Evidence map›Paper›PMID 42806212›Full record

ArticleSpine deformity2026

Best Practice Guidelines for the Execution of Intraoperative Neuromonitoring in Spine Deformity Surgery.

Jason B Anari, Alexander M Park, Michael W Brown, Mehdi M Elfilali, Katerina M Kourpas, Benjamin B Bruins, Alier Franco, Anil Mendiratta, Teeda Pinyavat, Jonathan Umina and 10 more

Abstract read
PubMed Publisher
In one paragraph

Article in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Jason B AnariThe Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Alexander M ParkColumbia University Irving Medical Center, New York, NY, USA. apark2@student.nymc.edu.ORCID http://orcid.org/0000-0002-4644-2571
Michael W BrownColumbia University Irving Medical Center, New York, NY, USA.
Mehdi M ElfilaliColumbia University Irving Medical Center, New York, NY, USA.
Katerina M KourpasThe Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Benjamin B BruinsThe Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Alier FrancoDivision of Pediatric Intraoperative Neuromonitoring, SpecialtyCare, Nashville, TN, USA.
Anil MendirattaColumbia University Irving Medical Center, New York, NY, USA.
Teeda PinyavatColumbia University Irving Medical Center, New York, NY, USA.
Jonathan UminaPrimary Children's Hospital, Salt Lake City, UT, USA.
Samuel StrantzasThe Hospital for Sick Children, Toronto, Canada.
Rajiv SethiThe University of California San Francisco, San Francisco, CA, USA.
Stephen LewisToronto Western Hospital, University Health Network, Toronto, Canada.
Rajiv R IyerDepartment of Neurosurgery, University of Utah, Salt Lake City, UT, USA.
Richard MengerDepartment of Neurosurgery, University of South Alabama, Mobile, AL, USA.
Daniel J SucatoTexas Scottish Rite Hospital for Children, Dallas, TX, USA.
Kenneth D IllingworthCedars-Sinai Medical Center, Los Angeles, CA, USA.
Amer F SamdaniShriners Children's Philadelphia, Philadelphia, PA, USA.
Lawrence G LenkeColumbia University Irving Medical Center, New York, NY, USA.
Michael G VitaleColumbia University Irving Medical Center, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To develop expert consensus-based guidelines for the execution of intraoperative neuromonitoring (IONM) in routine adolescent idiopathic scoliosis (AIS) and high-risk spinal deformity cases, with the goal to reduce variability in monitoring practices, optimize patient safety and care, and provide a clear framework for operative teams to reference. A modified Delphi process was used to establish expert consensus on best practices for IONM execution. Three consecutive rounds, each including an online survey and a virtual meeting, were conducted among 16 multidisciplinary experts (pediatric and adult orthopedic and neurosurgical spine surgeons, anesthesiologists, neurologists, and neurophysiologists), followed by a fourth online survey to finalize consensus. An 80% agreement threshold for proposed consensus items was set throughout the process. Items that did not reach consensus were refined based on feedback and redistributed in subsequent rounds. Items that met consensus across all the rounds were incorporated into the final best practice guidelines. Across the three rounds, 14 (87.5%), 13 (81.6%), and 14 (87.5%) experts completed the questionnaires and 12 (75.0%), 11 (68.8%), and 13 (81.6%) experts attended the virtual meetings. All 16 (100%) experts completed the final survey. The expert panel reached consensus on 27 items in the AIS cohort and 25 items in the high-risk cohort; final consensus items were organized into IONM Timeline Checklists for the AIS and high-risk cohorts. Multidisciplinary expert consensus-based guidelines for IONM practices were successfully established intended to standardize neuromonitoring practices, reduce variability in care, and facilitate efforts to improve neurologic safety for AIS and high-risk patients undergoing spinal deformity surgery.

Indexed as

Adolescent idiopathic scoliosisBest practice guidelineExpert consensusHigh riskIntraoperative neuromonitoringIntraoperative neurophysiological monitoringIONMSpinal deformity

Identifiers

PMID42806212

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.