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Review Question - QID 215568

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QID 215568 (Type "215568" in App Search)
A 67-year-old female presents with adult spinal deformity with increased back pain and decreased capacity to perform activities of daily living. During the discussion of treatment options, the patient decides to undergo a posterior instrumented fusion with a pedicle subtraction osteotomy in the lumbar spine to address a sagittal plane imbalance of +11 cm. Which of the following intraoperative neuromonitoring changes would be most concerning?