Intraoperative Neuromonitoring (IONM)

For safe spine surgery, it is an integral part of many neuro spine surgical procedures.

It is a real-time monitoring of nerve tissue during surgery. Electrodes are placed over selected muscle belly, dermatomes, and the area around sphincters. All electrodes are connected to the software (modem). Different modality has been used and each has a specific application.

These modalities include motor evoked potentials (MEPs), somatosensory evoked potentials (SSEPs), electroencephalography (EEG), electromyography, brainstem auditory evoked potentials (BAEPs), etc.

Advantages:- Minimize neurological damage during surgery, identify important neural structures during surgery, and minimize or limit postoperative impairments, medico-legal aspect.