Impact of multimodal intraoperative neurophysiological monitoring of the spinal cord during spine and spinal cord surgeries

Abstract Background There is growing evidence of the valuable role multimodal intraoperative neurophysiological monitoring (IONM) during spine and spinal cord surgeries, as it provides an opportunity to recognize functional changes neural elements, usually in reversible stage, complex surgical manipulations. Therefore, may reduce risk postoperative neurological dysfunction improve outcomes. The aim current study was evaluate efficacy IONM for preventing predicting iatrogenic surgeries. Results Significant alerts had occurred 9 out 24 patients; however, all were did not contribute clinical deterioration. Only one case got worsened early follow-up period, with stable monitoring. Conclusion Intraoperative a tool Combined transcranial motor-evoked potential (TcMEP), somatosensory-evoked (SSEP), spontaneous electromyography (EMG) prevent permanent motor deficit enhance