This episode delves into the utility of intraoperative neurophysiological monitoring (IONM) during surgery for intradural extramedullary spinal tumors. We review the systematic review and meta-analysis published in Neurosurgical Review in 2026, examining early postoperative neurological outcomes. The analysis synthesizes data from multiple studies to compare patients who underwent surgery with IONM versus those who did not. Key findings and their implications for surgical decision-making and patient care in this specialized field are discussed. Please note that this content is for informational purposes only and does not constitute medical advice. This AI-generated summary is based on the full text of the study.