Intraoperative neuromonitoring in destabilized spine: development of an intraoperative checklist to optimize response. A Delphi consensus report.

Purpose: Neurological complications are among the most frightening risks in spine surgery. Intraoperative neuromonitoring (IONM) aims to quickly detect changes in the patient's neurology, allowing for actions that can reverse neurological deficits before they become irreversible. A checklist was proposed in 2014 in response to changes in neuromonitoring for correcting deformities in spine surgery; however, it was designed specifically for procedures on stable spines, which are different from oncological and degenerative spine surgery.