Intraoperative Monitoring for Spinal Surgery

Neurol Clin. 2022 May;40(2):269-281. doi: 10.1016/j.ncl.2021.11.006. Epub 2022 Mar 31.


The use of intraoperative neuromonitoring (IONM) can improve surgical outcomes. Although inclusion of IONM is considered standard practice in more complicated spine surgeries, there are no national-level guidelines for the usage of IONM in spine surgery. Technical advancement in IONM has increased both its sensitivity and specificity, and with a recently developed algorithmic checklist it can be more easily adopted by the surgical team in their practice.

Keywords: Intraoperative neuromonitoring; Motor evoked potentials; Somatosensory evoked potentials; Spine surgery.

Publication types

  • Review

MeSH terms

  • Evoked Potentials, Motor
  • Evoked Potentials, Somatosensory
  • Humans
  • Intraoperative Neurophysiological Monitoring*
  • Neurosurgical Procedures
  • Retrospective Studies