ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Intraoperative neuromonitoring use in posterior endoscopic cervical decompression: can it reduce complications?
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Toward a Candidate Endoscopic Spine Surgery Registry Framework: Lessons From Global Spine Registry Models.Neurospine · 2026Article
- Intraoperative neuromonitoring in endoscopic cervical decompression: a signal-event-response perspective.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to address the challenges and explore potential solutions for improving IONM utilization. Posterior endoscopic cervical decompression (PECD) relieves pressure on the exiting nerve root and spinal cord, potentially leading to improvements in patient symptoms. The routine use of intraoperative neuromonitoring (IONM) currently remains debatable, despite its ability to provide additional real-time neurological observation beyond standard practice.
methodsIn this retrospective cohort study, we investigated the clinical data of 140 patients with single-segment cervical spondylotic radiculopathy (CSR) or herniated nucleus pulposus (HNP) from 2020 to 2023. Seventy patients underwent PECD with IONM (IONM group), whereas the remaining 70 patients did not undergo IONM. For both groups, neurological status, IONM data, duration of surgery, and complications were recorded. The curative effect was assessed based on the Neck Disability Index (NDI), visual analog scale (VAS) for arm and neck discomfort, and the modified MacNab criteria.
resultsOne hundred and forty patients diagnosed with unilateral single-segment CSR or HNP were included; 70 patients underwent PECD with IONM, 60 showed IONM changes, whereas 10 did not. Despite this, all 140 patients in both groups experienced postoperative neurological improvement without deficits, with significant enhancements in the VAS, NDI, and modified MacNab criteria scores, notably at the 12-month mark.
conclusionIONM enhances surgical decision-making and strengthens surgeon confidence despite its limited predictive ability for postoperative deficits. IONM alarms swiftly identify and address potential complications, thereby supporting patient safety. Continued advancements in IONM technology hold promise for further optimization of orthopedic surgical outcomes.
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Registered trials
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