have already undergone a prior neurological evaluation)

  • Package Content:
    • Targeted neurological examination (30 min)
    • EMG – Nerve conduction studies as indicated (upper or lower limbs)
    • Needle EMG targeted at the affected nerve root(s)
    • MEP of upper and/or lower limbs
    • Supplementary documentation for the operating surgeon
  • Who this package is for:
    • Patients who already possess a current neurological report
    • Patients whose surgeon explicitly requires supplementary EMG/MEP data
    • Patients with incomplete medical documentation
    • Patients who need to update their clinical findings before surgery
  • Price: CZK 3,900

⭐ 3) Spine Neuroelectrodiagnostics Only

(For patients who strictly require EMG + MEP testing without clinical assessment)

  • Package Content:
    • EMG – Nerve conduction studies of upper or lower limbs
    • Needle EMG as indicated
    • MEP of upper and/or lower limbs
    • Specialized diagnostic report for the operating surgeon
  • Who this package is for:
    • Patients who have already completed their clinical neurological workup
    • Patients whose surgeon requires only supplementary EMG/MEP testing
    • Patients with incomplete or outdated electrophysiological data
    • Patients prior to cervical or lumbar spine surgery
  • Price: CZK 3,500


Price List: Pre-Operative Packages

Service                                                                                                                                        Price
Comprehensive Pre-Operative Workup 

  • (For patients without a prior neurological evaluation) 
  • Complete Clinical Neurological Exam + EMG + MEP 

                                                                                                                                                    CZK 4,900

Targeted Pre-Operative Workup 

  • (For patients who have already undergone a prior neurological evaluation)
  • Targeted Neurological Exam + EMG + MEP 

                                                                                                                                                   CZK 3,900
Spine Neuroelectrodiagnostics Only 

  • (For patients who strictly require electrophysiology)
  • EMG + MEP testing without clinical assessment 

                                                                                                                                                       CZK 3,500

Complete Price List -) here


Appointment Organization at the Vertebrogenic Centre - Pre-Operative Packages

Please note that the clinical neurological examination and the electrophysiological tests (EMG and MEP) do not take place on the same day. Due to clinic capacity and technical requirements, it is necessary to complete these evaluations during two separate appointments.Booking is managed exclusively via e-mail, where we will arrange the earliest available dates for both parts of your workup:

📧 neurologie@neurologiemistrikova.cz



⭐ Who the Centre Is Designed For

  • Acute and chronic spinal pain (back pain)
  • Cervical, thoracic, and lumbar spine pain (neck, mid-back, and low-back pain)
  • Radicular (nerve root) syndromes
  • Herniated / slipped discs
  • Cervicocranial and cervicobrachial syndromes
  • Sciatica (lumboischialgic syndrome) and lumbofemoral syndrome
  • Degenerative spinal disorders
  • Patients with spinal pain prior to a scheduled neurosurgical or spine surgery consultation
  • Patients with spinal pain prior to a planned neurosurgical or spine surgery procedure


How to provide imaging and documentation: 

  • Please bring reports from previous physicians, examination results, and imaging on USB, CD or via e-PACS. 
  • If you have 5 or more documents, please send them in PDF format by email. 
  • In case of extensive documentation, a fee of 700 CZK per each started 30 minutes may be charged for review and preparation of a detailed medical report.