ArticleSpine deformity2026
Intraoperative neurophysiological monitoring changes during surgical correction of pediatric neuromuscular scoliosis: a single-institution report.
Article in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Diagnostic Accuracy of Intraoperative Neurophysiologic Monitoring in Spinal Deformity Surgery: Systematic Review and Meta-Analysis.Global spine journal · 2026Review
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIntraoperative neurophysiological monitoring (IONM) is a tool that can improve safety during spinal surgery. Patients with neuromuscular scoliosis (NMS) have inherent neural axis or primary muscle pathology that may present challenges to neuromonitoring. An understanding of IONM event rates, patterns, and outcomes would better prepare surgeons to counsel patients and families.
methodsIONM data from pediatric spine deformity correction procedures in patients with neuromuscular scoliosis at a single quaternary care center between 2012 and 2022 were reviewed to determine cases with monitorable IONM data as well as cases with IONM events. Surgical data and radiographic measures were compared between cases with and without lower extremity IONM events.
results443 surgical cases were reviewed with 404 (91.2%) monitorable. Of monitorable cases, 37 (9.2%) cases had an IONM event. There were 363 (82.0%) cases were monitorable from the lower extremities, and of these, there were 27 (7.4%) cases had IONM events. One case (1/363 = 0.3%) had clinically identifiable post-surgical neurological complications. Statistical comparisons revealed more blood loss (p = 0.0473) and a trend toward more severe deformity angular ratio (p = 0.07) in cases with lower extremity intraoperative IONM events than those without.
conclusionThis study provides an estimate of IONM events and clinically identifiable neurological injury for children with neuromuscular scoliosis. These rates were similar to those reported in studies of other populations of children with spine deformity which supports the feasibility of IONM. Our data suggest that lower extremity IONM events tend to happen in more severe spine deformity cases.
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Registered trials
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