The potential impact of intraoperative neurophysiological monitoring on neurological function outcomes after postnatal spina bifida repair.

Introduction: The management of open neural tube defects (ONTD) has significantly improved with fetal surgery, but many children remain ineligible for fetal therapy. This study assesses the impact of intraoperative neurophysiological monitoring (IONM) during postnatal myelomeningocele (MMC) repair and its potential to optimize functional outcomes.

Patients And Methods: Seven newborns with thoracolumbar or lumbar MMC underwent postnatal surgical repair using IONM.