Intra Operative NeuroPhysiological Monitoring- IONM

The risks are minimal but they are real, and when you are not using the advanced technology and knowledge available to assess and safeguard the patients from risks of nerve damage or paralysis, your care is flawed and pretty dangerous, if you can spent 25 thousands for surgery and do not use Neuromonitoring that might cost another thousand or two, and you think that is cost effective, then something wrong with such ideas. Bringing safety inside OR must be the top priority of an operating surgeon (performing surgeon). There are several vascular or neurological complications happen during spine surgical procedures that may not be identified timely if you do not use neuromonitoring techniques, and when you find out after the surgery, it is too late.   I agree with Professor Fessler, right views when it comes to the benefits and cost effectiveness of IONM. However, totally regard this is yet another Rat and Mice study that is irrelevant to the better care and safe outcome of surgerie