Technology-driven. Precision-guided.
Spine surgery has evolved. Our approach combines two sophisticated technologies—neuronavigation and intraoperative neuromonitoring (IONM)—to give the surgical team real-time anatomical guidance and ongoing information about neural function during selected procedures.
See the anatomy. Monitor the function.
Every spine and every operation is different. Navigation helps the surgeon understand instrument position relative to the anatomy; IONM provides physiological feedback from selected neural pathways. Neither replaces surgical expertise—both add information that may support it.
Neuronavigation
A GPS-like guide for spine surgeryThree-dimensional imaging is registered to the patient’s position in the operating theatre, allowing compatible instruments to be tracked on a virtual map of the spine while the procedure is underway.
- Supports precise anatomical orientation and trajectory planning
- May improve implant-placement accuracy in appropriate procedures
- Can support minimally invasive access where direct visual exposure is limited
- May reduce reliance on repeated two-dimensional fluoroscopy in selected workflows
Intraoperative Neuromonitoring
A real-time signal system for neural functionIONM records selected electrical responses from motor, sensory and nerve-root pathways. Meaningful signal changes can alert the team to investigate possible causes while surgery is still in progress.
- Provides ongoing physiological feedback during selected procedures
- May identify impending or occurring neurological compromise
- Allows the team to evaluate positioning, implants, blood pressure and surgical manoeuvres
- Can add useful information in deformity, tumour and other higher-risk operations
Listening to neural pathways throughout surgery.
Depending on the operation, IONM may use motor-evoked potentials, somatosensory-evoked potentials and electromyography. A change in signal is not automatically an injury; it prompts a structured assessment of technical, anaesthetic, physiological and surgical factors.
Changes can draw attention to potential neural stress before the procedure is complete.
The team can investigate positioning, implants, correction forces, blood pressure or other contributors.
Different monitoring methods provide information about different parts of the nervous system.
Monitoring is selected according to the pathology, operative approach and neural structures at risk.
More information at the moment decisions are made.
Navigation and IONM serve different purposes. Used appropriately, they may improve situational awareness and support a more informed response to complex anatomy or changing neural signals.
May support more precise anatomical orientation and implant trajectory planning.
Provides physiological feedback that may identify changes requiring investigation during surgery.
Helps the team integrate anatomical position with neural function rather than relying on a single information source.
Navigation may reduce repeated fluoroscopy in selected procedures; total exposure depends on imaging method and case complexity.
Accurate localisation can support smaller operative corridors where clinically appropriate; incision size and recovery still depend on the procedure.
May be especially valuable in deformity correction, tumours, revision surgery and anatomy altered by previous operations.
Designed to support demanding procedures.
The decision to use navigation, IONM or both is individualised according to the condition, surgical plan and neural structures at risk.
Spinal deformity
Complex correction where both implant trajectories and spinal-cord function may require close attention.
Spinal tumours
Operations near the spinal cord or nerve roots where physiological feedback may be clinically useful.
Revision surgery
Previously operated anatomy where landmarks may be changed by fusion, implants or scar tissue.
Complex instrumentation
Multilevel fixation or narrow bony corridors where accurate planning and orientation are important.
Advanced technology supports care—it does not remove surgical risk.
Navigation and IONM are adjuncts, not guarantees. Navigation accuracy depends on image quality, registration and system integrity. Neuromonitoring can produce false-positive or false-negative findings, and its benefit varies by procedure. Outcomes also depend on the underlying condition, surgical complexity, general health, rehabilitation and the experience and judgement of the clinical team. Your surgeon will discuss whether these technologies are appropriate for your individual case.
Experience the future of spine surgery—guided by technology, led by expertise.
Schedule a consultation to understand your diagnosis, treatment options and whether technology-enabled spine surgery may be relevant to your condition.