Intraoperative Neurophysiology Monitoring

  • Mihir Gupta
  • Sandra E. Taylor
  • Richard A. O’Brien
  • William R. TaylorEmail author
  • Laura Hein


Intraoperative neurophysiology monitoring (IONM) provides valuable adjunctive information to the surgical team, enhancing their understanding of the patient’s anatomy with the goal of improving patient outcomes and reducing complications. This chapter discusses the roles of specific IONM modalities in minimally invasive spine surgery. The role of IONM in the placement of percutaneous pedicle screws and the far lateral approach to the lumbar spine are described.


Dermatomal somatosensory-evoked potentials (DSEP) Electromyography (EMG) Intraoperative neurophysiology monitoring (IONM) Minimally invasive spinal surgery (MISS) Motor-evoked potentials (MEP) Multimodality monitoring Somatosensory-evoked potentials (SSEP) Spontaneous electromyography (SpEMG) Transcranial motor-evoked potentials (TcMEP) Triggered electromyography (TrEMG) 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mihir Gupta
    • 1
  • Sandra E. Taylor
    • 2
  • Richard A. O’Brien
    • 3
  • William R. Taylor
    • 4
    Email author
  • Laura Hein
    • 4
  1. 1.Department of NeurosurgeryUniversity of California San Diego Health SystemSan DiegoUSA
  2. 2.Scrips Research InstituteScripps HealthLa JollaUSA
  3. 3.Safeop Surgical, Inc.Hunt ValleyUSA
  4. 4.Department of NeurosurgeryUniversity of California San DiegoSan DiegoUSA

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