August 7, 2026 · The Journal of bone and joint surgery. American volume · DOI: 10.2106/JBJS.25.01192

The SCARE Score: A Simplified Risk Score for Predicting Intraoperative Neuromonitoring Signal Loss in Pediatric Spinal Deformity Surgery

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This study aims to identify preoperative parameters associated with intraoperative neuromonitoring (IONM) signal loss during pediatric spinal deformity surgery, ultimately developing a simplified risk score called the SCARE score. The SCARE score incorporates factors such as spinal cord morphology and deformity angular ratio, allowing surgeons to predict the likelihood of IONM signal loss, which occurred in 24% of cases analyzed. The score is designed to enhance surgical planning and improve patient safety, pending further external validation.

D M Moore, D Keohane, S Haffey, J Noel, P Kiely, P O'Kelly, D P Moore, J Kennedy

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