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Gonzalez, A.A., Jeyanandarajan, D., Hansen, C., Zada, G. and Hsieh, P.C. (2009) Intraoperative Neurophysiological Monitoring during Spine Surgery: A Review. Neurosurgical Focus, 27, E6.
https://doi.org/10.3171/2009.8.focus09150

has been cited by the following article:

• TITLE: Rare Case of Temporomandibular Joint Dislocation during Spinal Surgery with Neuromonitoring in the Prone Position

  AUTHORS: John Wright, Kavya Narayana Reddy, Srinivasa R. Govindarajan, Sagar T. Mehta, Brien M. Rabenhorst, Arundathi M. Reddy, Mohammad Saif Siddiqui

  KEYWORDS: Temporomandibular Joint Dislocation, Motor-Evoked Potentials, Intraoperative Neuromonitoring, Prone Position, Spinal Surgery, Pediatric Anesthesia

  JOURNAL NAME: Open Journal of Anesthesiology, Vol.16 No.10, October 28, 2026

  ABSTRACT: Temporomandibular Joint (TMJ) dislocation during spinal surgery is exceedingly rare, particularly in pediatric patients. We report a 16-year-old female who developed bilateral TMJ dislocation following posterior spinal fusion performed in the prone position with intraoperative neuromonitoring. Excessive masseter muscle contraction during motor-evoked potential stimulation was suspected to have contributed to the dislocation. Prompt recognition and manual reduction resulted in complete recovery without sequelae. This case highlights the importance of careful communication with neuromonitoring teams, optimized stimulation settings, and postoperative vigilance to prevent and promptly manage TMJ complications associated with motor-evoked potential monitoring.