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Intraoperative neuromonitoring is a relatively recent development that offers continuous assessment of the function of nervous structures. By enabling detection of reversible neurophysiologic dysfunction during surgery, neuromonitoring permits prompt intervention that may prevent permanent neurological complications of surgery, such as paraplegia or quadriplegia.
To determine whether spinal cord intraoperative monitoring of somatosensory evoked potentials (SEPs) and transcranial electrical motor evoked potentials (tce MEPs) predicts adverse surgical outcomes, seven clinical neurophysiologists with experience in intraoperative monitoring were appointed to write this guideline. They included studies with at least 100 patients for orthopedic pr…