intraoperative neurophysiological monitoring (IONM) technique refers to the technique of using various neuroelectrophysiological techniques to locate the posterior cord and spinal nerve of the spinal cord during operation, and monitor the integrity of deep sensory, motor and urinary and defecal functions. At present, the predictive value of spinal spinal IONM technique for postoperative neurological injury has been proven, but its preventive value is still controversial due to the close cooperation between surgeons, anesthesiologists and neuroelectrophysiological monitoring teams during surgery, and the lack of standardization of monitoring technology, alarm standards and corresponding treatment measures[1,2,3]。 Therefore, the Neuroelectrophysiology Group of Neurosurgeons Branch of Chinese Medical Doctors Association organized experts from related disciplines to write the Expert Consensus on Neuroelectrophysiological Monitoring in Spinal Surgery (2022 Edition), in order to promote the standardized development of IONM technology in spinal surgery.