Intraoperative Neuromonitoring (IONM) also called as Intraoperative neurophysiological monitoring is a procedure that uses specialized equipment to evaluate function of nervous system including nerves and spinal cord during neural surgeries. The role of intraoperative neuromonitoring is to provide immediate feedback and warning to the surgeon for prevention of permanent nerve injury as a result of iatrogenic damage. The IONM is usually employed as it increases safety and improves outcomes during a spine surgery. The neural activity is measured in terms of electrically evoked potentials from the nerves with the help of an equipment called electroencephalogram (EEG). The intraoperative neuromonitoring is beneficial to the patient as it allows the assessment of nerve tissue function during surgery, making the surgery safe as compared to conventional hardware tests such as X-rays and CT scans. The IONM is also quick, painless, easy and inexpensive. It can record the nerve function multiple times or even throughout the entire process of surgery. Increasing number of mortality during spinal surgeries major factor driving the growth of global intraoperative neuromonitoring market. For instance, according to a research survey conducted by Scoliosis Research Society, U.S, a total of 197 mortalities was reported among 108,419 patients that had undergone neural surgery.

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The global intraoperative neuromonitoring market was valued at US$ 2,632.4 million in 2016 and is expected to witness a robust CAGR of 6.53% over the forecast period (2017 - 2025).
Market Dynamics
The high risk to nervous system associated with surgeries increases demand for intraoperative neuromonitoring, which is major factor driving growth of the global intraoperative neuromonitoring market. According to the National Centre for Biotechnology Information (NCBI) 2014, iatrogenic nerve injuries accounted for 17.4% of the total traumatic nerve injuries. Moreover, according to World Health Organization (WHO) factsheet of 2015, around 80% disorders in the disabling conditions are neurological. The favorable reimbursement scenario is also responsible to fuel the market growth. However, lack of skilled professionals to operate these systems and lack of awareness regarding neuromonitoring facilities in emerging countries are some factors that are responsible to restrain the growth of the global intraoperative neuromonitoring market.
Increasing number of surgical failure leading to iatrogenic damage is one of the prominent factor responsible for the growth of intraoperative neuromonitoring market. For instance, according to a research survey published by Laser Spine Institute LLC 2015, an estimated 400,000 people undergo a spinal surgery in the U.S. annually and 30-40% of patients were reported to be suffering from post-operative complications. Moreover, according to The American Laryngological, Rhinological and Otological Society 2013, an estimated 6% of the cases undergoing facial nerve injury suffered from iatrogenic facial nerve injury due to lack of care during surgical procedures. The benefits offered by the Intraoperative Neuromonitoring are leading to rise in the adoption of these units by various surgical facilities. For instance, according to the International Journal of Spine Surgery 2017, the use of IONM in scoliosis surgical procedures was recorded to be 27% in 2005 that has witnessed a rise of 46.9% in 2011. However, lack of skilled professionals and low awareness of IONM in emerging economies are expected to hinder the market growth.

Key players operating the global intraoperative neuromonitoring market include Accurate Monitoring, Inomed Medizintechnik GmbH, Neuromonitoring Technologies, Natus Medical Incorporated, Medtronic, Biotronic NeuroNetwork, NuVasive Inc., Sentient Medical Systems, and SpecialityCare.

Detailed Segmentation:
• Global Intraoperative Neuromonitoring Market, By Modality:
◦ Sub-Sensory Evoked Potentials
◦ Motor-Sensory Evoked Potentials
▪ Brainstem Auditory Evoked Potentials
▪ Visual Evoked Potentials
▪ Somatosensory Evoked Potentials
◦ Mapping of Motor Cortex
• Global Intraoperative Neuromonitoring Market, By Source Type:
◦ Insourced Monitoring
◦ Outsourced Monitoring
• Global Intraoperative Neuromonitoring Market, By End User:
◦ Hospitals
◦ Ambulatory Surgical Centers
◦ Others
• Global Intraoperative Neuromonitoring Market, By Geography:
◦ North America
◦ Europe
◦ Asia Pacific
◦ Latin America
◦ Middle East
◦ Africa

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