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Responding to Intraoperative Neuromonitoring Changes During Pediatric Coronal Spinal Deformity Surgery.

Stephen J LewisIan H Y WongSamuel StrantzasLaura M HolmesIan VreugdenhilHailey BenskyChristopher J NielsenReinhard ZellerDavid E LebelMarinus de KleuverNiccole GermscheidAhmet AlanaySigurd BervenKenneth M C CheungManabu ItoDavid W PollyChristopher I ShaffreyYong QiuLawrence G Lenke
Published in: Global spine journal (2019)
A high incidence of alerts occurred in this series of cases. Dividing IONM changes into perfusion-based vs direct trauma directed treatment to the offending cause, allowing for safe corrections of the deformities. Patients did not need to recover IONM signal to baseline to have a normal neurological examination.
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