
A retrospective series of 5,317 pediatric spinal deformity surgeries (1992‑2024) found intraoperative neuromonitoring (IONM) alerts in 4.2% of cases, most often during correction. The study recorded 237 alerts and 348 interventions, with raising mean arterial pressure (MAP) being the most common fix (91 instances). Signal recovery occurred in 156 patients, and permanent neurologic deficits dropped to 0.15% (8/5,312) after protocol‑driven responses. The findings highlight blood pressure management as the key lever to protect the spinal cord.

The post argues that surgeon awareness creates interest, which leads to adoption and ultimately reshapes orthopedic markets. OTW positions itself as a catalyst by showcasing research to the most influential spine surgeons. It invites researchers to submit their work through...