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<p>Intraoperative neuromonitoring (IONM) is widely used to enhance safety in spine surgery, yet its clinical value remains debated. We propose a signal–event–response framework to interpret neuromonitoring alerts, emphasizing the interaction between electrophysiological signals, intraoperative events, and corrective responses. This perspective may help clarify the role of IONM in endoscopic cervical decompression and other minimally invasive spine procedures.</p>

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Intraoperative neuromonitoring in endoscopic cervical decompression: a signal–event–response perspective

  • 期刊论文

  • 发表日期：

    2026年4月20日

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  • Jongsuk Choi

摘要

Intraoperative neuromonitoring (IONM) is widely used to enhance safety in spine surgery, yet its clinical value remains debated. We propose a signal–event–response framework to interpret neuromonitoring alerts, emphasizing the interaction between electrophysiological signals, intraoperative events, and corrective responses. This perspective may help clarify the role of IONM in endoscopic cervical decompression and other minimally invasive spine procedures.