[London, 26^th June 2025] – According to Clearview Market Insights (CVMI), the global intraoperative neurophysiological monitoring (IONM) market is projected to grow from USD 2.23 billion in 2024 to USD 4.62 billion by 2031, representing a CAGR of 10.8%. The increasing demand for nerve protection during surgery and enhanced clinical outcomes are primary growth drivers.

“IONM helps surgeons detect nerve stress in real time, enhancing patient safety and minimizing long-term complications,” said Dr. Raymond Jung, a neurophysiology specialist at CVMI.

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Market Highlights

• 2024 Market Size: USD 2.23 billion
• 2031 Forecast: USD 4.62 billion
• CAGR: 10.8% (2024–2031)

Growth Drivers

• Surgical Complexity and Risk: Greater use in spine and cranial surgeries
• Modality Expansion: SSEPs, MEPs, and EEG integrated in multi-channel systems
• Emerging Market Access: Hospitals in Southeast Asia and LATAM embracing IONM standards

Segment Trends

• Top Modality: SSEPs prevail due to the extensive use of spinal surgery.
• High-Volume Setting: Hospitals with integrated neuro suites are leading the adoption.
• Leading Region: North America, with swift expansion in APAC

Competitive Landscape (2024)

• Medtronic – 30%: A pioneer in neuromonitoring for ENT and spine
• Natus – 25%: Complete IONM solution suite
• Cadwell – 17%: Portable and multi-modality systems
• Inomed – 11%: Modular platforms for neurosurgery
• Others – 17%: OEM and tech-driven newcomers

Future Outlook

Next-gen IONM will depend on AI for predictive alerts, real-time cloud sharing, and integration with robotic and AR-guided surgeries. Companies that emphasize affordability, automation, and training support will dominate emerging regions.

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