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As intraoperative neuromonitoring (IONM) solidifies its role in spine surgery, its future will be driven by technological innovation, greater standardization, and a focus on measurable therapeutic impact. This forward-looking perspective from the NASS Section on IONM reviews current service models and usage patterns, and explores how artificial intelligence, machine learning, and integration with navigation and robotics could enhance accuracy and streamline communication. The authors highlight the need for large, harmonized datasets, standardized indications, optimized modality and anesthetic planning, and robust alert-response protocols. With insights on emerging automated platforms, evolving professional roles, and the link between alert resolution and patient outcomes, this article offers a concise roadmap for advancing IONM to improve safety and outcomes in spinal surgery.
Up to 0.5 CME available.
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