Intraoperative Neurophysiological Monitoring Market Share

ID: MRFR/MED/0258-CR

114 Pages

Rahul Gotadki

August 2019

Intraoperative Neurophysiological Monitoring Market Research Report Information By Surgical Procedure (Orthopedic, Urology, Spinal, Neurovascular, and Otolaryngology Surgery), By Type (Electroencephalography, Evoked Potentials, and Electromyography), By Methods (Outsourced, In-House, and Tele-Health), And By Region (North America, Europe, Asia-Pacific, And Rest Of The World) – Market Forecast Till 2035

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Market Share

Intraoperative Neurophysiological Monitoring Market Share Analysis

The growing awareness of Intraoperative Neurophysiological Monitoring (IONM) can be attributed to the concerted efforts of leading professional organizations and the endorsement of IONM as the standard of care by esteemed medical institutions. These professional organizations, consisting of prominent physicians and other medical experts, are actively engaged in fostering a heightened understanding of IONM. Renowned medical institutions, including the Mayo Clinic, are actively championing the adoption of IONM techniques, solidifying its place in modern medical practices. To cultivate expertise in IONM, specialized training programs and educational courses are being developed, aiming to nurture a cadre of skilled professionals proficient in these techniques. The dissemination of knowledge and awareness about IONM is further facilitated through seminars and conferences. Educational resources are being made readily available to the medical community and patients, offering insights into IONM and its manifold benefits. The collective impact of these initiatives is evident in the increasing awareness among the general population, leading to a greater adoption of IONM techniques and, consequently, contributing to the overall growth of the IONM market.

IONM emerges as a highly advantageous technique, enabling the real-time acquisition of information about electrical signals in the brain and nerve function through continuous monitoring throughout surgical procedures. This continuous monitoring serves as a valuable tool for surgeons to gauge the severity of a case, enabling them to take prompt actions and avert potential complications. Given that many diseases pose a significant threat to life when not treated promptly, IONM plays a pivotal role in preventing such critical situations, mitigating severe complications, and averting fatalities—all without introducing additional risks to the surgical procedure. As IONM exhibits a substantial impact on morbidity and mortality rates, it is poised to garner wider acceptance among the general populace. Its positive influence on patient outcomes and healthcare efficacy contributes to the burgeoning growth of the IONM market.

In conclusion, the escalating awareness of IONM is a result of comprehensive efforts by professional organizations, medical institutions, and educational initiatives. The practical benefits of IONM in obtaining real-time information during surgeries, preventing complications, and enhancing patient safety position it as a crucial component of modern medical practices. The increased awareness among healthcare professionals and the general public is driving a greater adoption of IONM techniques, underscoring its pivotal role in the evolving landscape of medical care. The positive trajectory of IONM not only enhances surgical precision but also augments patient outcomes, reinforcing its significance in the broader realm of healthcare solutions.

Market Highlights

Author

Rahul Gotadki

Assistant Manager

He holds an experience of about 7+ years in Market Research and Business Consulting, working under the spectrum of Life Sciences and Healthcare domains. Rahul conceptualizes and implements a scalable business strategy and provides strategic leadership to the clients. His expertise lies in market estimation, competitive intelligence, pipeline analysis, customer assessment, etc. In addition to the above, his other responsibility includes strategic tracking of high growth markets & advising clients on the potential areas of focus they could direct their business initiatives

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FAQs

What is the projected growth of the Intraoperative Neurophysiological Monitoring market?

The Intraoperative Neurophysiological Monitoring market is the expected increase in total market value of 5.46 USD billion over a defined forecast period 2025–2035. It is driven by factors such as demand trends, technological advances, regulatory changes, and geographic expansion.

What is the size of the Intraoperative Neurophysiological Monitoring market?

Intraoperative Neurophysiological Monitoring market size was valued at approximately 2.13 billion USD in 2024. This figure will reach 5.46 billion USD covering all regions (America, Europe, Asia, MEA and ROW), focusing its segments / services / distribution channels till 2035.

What is the CAGR of the Intraoperative Neurophysiological Monitoring market?

Intraoperative Neurophysiological Monitoring market is expected to grow at a CAGR of 8.92% between 2025 and 2035.

How much will the Intraoperative Neurophysiological Monitoring market be worth by 2035?

Intraoperative Neurophysiological Monitoring market is expected to be worth of 5.46 billion USD, reflecting growth driven by usage, technology and global demands by the end of 2035.

How will the Intraoperative Neurophysiological Monitoring market perform over the next 10 years?

Over the next 10 years the Intraoperative Neurophysiological Monitoring market is expected to shift from usd billion 2.13 to 5.46 billion USD, led by adoption of advanced tech, demographic trends, regulatory approvals, with potential headwinds from 2025 to 2035.

Which region held the largest market share in the Intraoperative Neurophysiological Monitoring market?

North America had the largest share of the Global market

1. Market Overview

2. Market Trends

3. Market Segment Insights

4. Key Players and Competitive Insights

5. Industry Developments

6. Market Segmentation

7. Report Scope

8. Market Highlights

9. FAQs

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Market Summary

As per MRFR analysis, the Intraoperative Neurophysiological Monitoring Market Size was estimated at 2134.84 USD Million in 2024. The Intraoperative Neurophysiological Monitoring industry is projected to grow from 2325.27 USD Million in 2025 to 5464.6 USD Million by 2035, exhibiting a compound annual growth rate (CAGR) of 8.92 during the forecast period 2025 - 2035.

Key Market Trends & Highlights

The Intraoperative Neurophysiological Monitoring Market is poised for substantial growth driven by technological advancements and an increasing emphasis on patient safety.

Technological advancements are enhancing the efficacy of intraoperative neurophysiological monitoring systems.
North America remains the largest market, while Asia-Pacific is emerging as the fastest-growing region in this sector.
Neurosurgery represents the largest segment, whereas spinal surgery is witnessing the fastest growth in demand.
Key market drivers include rising incidence of neurological disorders and increased focus on patient safety.

Intraoperative Neurophysiological Monitoring Market

CAGR

8.92%

Market Size & Forecast

2024 Market Size	2134.84 (USD Million)
2035 Market Size	5464.6 (USD Million)
CAGR (2025 - 2035)	8.92%
Largest Regional Market Share in 2024	North America

Major Players

Medtronic (US), Natus Medical Incorporated (US), NeuroWave (US), Cadwell Industries (US), IntraNerve (US), SpecialtyCare (US), NeuroMonitoring Technologies (US), BrainScope (US)

Market Trends

The Intraoperative Neurophysiological Monitoring Market is currently experiencing a notable evolution, driven by advancements in technology and an increasing emphasis on patient safety during surgical procedures. This market encompasses a range of techniques aimed at monitoring the nervous system's function in real-time, thereby minimizing the risk of neurological damage during operations. As surgical procedures become more complex, the demand for reliable monitoring solutions appears to be on the rise, suggesting a shift towards more integrated and sophisticated systems that can provide comprehensive data to surgeons and anesthesiologists alike. Moreover, the growing awareness of the benefits associated with intraoperative monitoring is likely to propel market growth. Healthcare providers are increasingly recognizing the value of these monitoring techniques in enhancing surgical outcomes and reducing postoperative complications. This trend is further supported by the ongoing development of innovative technologies, such as advanced imaging and signal processing tools, which may enhance the accuracy and reliability of neurophysiological assessments. As the Intraoperative Neurophysiological Monitoring Market continues to expand, it seems poised to play a crucial role in the future of surgical practices, ensuring better patient care and improved surgical results.

Technological Advancements

Recent innovations in neurophysiological monitoring technologies are transforming the landscape of the Intraoperative Neurophysiological Monitoring Market. Enhanced imaging techniques and sophisticated signal processing tools are being developed, which may lead to improved accuracy and reliability in monitoring nervous system functions during surgery.

Increased Focus on Patient Safety

There is a growing emphasis on patient safety within surgical environments, which appears to be driving the demand for intraoperative monitoring solutions. Healthcare providers are increasingly aware of the potential risks associated with neurological damage, leading to a heightened interest in effective monitoring practices.

Integration of Monitoring Systems

The trend towards integrating various monitoring systems into a cohesive platform is becoming more pronounced. This integration may facilitate better data sharing and communication among surgical teams, ultimately enhancing decision-making processes and improving patient outcomes.

Intraoperative Neurophysiological Monitoring Market Market Drivers

Regulatory Support and Guidelines

Regulatory bodies are increasingly recognizing the importance of intraoperative neurophysiological monitoring, leading to the establishment of supportive guidelines that promote its use in surgical settings. This regulatory support is crucial for the Global Intraoperative Neurophysiological Monitoring Market Industry, as it encourages healthcare facilities to adopt these monitoring techniques. Enhanced regulations ensure that monitoring practices meet safety and efficacy standards, thereby boosting confidence among healthcare providers. As a result, the market is poised for growth, with the potential for increased investments in monitoring technologies and training programs for surgical teams.

Rising Demand for Surgical Procedures

The Global Intraoperative Neurophysiological Monitoring Market Industry experiences a notable surge in demand due to the increasing number of surgical procedures performed worldwide. As healthcare systems evolve, the integration of advanced monitoring techniques becomes essential for ensuring patient safety and optimal surgical outcomes. For instance, the market is projected to reach 2.13 USD Billion in 2024, reflecting a growing recognition of the importance of intraoperative neurophysiological monitoring in complex surgeries. This trend is likely to continue, driven by advancements in surgical technologies and an increasing focus on minimizing neurological complications during operations.

Expansion of Healthcare Infrastructure

The expansion of healthcare infrastructure, particularly in emerging economies, is a significant driver for the Global Intraoperative Neurophysiological Monitoring Market Industry. As hospitals and surgical centers upgrade their facilities and invest in advanced technologies, the demand for intraoperative monitoring solutions is likely to rise. This trend is particularly evident in regions where access to quality surgical care is improving, leading to a greater emphasis on patient safety and outcomes. The ongoing development of healthcare infrastructure suggests a robust future for the market, as more facilities integrate neurophysiological monitoring into their surgical protocols.

Technological Advancements in Monitoring Equipment

Technological innovations play a pivotal role in shaping the Global Intraoperative Neurophysiological Monitoring Market Industry. The development of sophisticated monitoring devices, such as portable and real-time neurophysiological monitoring systems, enhances the accuracy and reliability of intraoperative assessments. These advancements not only improve surgical outcomes but also facilitate quicker recovery times for patients. As a result, the market is expected to grow significantly, with projections indicating a rise to 5.47 USD Billion by 2035. The continuous evolution of technology in this field suggests a promising future for both healthcare providers and patients.

Increasing Awareness of Neurophysiological Monitoring Benefits

There is a growing awareness among healthcare professionals and patients regarding the benefits of intraoperative neurophysiological monitoring, which is significantly influencing the Global Intraoperative Neurophysiological Monitoring Market Industry. This awareness is driven by educational initiatives and clinical evidence demonstrating the effectiveness of monitoring techniques in reducing postoperative complications. As more surgeons adopt these practices, the market is likely to expand, supported by a projected compound annual growth rate of 8.95% from 2025 to 2035. This trend indicates a shift towards more proactive approaches in surgical care, emphasizing the importance of real-time monitoring.

Market Segment Insights

By Application: Neurosurgery (Largest) vs. Spinal Surgery (Fastest-Growing)

In the Intraoperative Neurophysiological Monitoring (IONM) Market, Neurosurgery leads the application segment with considerable market share, owing to the rising incidence of neurological disorders and the need for real-time monitoring during complex surgeries. Spinal Surgery follows closely, utilizing IONM significantly to enhance patient outcomes by preventing nerve damage during procedures. Other applications, such as Cardiac and Orthopedic Surgery, also contribute to the market but at a slower rate compared to these leading segments.

Neurosurgery: Dominant vs. Spinal Surgery: Emerging

Neurosurgery remains the dominant application in the IONM market due to its critical need in ensuring patient safety during operations on the nervous system. Procedures in this category, such as tumor resections and epilepsy surgery, require highly specialized monitoring techniques. In contrast, Spinal Surgery is emerging as a fast-growing application, driven by the high prevalence of spinal disorders and an increasing focus on minimizing postoperative complications. This sector has seen advancements in monitoring technologies that enhance the precision of neural pathway assessments, thereby boosting surgeon confidence and improving surgical outcomes.

By Type of Monitoring: Electromyography (Largest) vs. Electroencephalography (Fastest-Growing)

The intraoperative neurophysiological monitoring market showcases a diverse array of monitoring techniques, with electromyography (EMG) holding the largest share. EMG's significance in monitoring muscle function and identifying nerve damage during surgical procedures has solidified its leading status in this sector. Following EMG, electroencephalography (EEG) is rapidly gaining traction, particularly in neurosurgical applications where real-time brain activity monitoring is crucial for patient safety and surgical success.

Electromyography (Dominant) vs. Electroencephalography (Emerging)

Electromyography (EMG) is the dominant technique in the intraoperative neurophysiological monitoring market, widely used for its effectiveness in assessing motor function during surgeries. EMG technology allows for precise monitoring of nerve and muscle health, thereby helping surgeons prevent potential neurological damage. In contrast, electroencephalography (EEG) has emerged as a vital tool, especially in neurosurgery, where it plays a different role by monitoring electrical activity in the brain. Its growing adoption stems from advancements in technology that enhance its accuracy and reliability in detecting brain activity changes during procedures. As patient safety becomes paramount in surgical environments, both EMG and EEG will continue to evolve, catering to the increasing demand for effective intraoperative monitoring.

By End User: Hospitals (Largest) vs. Ambulatory Surgical Centers (Fastest-Growing)

The intraoperative neurophysiological monitoring market is primarily dominated by hospitals, which hold a significant share of the total market. This dominance is attributed to the high volume of surgeries performed in hospitals, alongside their advanced infrastructure and access to specialized medical professionals. The capabilities that hospitals possess in terms of equipment and operational expertise allow them to utilize intraoperative monitoring more effectively than other end users. On the other hand, ambulatory surgical centers are emerging as the fastest-growing segment in the intraoperative neurophysiological monitoring market. Increased patient preference for outpatient surgeries, coupled with the focus on cost-effective healthcare solutions, is driving the growth in this sector. Moreover, advancements in technology utilized in these centers further enhance the appeal and application of intraoperative neurophysiological monitoring during procedures, carving a niche in the market.

Hospitals (Dominant) vs. Specialty Clinics (Emerging)

Hospitals are recognized as the dominant force in the intraoperative neurophysiological monitoring market, benefiting from extensive resources and comprehensive care environments. They are equipped with advanced monitoring technologies and skilled personnel capable of interpreting complex data. In contrast, specialty clinics are emerging as significant players, demonstrating potential for growth through specialized services tailored to specific patient needs. These clinics increasingly adopt intraoperative monitoring technologies to improve surgical outcomes and bolstered patient safety. The shift towards outpatient care and specialized procedures in these clinics is creating new market opportunities, positioning them favorably in the competitive landscape of intraoperative monitoring.

By Technology: Continuous Monitoring (Largest) vs. Non-Invasive Monitoring (Fastest-Growing)

The Intraoperative Neurophysiological Monitoring Market is diversified across several technologically advanced methodologies. Continuous monitoring stands out as the largest segment, significantly driven by its applicability in complex surgical procedures where real-time data is essential. In contrast, non-invasive monitoring techniques are witnessing rapid adoption, favored by both practitioners and patients for their convenience and reduced risk profile. This dual approach ensures comprehensive patient safety and optimal outcomes during surgeries.

Continuous Monitoring: Dominant vs. Non-Invasive Monitoring: Emerging

Continuous monitoring has established itself as the dominant technology in the intraoperative neurophysiological monitoring market, providing real-time feedback that aids in the immediate decision-making process during surgeries. Its reliance on advanced equipment and integration with surgical systems enhances its positional advantage. Meanwhile, non-invasive monitoring is emerging swiftly, thanks to technological advancements that allow for accurate readings without the need for invasive procedures. This segment appeals greatly to patients seeking safer, less discomforting options. As clinical practices evolve, both technologies are likely to coexist, providing synergistic benefits and catering to diverse operational needs of healthcare providers.

Get more detailed insights about Intraoperative Neurophysiological Monitoring Market Research Report - Global Forecast to 2035

Regional Insights

North America : Market Leader in Innovation

North America continues to lead the Intraoperative Neurophysiological Monitoring (IONM) market, holding a significant share of 1060.0M in 2024. The growth is driven by increasing surgical procedures, advancements in technology, and a strong regulatory framework that supports innovation. The demand for real-time monitoring during surgeries is rising, fueled by the need for improved patient outcomes and reduced complications. Regulatory bodies are also emphasizing the importance of IONM in surgical protocols, further catalyzing market growth. The competitive landscape in North America is robust, with key players such as Medtronic, Natus Medical, and Cadwell Industries dominating the market. The U.S. is the leading country, accounting for the majority of the market share, thanks to its advanced healthcare infrastructure and high adoption rates of IONM technologies. The presence of established companies and ongoing research initiatives contribute to a dynamic market environment, ensuring continuous innovation and improvement in IONM practices.

Europe : Emerging Market with Growth Potential

Europe's Intraoperative Neurophysiological Monitoring market is valued at 600.0M, reflecting a growing recognition of IONM's role in enhancing surgical safety. The region is witnessing increased demand for IONM due to rising surgical volumes and a focus on patient safety. Regulatory frameworks are evolving to incorporate IONM as a standard practice in various surgical procedures, which is expected to drive market growth. The emphasis on minimizing surgical risks and improving patient outcomes is a key catalyst for this expansion. Leading countries in Europe include Germany, France, and the UK, where the adoption of IONM technologies is gaining momentum. The competitive landscape features both established players and emerging companies, fostering innovation and collaboration. Key players like Natus Medical and NeuroWave are actively involved in expanding their market presence, contributing to a vibrant ecosystem that supports the growth of IONM in Europe.

Asia-Pacific : Rapidly Growing Market Segment

The Asia-Pacific region is experiencing significant growth in the Intraoperative Neurophysiological Monitoring market, valued at 400.0M. This growth is driven by increasing healthcare investments, a rise in surgical procedures, and a growing awareness of the benefits of IONM. Countries in this region are focusing on improving healthcare infrastructure and adopting advanced technologies, which are essential for the expansion of IONM services. Regulatory support is also becoming more pronounced, encouraging the integration of IONM in surgical practices. Key players in the Asia-Pacific market include local and international companies, with a strong presence in countries like Japan, China, and Australia. The competitive landscape is characterized by collaborations and partnerships aimed at enhancing service delivery and technological advancements. As the region continues to invest in healthcare, the demand for IONM is expected to rise, positioning Asia-Pacific as a vital market for future growth.

Middle East and Africa : Emerging Market with Challenges

The Middle East and Africa (MEA) region's Intraoperative Neurophysiological Monitoring market is valued at 74.84M, reflecting a nascent but growing interest in IONM technologies. The market is driven by increasing surgical procedures and a rising awareness of the importance of patient safety during operations. However, challenges such as limited healthcare infrastructure and regulatory hurdles may impede faster growth. Efforts are being made to enhance healthcare systems, which could facilitate the adoption of IONM practices in the future. Countries like South Africa and the UAE are leading the way in adopting IONM technologies, supported by investments in healthcare infrastructure. The competitive landscape is still developing, with a mix of local and international players entering the market. As awareness of IONM benefits grows, the MEA region is poised for gradual expansion, although it may take time to reach the levels seen in more established markets.

Key Players and Competitive Insights

The Intraoperative Neurophysiological Monitoring Market is characterized by a dynamic competitive landscape, driven by technological advancements and an increasing emphasis on patient safety during surgical procedures. Key players such as Medtronic (US), Natus Medical Incorporated (US), and SpecialtyCare (US) are at the forefront, each adopting distinct strategies to enhance their market presence. Medtronic (US) focuses on innovation through the development of advanced monitoring systems that integrate seamlessly with surgical workflows, while Natus Medical Incorporated (US) emphasizes strategic partnerships to expand its product offerings and enhance service delivery. SpecialtyCare (US) is leveraging its extensive network to optimize operational efficiencies and improve patient outcomes, collectively shaping a competitive environment that prioritizes quality and reliability.

The market structure appears moderately fragmented, with several players vying for market share through localized manufacturing and supply chain optimization. Companies are increasingly localizing their production to reduce lead times and enhance responsiveness to regional demands. This strategy not only mitigates supply chain risks but also allows for tailored solutions that meet specific market needs. The collective influence of these key players fosters a competitive atmosphere where innovation and operational excellence are paramount.

In November 2025, Medtronic (US) announced the launch of its latest intraoperative monitoring system, which incorporates AI-driven analytics to provide real-time feedback during surgeries. This strategic move is likely to enhance surgical precision and patient safety, positioning Medtronic as a leader in technological innovation within the market. The integration of AI into monitoring systems may redefine standards of care, potentially setting new benchmarks for competitors.

In October 2025, Natus Medical Incorporated (US) entered into a strategic alliance with a leading hospital network to enhance its service capabilities in intraoperative monitoring. This partnership is expected to expand Natus's reach and improve its service delivery, indicating a trend towards collaborative approaches in the market. Such alliances may facilitate knowledge sharing and resource optimization, ultimately benefiting patient care.

In September 2025, SpecialtyCare (US) expanded its operations into Europe, establishing a new facility aimed at increasing its market footprint. This expansion reflects a strategic focus on regional growth and the pursuit of new opportunities in international markets. By enhancing its operational capabilities, SpecialtyCare is likely to strengthen its competitive position and respond more effectively to global demand.

As of December 2025, the competitive trends in the Intraoperative Neurophysiological Monitoring Market are increasingly defined by digitalization, sustainability, and the integration of AI technologies. Strategic alliances are becoming more prevalent, as companies recognize the value of collaboration in driving innovation and improving service delivery. Looking ahead, competitive differentiation is expected to evolve, with a shift from price-based competition to a focus on technological advancements, innovation, and supply chain reliability. This transition may redefine the competitive landscape, emphasizing the importance of quality and cutting-edge solutions in meeting the needs of healthcare providers and patients alike.

Key Companies in the Intraoperative Neurophysiological Monitoring Market market include

Industry Developments

INVASIVE INC. announced the official opening of its Singapore Experience Center for the Asia-Pacific region, supporting its growth strategy to expand its business internationally.

March 2021

The V4 4-channel and 8-channel nerve monitoring systems from Neurosign have received approval from the US Food and Drug Administration, and they are currently being used on patients in the US for nerve identification and preservation.

Future Outlook

Intraoperative Neurophysiological Monitoring Market Future Outlook

The Intraoperative Neurophysiological Monitoring Market is projected to grow at an 8.92% CAGR from 2024 to 2035, driven by technological advancements, increasing surgical procedures, and rising awareness of patient safety.

New opportunities lie in:

Development of AI-driven monitoring systems for real-time data analysis.
Expansion of remote monitoring services to enhance patient access.
Partnerships with surgical centers for integrated monitoring solutions.

By 2035, the market is expected to achieve substantial growth, reflecting its critical role in surgical safety.

Market Segmentation

Intraoperative Neurophysiological Monitoring Market End User Outlook

Hospitals
Ambulatory Surgical Centers
Specialty Clinics
Research Institutions

Intraoperative Neurophysiological Monitoring Market Technology Outlook

Invasive Monitoring
Non-Invasive Monitoring
Continuous Monitoring
Portable Monitoring

Intraoperative Neurophysiological Monitoring Market Application Outlook

Neurosurgery
Spinal Surgery
Cardiac Surgery
Orthopedic Surgery
Other Surgical Procedures

Intraoperative Neurophysiological Monitoring Market Type of Monitoring Outlook

Electromyography
Electroencephalography
Evoked Potentials
Nerve Conduction Studies

Report Scope

MARKET SIZE 2024	2134.84(USD Million)
MARKET SIZE 2025	2325.27(USD Million)
MARKET SIZE 2035	5464.6(USD Million)
COMPOUND ANNUAL GROWTH RATE (CAGR)	8.92% (2024 - 2035)
REPORT COVERAGE	Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
BASE YEAR	2024
Market Forecast Period	2025 - 2035
Historical Data	2019 - 2024
Market Forecast Units	USD Million
Key Companies Profiled	Medtronic (US), Natus Medical Incorporated (US), NeuroWave (US), Cadwell Industries (US), IntraNerve (US), SpecialtyCare (US), NeuroMonitoring Technologies (US), BrainScope (US)
Segments Covered	Application, Type of Monitoring, End User, Technology
Key Market Opportunities	Integration of advanced artificial intelligence in Intraoperative Neurophysiological Monitoring systems enhances surgical outcomes.
Key Market Dynamics	Technological advancements and regulatory changes drive growth in the Intraoperative Neurophysiological Monitoring Market.
Countries Covered	North America, Europe, APAC, South America, MEA