Best Practices in Intraoperative Neuromonitoring

Delphi Consensus Report: Best Practices in Intraoperative Neuromonitoring in Spine Deformity Surgery: Development of an Intraoperative Checklist to Optimize Response

Study Design: Consensus-based creation of a checklist and guideline.
Objective: To develop a consensus-based checklist to guide surgeon responses to intraoperative neuromonitoring (IONM) changes inpatients with a stable spine and to develop a consensus-based best practice guideline for IONM practice in the United States.
Summary of Background Data: Studies show that checklists enhance surgical team responses to crisis situations and improve patient outcomes. Currently, no widely accepted guidelines exist for the response to IONM changes in spine deformity surgery.