Abstract

BACKGROUND CONTEXT: Major neurologic injury remains a rare but potentially devastating complication of spinal deformity surgery. Spinal cord monitoring (SCM) is now considered standard care for the early detection and reversal of such complications. Two commonly used SCM techniques are somatosensory evoked potentials (SEPs) and transcranial motor evoked potentials (tcMEPs). Combined monitoring with SEPs/tcMEPs allows surgeons to monitor most patients, has high accuracy and specificity, and allows for the detection of early spinal cord dysfunction.

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