Neuromonitoring is a technology that allows the surgeon to assess spinal cord function during surgery through real-time feedback from individual nerve roots, motor tracts, and sensory tracts.

The multidisciplinary support of hardware and software development and the evolution of anesthesiology has not only made neuromonitoring possible in the present, but routine.

Types of Neuromonitoring

No single method adequately covers the complex functions of the spinal cord. The three most common types of neuromonitoring modalities used are:

  • Somatosensory Evoked Potentials (SSEPs): This process allows the surgeon to monitor sensory pathways and detect any perioperative neurologic changes.
  • Transcranial motor evoked potentials (MEPs): Using electrodes, the signal is measured at predetermined peripheral upper and lower extremity muscle group sites by recording electrodes.
  • Spontaneous and triggered electromyography (EMG:- tEMG recordings are obtained when the center of the tulip of the pedicle screw is stimulated, generating a response that is then recorded from the applicable muscle group.


The following spinal procedures benefit most from neuromonitoring:

  • Posterior cervical and thoracic decompressions
  • Intradural spinal cord surgery (e.g. intradural intra and extramedullary tumors)
  • Spinal Deformity Surgery
  • Complex Revision Surgery


At D Spine Clinic We Make Use Of Such State Of The Art Intra-Operative Neuromonitoring Technologies To Provide A Safe And Secure Treatment For Our Patients