Ensuring Safety in Spine Surgery: The Role of Neuromonitoring
Spine surgery requires exceptional precision, as even minor disruptions to spinal nerves can affect movement, sensation, or organ function. Intraoperative Neuromonitoring (IONM) plays a critical role in enhancing surgical safety by continuously monitoring nerve and spinal cord function throughout the procedure.
IONM provides real-time feedback to the surgical team, allowing immediate response to any changes that may indicate potential nerve compromise. This technology is especially essential during scoliosis correction, cervical spine surgery, revision surgeries, and complex deformity procedures.
Dr. Vishal Kundnani integrates advanced neuromonitoring systems into all major spine surgeries to ensure maximum safety, accuracy, and optimal patient outcomes.
🔍 What Is Intraoperative Neuromonitoring (IONM)?
IONM uses specialized equipment to track the electrical activity of:
- Spinal cord
- Peripheral nerves
- Brain pathways
It helps the surgical team detect changes instantly, minimizing risk and improving surgical success.
Common monitoring techniques include:
- Somatosensory Evoked Potentials (SSEPs)
- Motor Evoked Potentials (MEPs)
- EMG monitoring
- Triggered screw stimulation
🛡️ Why Neuromonitoring Is Essential in Spine Surgery
1. Reduces Risk of Neurological Injury
Identifies potential nerve or spinal cord compromise instantly.
2. Enhances Surgical Precision
Guides safe screw placement, deformity correction, and decompression.
3. Real-Time Alerts During Critical Steps
Allows surgeons to adjust immediately, avoiding long-term complications.
4. Improves Outcomes in Complex Cases
Vital for scoliosis, cervical instability, tumors, and revision surgeries.
5. Complements Advanced Techniques
Works seamlessly with minimally invasive techniques, robotic surgery, and navigation systems.
🩺 Conditions Where Neuromonitoring Is Most Important
- Severe scoliosis & kyphosis
- Cervical spine surgery
- Complex deformity correction
- Spinal tumors
- Revision spine surgery
- Congenital abnormalities
- Minimally invasive procedures near nerve roots
IONM is now considered a standard of care in modern spine surgery.
🤖 Neuromonitoring + Robotic Spine Surgery = Maximum Safety
When combined with robotics and 3D navigation, neuromonitoring:
- Ensures safe implant placement
- Reduces risk to delicate spinal structures
- Enhances accuracy in deformity correction
- Supports minimally invasive approaches
Dr. Kundnani uses all three technologies together for superior surgical safety.
State-of-the-Art Facilities Across Mumbai
Neuromonitoring services are available at:
- Lilavati Hospital
- Bombay Hospital
- Breach Candy Hospital
- Saifee Hospital
These centers provide world-class monitoring systems and trained neurophysiology teams.
⭐ Why Choose Dr. Vishal Kundnani?
- Leading spine surgeon with extensive experience in neuromonitoring-assisted surgeries
- Specialist in scoliosis, cervical, and complex spine procedures
- Combines robotics, navigation & neuromonitoring for maximum safety
- Director & Head of Spine Services at Lilavati & Bombay Hospitals
- Clinics in South Mumbai, Bandra, Goregaon & Borivali
📞 Call 9619100123 – Consult Dr. Vishal Kundnani, top spine surgeon in India.
FAQ – Neuromonitoring in Spine Surgery
- What is intraoperative neuromonitoring (IONM)?
A technique that monitors nerve and spinal cord function during surgery to prevent neurological injury.
- Do all spine surgeries require neuromonitoring?
Major surgeries, including scoliosis, cervical spine procedures, and deformity corrections, strongly benefit from IONM.
- Is neuromonitoring safe?
Yes. It is a non-invasive and highly reliable technology used worldwide.
- Does neuromonitoring reduce surgical risks?
Absolutely—IONM provides real-time alerts, helping surgeons avoid nerve damage.
- How does neuromonitoring work with robotic surgery?
It adds an extra layer of safety by monitoring nerve function while robotics ensures precise screw placement.
- Where does Dr. Kundnani perform neuromonitoring-assisted surgeries?
At Lilavati, Bombay, Breach Candy, and Saifee Hospitals in Mumbai.
- How do I book an appointment?
📞 Call 9619100123 to schedule your consultation.