Neuromonitoring for Spinal Column Surgery

C2 Spine Software – simple, fast and intuitive

For efficient neuromonitoring in spine surgery, inomed offers the C2 Spine Software with colour-coded accessories for intuitive handling. The C2 Spine Software is used with the C2 NerveMonitor, >> which is applied across the world for a wide range of surgical monitoring where user-friendly operation and quality signal acquisition is of paramount importance e.g. in thyroid surgery >>.

Intuitive controls – especially in positioning needle electrodes and connecting cables

For the monitoring during spinal column surgery the C2 Spine Software guides the user step by step, starting from the correct positioning of the needle electrodes to connecting the cables to the system.  The program provides simple options for setup ensuring the user is ready to perform the test very quickly. The specifically designed accessories have been adapted to the Spine Software. This makes neuromonitoring during spinal surgery an easy standard to adopt as part of the surgical procedure. The C2 Spine Software combines efficient neuromonitoring during spinal column surgery with simple and intuitive handling that has been tried and tested for other applications of the C2 NerveMonitor >>.

Automatic monitoring of the pharmacological relaxation status of patients

The C2 Spine Software includes an integrated twitch-test (relaxation monitoring). The test is used to check the pharmacological relaxation status of the patient's muscles automatically. This is crucial for effective recording of signals during spinal column surgery.

The muscles are continuously monitored when the software is in measuring mode. If a relevant activity occurs – for example, by direct nerve manipulation – the surgeon is informed of this visually and acoustically. Pedicle screw testing and stimulation capabilities of the C2 make automatic identification of the respective stimulation threshold value possible and thus the position of the screw within the pedicle can be inferred. Essential information is provided quickly and easily and is displayed for users during spinal column surgery.

The C2 Spine Software automatically saves all muscle responses and stimulation limits in one document for the subsequent report. As a result, it is possible to review every stimulation response for the procedure at a later date.


  • Specially developed C2 Spine Software for operations on the spinal column
  • Ease of use by OR staff
  • Clear representation of the EMG signal
  • Twitch-test for automatic relaxation monitoring
  • Colour-coded accessories

Main application areas


  • Posterior cervical interbody fusions
  • Posterior lumbar interbody fusions and lateral approaches

More information >