Background:

Spinal deformity surgery carries the risk of loss of neurological function which may be permanent. Although the overall the incidence is low it is much higher in complex congenital deformities or those with pre-existing myelopathy. Intra-operative spinal cord monitoring allows this risk to be reduced by providing feedback to the surgeon while the corrective manoeuvres are performed.

Although ideally a trained technician with multimodal monitoring is recommended, it is often not an option in a resource limited environment and surgeon operated technology is used.