Expert Opinion in ION for Legal Counsel

About Intraoperative Neurophysiology

Intraoperative neurophysiology (ION), also known as intraoperative neuromonitoring, intraoperative

neurophysiologic monitoring ( IONM) , or neurophysiologic intraoperative monitoring (NIOM), employs

electrophysiologic techniques that enable reliable visualization of nervous system functions during brain, spine, vascular, or cardiac surgeries. When performed accurately, ION techniques help identify, map, and/or continuously monitor critical nervous system components at risk of injury, allowing early detection and reversal of dysfunction. This real-time information must be delivered promptly and integrated into the multidisciplinary efforts in the operating room, enabling surgical and anesthesia teams to make swift adjustments to prevent permanent neurological damage.

The ultimate goal is to reduce the risk of postoperative deficits affecting motor, sensory, bowel, walking, speech, vision, hearing, swallowing, or breathing functions.

In particular, ION plays a crucial role in neuromapping and neuromonitoring during spine surgeries, providing real-time tracking of neural function to prevent severe complications such as paralysis. Its use has become

increasingly standard in specific spine procedures; however, this rise has also led to a surge in malpractice claims related to its misuse or omission, highlighting the importance of proper application and

understanding of these techniques.

Offerings

Review and analyze intraoperative neurophysiology (ION) data and medical records.
Provide detailed case assessment and expert opinion tailored for legal purposes, helping to clarify whether the standard of care was met.
Offer expert testimony in legal proceedings to support or challenge claims related to ION.
Educate legal professionals and counsel in the specifics of ION procedures, including technical aspects and standards, to enhance their understanding and support development of a strong legal strategy.

The goal of these services is to ensure that legal teams are well-informed about ION practices, can accurately interpret the ION information, and make strategic decisions based on expert insights.

Please contact us.