{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T09:04:15Z","timestamp":1780131855999,"version":"3.54.0"},"reference-count":66,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>The aim of this study was to identify trends in medical malpractice litigation related to intraoperative neuromonitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The Westlaw Edge legal research service was queried for malpractice litigation related to neuromonitoring in spine surgery. Cases were reviewed to determine if the plaintiff\u2019s assertion of negligence was due to either failure to use neuromonitoring or negligent monitoring. Comparative statistics and a detailed qualitative analysis of the resulting cases were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Twenty-six cases related to neuromonitoring were identified. Spinal fusion was the procedure in question in all cases, and defendants were nearly evenly divided between orthopedic surgeons and neurosurgeons. Defense verdicts were most common (54%), followed by settlements (27%) and plaintiff verdicts (19%). Settlements resulted in a mean $7,575,000 damage award, while plaintiff verdicts resulted in a mean $4,180,213 damage award. The basis for litigation was failure to monitor in 54% of the cases and negligent monitoring in 46%. There were no significant differences in case outcomes between the two allegations of negligence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The use and interpretation of intraoperative neuromonitoring findings can be the basis for a medical malpractice litigation. Spine surgeons can face malpractice risks by not monitoring when required by the standard of care and by interpreting or reacting to neuromonitoring findings inappropriately.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2020.8.focus20580","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T12:42:51Z","timestamp":1604320971000},"page":"E19","source":"Crossref","is-referenced-by-count":14,"title":["Damned if you monitor, damned if you don\u2019t: medical malpractice and intraoperative neuromonitoring for spinal surgery"],"prefix":"10.3171","volume":"49","author":[{"given":"Jeffrey","family":"Hatef","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, The Ohio State University Wexner Medical Center;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miki","family":"Katzir","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, The Ohio State University Wexner Medical Center;"},{"name":"Department of Neurological Surgery, The Ohio State University Wexner Medical Center, The James Cancer Hospital and Solove Research Institute, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel","family":"Toop","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, The Ohio State University Wexner Medical Center;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Islam","sequence":"additional","affiliation":[{"name":"Section of Child Neurology, Department of Pediatrics, Nationwide Children\u2019s Hospital and The Ohio State University;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trevor","family":"Clark","sequence":"additional","affiliation":[{"name":"Associate General Counsel, Office of Legal Affairs and Risk Management, The Ohio State University Wexner Medical Center;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Roscoe","sequence":"additional","affiliation":[{"name":"Associate General Counsel, Office of Legal Affairs and Risk Management, The Ohio State University Wexner Medical Center;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safdar","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Spine Surgery, Department of Orthopaedic Surgery, The Ohio State University Wexner Medical Center; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehud","family":"Mendel","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, The Ohio State University Wexner Medical Center;"},{"name":"Department of Neurological Surgery, The Ohio State University Wexner Medical Center, The James Cancer Hospital and Solove Research Institute, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"25","key":"b1","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2167","DOI":"10.1097\/BRS.0b013e3181f6f0d0","article-title":"Intraoperative electrophysiological monitoring in spine surgery","volume":"35","author":"Malhotra NR","year":"2010","unstructured":"Malhotra NR, Shaffrey CI. 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