{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T04:42:52Z","timestamp":1781325772556,"version":"3.54.1"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T00:00:00Z","timestamp":1723075200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T00:00:00Z","timestamp":1723075200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spine Deform"],"published-print":{"date-parts":[[2025,1]]},"DOI":"10.1007\/s43390-024-00944-6","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T18:07:20Z","timestamp":1723140440000},"page":"261-272","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Does an improvement in cord-level intraoperative neuromonitoring data lead to a reduced risk for postoperative neurologic deficit in spine deformity surgery?"],"prefix":"10.1007","volume":"13","author":[{"given":"Nathan J.","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5595-4958","authenticated-orcid":false,"given":"Lawrence G.","family":"Lenke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell","family":"Yeary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Dionne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chidebelum","family":"Nnake","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Fields","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Simhon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ted","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varun","family":"Arvind","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Ferraro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Cooney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5118-8531","authenticated-orcid":false,"given":"Erik","family":"Lewerenz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6596-6488","authenticated-orcid":false,"given":"Justin L.","family":"Reyes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Roth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun Wai","family":"Hung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin K.","family":"Scheer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Zervos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Earl D.","family":"Thuet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph M.","family":"Lombardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8417-3798","authenticated-orcid":false,"given":"Zeeshan M.","family":"Sardar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald A.","family":"Lehman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3928-8972","authenticated-orcid":false,"given":"Fthimnir M.","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,8,8]]},"reference":[{"issue":"3","key":"944_CR1","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1097\/BRS.0000000000001338","volume":"41","author":"LG Lenke","year":"2016","unstructured":"Lenke LG et al (2016) neurologic outcomes of complex adult spinal deformity surgery: results of the prospective, multicenter Scoli-RISK-1 study. Spine (Phila Pa 1976) 41(3):204\u2013212","journal-title":"Spine (Phila Pa 1976)"},{"issue":"10","key":"944_CR2","doi-asserted-by":"publisher","first-page":"1733","DOI":"10.1016\/j.spinee.2018.02.001","volume":"18","author":"MG Fehlings","year":"2018","unstructured":"Fehlings MG et al (2018) Incidence and risk factors of postoperative neurologic decline after complex adult spinal deformity surgery: results of the Scoli-RISK-1 study. Spine J 18(10):1733\u20131740","journal-title":"Spine J"},{"issue":"13","key":"944_CR3","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1097\/BRS.0000000000002486","volume":"43","author":"S Kato","year":"2018","unstructured":"Kato S et al (2018) An analysis of the incidence and outcomes of major versus minor neurological decline after complex adult spinal deformity surgery: a subanalysis of Scoli-RISK-1 study. Spine (Phila Pa 1976) 43(13):905\u2013912","journal-title":"Spine (Phila Pa 1976)"},{"issue":"4","key":"944_CR4","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1007\/s43390-020-00140-2","volume":"8","author":"MF Halsey","year":"2020","unstructured":"Halsey MF et al (2020) Neurophysiological monitoring of spinal cord function during spinal deformity surgery: 2020 SRS neuromonitoring information statement. Spine Deform 8(4):591\u2013596","journal-title":"Spine Deform"},{"issue":"13","key":"944_CR5","doi-asserted-by":"publisher","first-page":"E414","DOI":"10.1097\/BRS.0b013e318175c292","volume":"33","author":"JA Lieberman","year":"2008","unstructured":"Lieberman JA et al (2008) The efficacy of motor evoked potentials in fixed sagittal imbalance deformity correction surgery. Spine (Phila Pa 1976) 33(13):E414\u2013E424","journal-title":"Spine (Phila Pa 1976)"},{"issue":"11","key":"944_CR6","doi-asserted-by":"publisher","first-page":"2440","DOI":"10.2106\/00004623-200711000-00015","volume":"89","author":"DM Schwartz","year":"2007","unstructured":"Schwartz DM et al (2007) Neurophysiological detection of impending spinal cord injury during scoliosis surgery. J Bone Joint Surg Am 89(11):2440\u20132449","journal-title":"J Bone Joint Surg Am"},{"issue":"Suppl 1","key":"944_CR7","doi-asserted-by":"publisher","first-page":"S105","DOI":"10.1007\/s00586-011-1756-z","volume":"20","author":"F Pastorelli","year":"2011","unstructured":"Pastorelli F et al (2011) The prevention of neural complications in the surgical treatment of scoliosis: the role of the neurophysiological intraoperative monitoring. Eur Spine J 20(Suppl 1):S105\u2013S114","journal-title":"Eur Spine J"},{"issue":"3","key":"944_CR8","doi-asserted-by":"publisher","first-page":"374","DOI":"10.3171\/2015.7.SPINE15466","volume":"26","author":"PD Thirumala","year":"2017","unstructured":"Thirumala PD et al (2017) Diagnostic accuracy of motor evoked potentials to detect neurological deficit during idiopathic scoliosis correction: a systematic review. J Neurosurg Spine 26(3):374\u2013383","journal-title":"J Neurosurg Spine"},{"issue":"4","key":"944_CR9","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1097\/BRS.0000000000003774","volume":"46","author":"K Kobayashi","year":"2021","unstructured":"Kobayashi K et al (2021) Efficacy of intraoperative intervention following transcranial motor-evoked potentials alert during posterior decompression and fusion surgery for thoracic ossification of the posterior longitudinal ligament: a prospective multicenter study of the monitoring committee of the japanese society for spine surgery and related research. Spine 46(4):268\u2013276","journal-title":"Spine"},{"issue":"9","key":"944_CR10","doi-asserted-by":"publisher","first-page":"3072","DOI":"10.1007\/s00586-023-07837-8","volume":"32","author":"A Angelliaume","year":"2023","unstructured":"Angelliaume A et al (2023) Intraoperative neurophysiological monitoring in scoliosis surgery: literature review of the last 10 years. Eur Spine J 32(9):3072\u20133076","journal-title":"Eur Spine J"},{"issue":"1","key":"944_CR11","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1007\/s43390-023-00745-3","volume":"12","author":"MC Gupta","year":"2024","unstructured":"Gupta MC et al (2024) Intraoperative neuromonitoring predicts postoperative deficits in severe pediatric spinal deformity patients. Spine Deform 12(1):109\u2013118","journal-title":"Spine Deform"},{"issue":"6","key":"944_CR12","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1097\/BRS.0000000000001774","volume":"42","author":"HJ Kim","year":"2017","unstructured":"Kim HJ et al (2017) Perioperative neurologic complications in adult spinal deformity surgery: incidence and risk factors in 564 patients. Spine (Phila Pa 1976) 42(6):420\u2013427","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1 Suppl","key":"944_CR13","doi-asserted-by":"publisher","first-page":"15S","DOI":"10.1177\/2192568219836993","volume":"9","author":"SJ Lewis","year":"2019","unstructured":"Lewis SJ et al (2019) Responding to intraoperative neuromonitoring changes during pediatric coronal spinal deformity surgery. Global Spine J 9(1 Suppl):15S-21S","journal-title":"Global Spine J"},{"issue":"8","key":"944_CR14","doi-asserted-by":"publisher","first-page":"E493","DOI":"10.1097\/BRS.0b013e3182880378","volume":"38","author":"JG Jarvis","year":"2013","unstructured":"Jarvis JG et al (2013) Responding to neuromonitoring changes in 3-column posterior spinal osteotomies for rigid pediatric spinal deformities. Spine (Phila Pa 1976) 38(8):E493-503","journal-title":"Spine (Phila Pa 1976)"},{"issue":"2","key":"944_CR15","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/s43390-020-00246-7","volume":"9","author":"PY Dikmen","year":"2021","unstructured":"Dikmen PY et al (2021) Intraoperative neuromonitoring practice patterns in spinal deformity surgery: a global survey of the scoliosis research society. Spine Deform 9(2):315\u2013325","journal-title":"Spine Deform"},{"issue":"13","key":"944_CR16","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1097\/BRS.0000000000003433","volume":"45","author":"CT Walker","year":"2020","unstructured":"Walker CT et al (2020) Neuroanesthesia guidelines for optimizing transcranial motor evoked potential neuromonitoring during deformity and complex spinal surgery: a delphi consensus study. Spine (Phila Pa 1976) 45(13):911\u2013920","journal-title":"Spine (Phila Pa 1976)"},{"issue":"5","key":"944_CR17","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1016\/j.jspd.2014.05.003","volume":"2","author":"MG Vitale","year":"2014","unstructured":"Vitale MG et al (2014) Best practices in intraoperative neuromonitoring in spine deformity surgery: development of an intraoperative checklist to optimize response. Spine Deform 2(5):333\u2013339","journal-title":"Spine Deform"},{"issue":"5","key":"944_CR18","doi-asserted-by":"publisher","first-page":"E10","DOI":"10.3171\/2012.9.FOCUS12235","volume":"33","author":"RR Lall","year":"2012","unstructured":"Lall RR et al (2012) Intraoperative neurophysiological monitoring in spine surgery: indications, efficacy, and role of the preoperative checklist. Neurosurg Focus 33(5):E10","journal-title":"Neurosurg Focus"},{"issue":"4","key":"944_CR19","doi-asserted-by":"publisher","first-page":"733","DOI":"10.1007\/s43390-022-00482-z","volume":"10","author":"RR Iyer","year":"2022","unstructured":"Iyer RR et al (2022) Establishing consensus: determinants of high-risk and preventative strategies for neurological events in complex spinal deformity surgery. Spine Deform 10(4):733\u2013744","journal-title":"Spine Deform"},{"issue":"4","key":"944_CR20","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1007\/s43390-022-00485-w","volume":"10","author":"LG Lenke","year":"2022","unstructured":"Lenke LG et al (2022) Development of consensus-based best practice guidelines for response to intraoperative neuromonitoring events in high-risk spinal deformity surgery. Spine Deform 10(4):745\u2013761","journal-title":"Spine Deform"},{"issue":"5","key":"944_CR21","doi-asserted-by":"publisher","first-page":"1131","DOI":"10.1007\/s43390-020-00141-1","volume":"8","author":"FE Silva","year":"2020","unstructured":"Silva FE, Lenke L (2020) Importance of intraoperative dynamic spinal cord mapping (DSCM) during complex spinal deformity surgery. Spine Deform 8(5):1131\u20131134","journal-title":"Spine Deform"},{"issue":"17","key":"944_CR22","doi-asserted-by":"publisher","first-page":"1387","DOI":"10.1097\/BRS.0000000000001531","volume":"41","author":"BL Raynor","year":"2016","unstructured":"Raynor BL et al (2016) Failure of intraoperative monitoring to detect postoperative neurologic deficits: a 25-year experience in 12,375 spinal surgeries. Spin (Phila Pa 1976) 41(17):1387\u20131393","journal-title":"Spin (Phila Pa 1976)"},{"issue":"10","key":"944_CR23","doi-asserted-by":"publisher","first-page":"2966","DOI":"10.3390\/jcm13102966","volume":"13","author":"G Guzzi","year":"2024","unstructured":"Guzzi G et al (2024) Intraoperative neurophysiological monitoring in neurosurgery. J Clin Med 13(10):2966","journal-title":"J Clin Med"},{"issue":"8","key":"944_CR24","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.14160","volume":"75","author":"PU Bidkar","year":"2021","unstructured":"Bidkar PU et al (2021) Intraoperative neurophysiological monitoring in pediatric neurosurgery. Int J Clin Pract 75(8):e14160","journal-title":"Int J Clin Pract"},{"issue":"4","key":"944_CR25","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1007\/s43390-020-00101-9","volume":"8","author":"JA Sielatycki","year":"2020","unstructured":"Sielatycki JA et al (2020) A novel MRI-based classification of spinal cord shape and CSF presence at the curve apex to assess risk of intraoperative neuromonitoring data loss with thoracic spinal deformity correction. Spine Deform 8(4):655\u2013661","journal-title":"Spine Deform"},{"issue":"18","key":"944_CR26","doi-asserted-by":"publisher","first-page":"1447","DOI":"10.1097\/BRS.0000000000001547","volume":"41","author":"XB Wang","year":"2016","unstructured":"Wang XB et al (2016) Deformity angular ratio describes the severity of spinal deformity and predicts the risk of neurologic deficit in posterior vertebral column resection surgery. Spine (Phila Pa 1976) 41(18):1447\u20131455","journal-title":"Spine (Phila Pa 1976)"},{"issue":"15","key":"944_CR27","doi-asserted-by":"publisher","first-page":"E879","DOI":"10.1097\/BRS.0000000000000984","volume":"40","author":"ND Lewis","year":"2015","unstructured":"Lewis ND et al (2015) The deformity angular ratio: does it correlate with high-risk cases for potential spinal cord monitoring alerts in pediatric 3-column thoracic spinal deformity corrective surgery? Spine (Phila Pa 1976) 40(15):E879\u2013E885","journal-title":"Spine (Phila Pa 1976)"},{"issue":"17","key":"944_CR28","doi-asserted-by":"publisher","first-page":"1478","DOI":"10.2106\/JBJS.15.01379","volume":"98","author":"AF Samdani","year":"2016","unstructured":"Samdani AF et al (2016) Reversible intraoperative neurophysiologic monitoring alerts in patients undergoing arthrodesis for adolescent idiopathic scoliosis: what are the outcomes of surgery? J Bone Joint Surg Am 98(17):1478\u20131483","journal-title":"J Bone Joint Surg Am"},{"issue":"8","key":"944_CR29","doi-asserted-by":"publisher","first-page":"E470","DOI":"10.1097\/BRS.0000000000002900","volume":"44","author":"G Yoshida","year":"2019","unstructured":"Yoshida G et al (2019) Alert timing and corresponding intervention with intraoperative spinal cord monitoring for high-risk spinal surgery. Spine (Phila Pa 1976) 44(8):E470-e479","journal-title":"Spine (Phila Pa 1976)"},{"issue":"3","key":"944_CR30","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1016\/j.spinee.2018.08.003","volume":"19","author":"A Tuchman","year":"2019","unstructured":"Tuchman A et al (2019) Unilateral versus bilateral lower extremity motor deficit following complex adult spinal deformity surgery: is there a difference in recovery up to 2-year follow-up? Spine J 19(3):395\u2013402","journal-title":"Spine J"},{"issue":"11","key":"944_CR31","doi-asserted-by":"publisher","first-page":"3243","DOI":"10.1007\/s00586-021-06969-z","volume":"30","author":"LG Lenke","year":"2021","unstructured":"Lenke LG et al (2021) The Scoli-RISK 1 results of lower extremity motor function 5 years after complex adult spinal deformity surgery. Eur Spine J 30(11):3243\u20133254","journal-title":"Eur Spine J"},{"key":"944_CR32","doi-asserted-by":"publisher","first-page":"2801663","DOI":"10.1155\/2022\/2801663","volume":"2022","author":"MR Jamaludin","year":"2022","unstructured":"Jamaludin MR et al (2022) Machine learning application of transcranial motor-evoked potential to predict positive functional outcomes of patients. Comput Intell Neurosci 2022:2801663","journal-title":"Comput Intell Neurosci"},{"issue":"1","key":"944_CR33","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1186\/s12911-023-02276-3","volume":"23","author":"J Wermelinger","year":"2023","unstructured":"Wermelinger J et al (2023) Opportunities and challenges of supervised machine learning for the classification of motor evoked potentials according to muscles. BMC Med Inform Decis Mak 23(1):198","journal-title":"BMC Med Inform Decis Mak"}],"container-title":["Spine Deformity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43390-024-00944-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s43390-024-00944-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s43390-024-00944-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T10:52:37Z","timestamp":1736765557000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s43390-024-00944-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,8]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["944"],"URL":"https:\/\/doi.org\/10.1007\/s43390-024-00944-6","relation":{},"ISSN":["2212-134X","2212-1358"],"issn-type":[{"value":"2212-134X","type":"print"},{"value":"2212-1358","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,8]]},"assertion":[{"value":"15 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Fthimnir M. Hassan, Erik Lewerenz, Nathan J. Lee, Mitchell Yeary, Alexandra Dionne, Chidebelum Nnake, Michael Fields, Matthew Simhon, Ted Shi, Varun Arvind, Anastasia Ferraro, Matthew Cooney, Justin L. Reyes, Steven Roth, Chun Wai Hung, Justin K. Scheer, Thomas Zervos, and Earl D. Thuet have no relevant financial or non-financial interests to disclose. Lawrence G. Lenke has received grant support from AO Spine, International Spine Summit Group, Scoliosis Research Society, EOS Technology and Setting Scoliosis Straight Foundation as a study investigator. Ronald A. Lehman has received grant support from the Department of Defense as a study investigator. Joseph M. Lombardi, Zeeshan M. Sardar, Ronald A. Lehman, and Lawrence G. Lenke have received consulting fees from Medtronic. Joseph M. Lombardi has received consulting fees from Stryker. Lawrence G. Lenke has received consulting fees from Acuity Surgical and Abryx. Lawrence G. Lenke has received reimbursements from Broadwater, AO Spine, and Scoliosis Research Society for attending meetings\/travel. Ronald A. Lehman and Lawrence G. Lenke have received royalties and are patent holders from Medtronic. Ronald A. Lehman has received royalties and is a patent holder from Stryker.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"AAAU8101.This retrospective chart review study involving human participants was in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Human Investigation Committee (IRB) of Columbia University Irving Medical Center approved this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}