{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:51:50Z","timestamp":1776300710469,"version":"3.50.1"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T00:00:00Z","timestamp":1758067200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Spinal tuberculosis (TB), also known as Pott's spine, remains a significant cause of spinal deformity and neurological compromise, particularly in endemic regions. Surgical correction of chronic deformities is associated with significant risks, including spinal cord injury. Intraoperative neurophysiological monitoring (IONM) has become an essential tool to minimize neurological complications. We report a case of an adolescent boy with longstanding thoracolumbar kyphosis due to spinal TB, where IONM identified true positive motor pathway compromise during deformity correction, despite intraoperative C-arm imaging confirming correct pedicle screw placement. Surgery was halted, and staged completion was planned. Postoperative neurological deficits confirmed the predictive validity of IONM. This case highlights the indispensable role of IONM in surgical decision-making, particularly in complex TB-related deformities where imaging alone may be insufficient to prevent neurological injury.<\/jats:p>","DOI":"10.1055\/s-0045-1811691","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T23:19:06Z","timestamp":1758151146000},"page":"139-146","source":"Crossref","is-referenced-by-count":0,"title":["Value of Intraoperative Neuromonitoring in Spinal Tuberculosis Surgery: A Case Report of Neurological Compromise with Normal Imaging"],"prefix":"10.1055","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9712-4290","authenticated-orcid":false,"given":"Yogesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Physiology, All India Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avinash","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, All India Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9239-5171","authenticated-orcid":false,"given":"Zakiyyah","family":"Tasneem","sequence":"additional","affiliation":[{"name":"Department of Physiology, All India Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2551-5521","authenticated-orcid":false,"given":"Nirangjhana","family":"Sivasubramanian","sequence":"additional","affiliation":[{"name":"Department of Physiology, All India Institute of Medical Sciences, Patna, Bihar, 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potential risk factors for neurological monitoring changes","volume":"25","author":"B Feng","year":"2012","journal-title":"J Spinal Disord Tech"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"S105","DOI":"10.1007\/s00586-011-1756-z","article-title":"The prevention of neural complications in the surgical treatment of scoliosis: the role of the neurophysiological intraoperative monitoring","volume":"20","author":"F Pastorelli","year":"2011","journal-title":"Eur Spine J"},{"issue":"14","key":"ref11","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1097\/BRS.0b013e3181a87b66","article-title":"Intraoperative multimodality monitoring in adult spinal deformity: analysis of a prospective series of one hundred two cases with independent evaluation","volume":"34","author":"N A Quraishi","year":"2009","journal-title":"Spine"},{"issue":"17","key":"ref12","first-page":"1963","article-title":"Increased risk of postoperative neurologic deficit for adult spinal deformity patients with preoperative neurologic deficits","volume":"31","author":"E D Thuet","year":"2006","journal-title":"Spine"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s43390-020-00246-7","article-title":"Intraoperative neuromonitoring practice patterns in spinal deformity surgery: a global survey of the Scoliosis Research Society","volume":"9","author":"P Y Dikmen","year":"2021","journal-title":"Spine Deform"},{"issue":"10","key":"ref14","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1007\/s00586-009-1067-9","article-title":"Posterior-only multilevel modified vertebral column resection for extremely severe Pott's kyphotic deformity","volume":"18","author":"Y Wang","year":"2009","journal-title":"Eur Spine J"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"26","DOI":"10.22603\/ssrr.2022-0126","article-title":"Current trends in intraoperative spinal cord monitoring: a survey analysis among Japanese expert spine surgeons","volume":"7","author":"H Shigematsu","year":"2022","journal-title":"Spine Surg Relat Res"},{"issue":"01","key":"ref16","first-page":"134","article-title":"A comparative study of the use of intraoperative neuromonitoring in deformity correction surgery with and without staged anterior release","volume":"7","author":"A Agarwal","year":"2019","journal-title":"Spine Deform"}],"container-title":["Asian Journal of 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