Diagnostic Performance and Clinical Outcomes of Intraoperative Neuromonitoring in Adolescent Idiopathic Scoliosis: A Comprehensive Analysis of 5,206 Patients
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The authors aimed to identify curve-specific risk factors for intraoperative neuromonitoring (IONM) alerts during spinal fusion surgery for adolescent idiopathic scoliosis (AIS) in a cohort of 5,206 patients. They found that IONM alerts occurred in 5% of patients, with a significant association to larger preoperative major Cobb angles and specific Lenke classifications, but noted that alerts did not adversely affect 2-year surgical correction outcomes. Overall, the study highlights the importance of monitoring and understanding risk factors associated with IONM alerts in AIS surgeries.
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