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. 2024 Mar 25;14(3 Suppl):105S–149S. doi: 10.1177/21925682231196514

Table 4.

Characteristics of included studies.

First author and year Study type Country/Region Total patient count Disease type Procedures Population (adult, adolescent or both) Neuromonitoring type Data presented for
Abdelkader 2019 Prospective Egypt 50 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Extramedullary manipulations, decompression of an epidural abscess or neoplasm, removal of intramedullary tumor or arteriovenous malformation, or spine correction procedures Both SSEP SSEP
Accadbled 2006 Retrospective France 191 Deformity Corrective surgery Both Multimodal: SSEP and MEP Multimodal
Almahdy 2021 Retrospective USA 50 Mixed: Tumor, abscess, AVM, degenerative (stenosis, disc), trauma Non- instrumented posterior cervical (C3-6) laminectomy, tumor resection Both Multimodal: SSEP and MEP Multimodal
Avila 2013 Retrospective USA 208 Tumor: Metastasis Tumor resection Both Multimodal: SSEP, MEP, EMG MEP
Bhagat 2015 Retrospective UK 354 Deformity Corrective surgery Both Multimodal: SSEP and MEP Multimodal, MEP, SSEP
Bhalodia 2013 Retrospective USA 229 Mixed Cervical spine operations involving the C-4 and/or C-5 levels Adult Multimodal: SSEP, MEP and EMG Multimodal, MEP
Bir 2021 Retrospective India 31 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Not specified Adult Multimodal: MEP, D-wave MEP
Bose 2002 Retrospective USA 61 Degenerative Lumbar fusion Adult EMG EMG
Bose 2007 Retrospective USA 238 Degenerative Anterior cervical spinal procedures included single-level discectomies, multilevel discectomies, corpectomies, and stabilization of odontoid fractures Adult Multimodal: SSEP, MEP and EMG Multimodal, MEP, SSEP, EMG
Calancie 1998 Retrospective USA 34 Mixed: Tumor, spinal deformity (scoliosis, kyphosis, or displaced fracture), arteriovenous fistula, tethered cord Not specified Both Multimodal: MEP and EMG MEP
Calancie 2008 Retrospective USA 859 Mixed: Tumor, tethered cord, orthopedic, vascular and cyst Decompression and/or stabilization of the cervical, thoracic, or thoracolumbar spine Adult Multimodal: MEP and EMG Multimodal, MEP
CaminoWillhuber 2021 Retrospective Argentina 137 Degenerative Percutaneous cement discoplasty Adult EMG EMG
Chandanwale 2008 Retrospective India 112 Trauma Thoracic or lumbar surgery Both SSEP SSEP
Chen 2015 Retrospective China 426 Mixed: Degenerative, deformity and tumor Unclear Both Multimodal: SSEP and MEP Multimodal
Chen Yu 2021 Retrospective China 113 Degenerative TLIF Adult Multimodal: SSEP, MEP and EMG; multimodal: MEP and EMG Multimodal, MEP, EMG, SSEP
Choi 2014 Retrospective Korea 76 Tumor: Intramedullary Not specified Adult Multimodal: SSEP and MEP MEP
Chung 2009 Prospective USA 230 Degenerative Lumbar decompression, discectomy and fusion Adult SSEP SSEP
Clark 2013 Retrospective USA 140 Degenerative Anterior or posterior cervical surgery Adult MEP MEP
Clark 2016 Retrospective USA 144 Mixed: Tumor, infection, trauma, inflammatory Anterior or posterior cervical surgery Adult MEP MEP
Cornips 2017 Retrospective Netherlands 77 Degenerative: Thoracic disc herniation Anterior transthoracic surgery Adult MEP MEP
Costa 2007 Retrospective Italy 52 Mixed: Trauma, tumor, degenerative (spondylosis), scoliosis, AVM, echinicoccus Not specified Adult Multimodal: SSEP and MEP Multimodal
Costa 2013 Retrospective Italy 101 Mixed: Tumor (intra and extra medullary) and degenerative Not specified Both Multimodal: SSEP and MEP Multimodal
Dauleac 2022 Retrospective France 99 Mixed: Tumor, degenerative, tethered cord Not specified Adult Multimodal:SSEP and MEP Multimodal
Delgado-lópez 2022 Retrospective Spain 103 Degenerative Anterior cervical surgery Adult Multimodal: SSEP and MEP Multimodal
Deutsch 2000 Retrospective USA 44 Tumor Anterior thoracic Adult SSEP SSEP
Dicindio 2003 Retrospective USA 68 Deformity Not specified Adolescent Multimodal: SSEP and MEP Multimodal
Ding 2008 Retrospective China 76 Degenerative ACDF and laminoplasty Adult SSEP SSEP
Dinner 1986 Retrospective USA 220 Mixed Not specified Adult SSEP SSEP
Duncan 2012 Retrospective USA 115 Degenerative Lumbar fusion Adult Multimodal: SSEP, MEP and EMG Multimodal, SSEP
Eggspuehler (cervical) 2007 Retrospective Switzerland 246 Degenerative Cervical surgery Adult Multimodal: SSEP, MEP and EMG Multimodal
Eggspuehler (deformity) 2007 Retrospective Switzerland 217 Deformity Corrective surgery Adult Multimodal: SSEP, MEP and EMG Multimodal
Eggspuehler (thoracic) 2007 Retrospective Switzerland 36 Degenerative Thoracic surgery Adult Multimodal: SSEP, MEP and EMG Multimodal
Feng 2012 Retrospective China 176 Deformity Corrective surgery Both Multimodal:SSEP and MEP MEP
Ferguson 2014 Retrospective USA 519 Deformity Corrective surgery Adult Multimodal:SSEP and MEP Multimodal
Feyissa 2015 Retrospective USA 19 Tumor Thoracic Laminectomy, Facetectomy, vertebrectomy Adult SSEP SSEP
Forster 2012 Retrospective Germany 203 Tumor Not specified Adult Multimodal: SSEP and MEP Multimodal, MEP
Fujiwara 2016 Retrospective Japan 160 Degenerative Laminoplasty Adult MEP MEP
Funaba 2021 Retrospective Japan 1176 Degenerative Laminoplasty, ACDF, posterior fusion, circumferential fusion Adult MEP MEP
Funaba 2022 Retrospective Japan 2476 Mixed: Tumor, infection, trauma, deformity, inflammatory Decompression, fusion with instrumentation Both MEP MEP
Gavaret 2011 Retrospective France 300 Mixed: Trauma, tumor, degenerative (spondylosis), scoliosis Not specified Both Multimodal: SSEP and D-wave SSEP, multimodal
Ghadirpour 2015 Retrospective Italy 68 Tumor: Extramedullary Tumor resection Adult Multimodal: SSEP, MEP and D-wave Multimodal
Ghadirpour 2019 Retrospective Italy 108 Tumor Not specified Adult Multimodal: SSEP MEP and D-wave Multimodal
Gundanna 2003 Retrospective USA 186 Mixed: Degenerative, scoliosis Posterior fusion Adult SSEP SSEP
Gunnarsson 2004 Retrospective Canada 213 Mixed: Tumor, spinal deformity (scoliosis, kyphosis, or displaced fracture), degenerative, tethered cord Decompression, microdiscectomy, tumor resection/removal, tethered cord release, others, instrumented fusions Adult Multimodal: SSEP and EMG Multimodal
Harel 2017 Retrospective Israel 41 Tumor Not specified Adult Multimodal: SSEP, MEP and EMG Multimodal
Hawary 2006 Retrospective Canada 41 Deformity Decompression, release, resection Adolescent Multimodal: SSEP and MEP Multimodal
Hilibrand 2004 Retrospective USA 427 Degenerative Anterior, posterior and circumferential cervical surgery Adult Multimodal: SSEP and MEP MEP
Hsu 2008 Retrospective Australia 144 Deformity Correction Both MEP and CMAP Multimodal, MEP
Hu 2011 Retrospective Hong Kong 191 Mixed Not specified Adult SSEP SSEP
Huang 2016 Retrospective China 89 Deformity Not specified Both SSEP SSEP
Hyun 2009 Retrospective Korea 17 Tumor Not specified Adult Multimodal: SSEP and MEP Multimodal, MEP
Ille 2021 Retrospective Germany 71 Tumor Not specified Adult Multimodal: SSEP, MEP and EMG Multimodal, MEP
Ishida 2019 Retrospective USA 103 Tumor Not specified Adult Multimodal: SSEP, MEP and EMG Multimodal
Ito 2012 Retrospective Japan 884 Mixed: Tumor, degenerative (spondylosis), scoliosis Not specified Not specified MEP MEP
Ito 2013 Retrospective Egypt 295 Mixed Not specified Adult Multimodal: SSEP and MEP MEP, SSEP
Izumi 1993 Retrospective Japan 20 Tumor Not specified Not specified D-wave MEP
Jarvis 2013 Retrospective Canada 37 Deformity 3-Column posterior spinal osteotomies Adolescent Multimodal: SSEP and MEP MEP
Jin 2015 Retrospective Korea 30 Tumor Not specified Adult Multimodal: MEP and EMG Multimodal
Kamerlink 2010 Retrospective USA 281 Deformity Spinal fusion Both Multimodal: SSEP and MEP Multimodal
Kelleher 2008 Prospective Canada 1055 Mixed Not specified Adult Multimodal: SSEP, MEP and EMG SSEP, MEP
Khan 2006 Retrospective USA 508 Mixed Cervical corpectomy Adult SSEP SSEP
Kim 2007 Retrospective USA 52 Degenerative Cervical ACDF, laminectomy, posterior fusion Adult MEP MEP
Kim 2012 Retrospective Korea 209 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Not specified Adult MEP MEP
Kim 2014 Retrospective Korea 22 Tumor: Intramedullary Not specified Adult Multimodal: SSEP and MEP Multimodal
Kim 2017 Retrospective Korea 200 Degenerative ACDF Adult Multimodal: SSEP and MEP Multimodal
Kim 2019 Retrospective USA 275 Degenerative TLIF Adult Multimodal: SSEP, MEP and EMG Multimodal, MEP, EMG, SSEP
Kim 2021 Retrospective Korea 196 Degenerative ACDF Adult Multimodal: SSEP, MEP and EMG Multimodal, MEP, EMG, SSEP
Kobayashi 2014 Retrospective Japan 959 Mixed: Degenerative (stenosis, disc, OPLL), deformity (scoliosis), tumor Not specified Not specified MEP MEP
Kobayashi 2017 Prospective Japan 68 Deformity Corrective surgery Adolescent MEP MEP
Kobayashi 2018 Retrospective Japan 83 Mixed: Degenerative (stenosis, disc, OPLL), deformity (scoliosis), tumor Not specified Both MEP MEP
Kobayashi 2018 Retrospective Japan 70 Mixed: Degenerative (stenosis, disc, OPLL), deformity (scoliosis), tumor Not specified Both Multimodal: SSEP, MEP and D-wave MEP, multimodal
Kobayashi 2019 Retrospective Japan 159 Mixed: Degenerative (stenosis, disc, OPLL), tumor Thoracic surgery Both MEP MEP
Kobayashi 2021 Prospective Japan 3560 Mixed: Degenerative (stenosis, disc, OPLL), deformity (scoliosis), tumor Not specified Both MEP MEP
Kobayashi 2021 Prospective Japan 233 Tumor: Intramedullary Not specified Both MEP MEP
Kobayashi 2022 Prospective Japan 3625 Mixed: Degenerative (stenosis, disc, OPLL), deformity (scoliosis), tumor Not specified Both MEP MEP
Koffie 2022 Retrospective USA 498 Degenerative Posterior cervical laminectomy or laminoplasty with or without fixation and fusion Adult Multimodal: SSEP and MEP MEP, SSEP
Korn 2015 Retrospective Israel 100 Tumor: Extramedullary Not specified Both Multimodal: SSEP, MEP and EMG Multimodal
Krishnakumar 2011 Retrospective India 52 Deformity Not specified Both Multimodal: SSEP and MEP Multimodal, SSEP, MEP
Kumar 2019 Retrospective UK 128 Tumor: Metastasis Not specified Adult Multimodal: SSEP, MEP and EMG Multimodal
Kundnani 2010 Prospective Singapore 354 Deformity Corrective surgery Adolescent Multimodal: SSEP and MEP MEP
Kurokawa 2017 Retrospective Japan 58 Tumor: Intramedullary Not specified Both MEP MEP
Lakomkin 2017 Retrospective USA 52 Tumor Not specified Both Multimodal: SSEP and MEP Multimodal
Langeloo 2003 Retrospective Netherlands 145 Deformity Anterior or posterior surgery Both MEP MEP
Lau 2019 Retrospective USA 242 Deformity Lumbar pedicle subtraction osteotom Adult MEP MEP
Lau 2022 Retrospective USA 56 Deformity Lower cervical and upper thoracic posterior-based three-column osteotomies Adult Multimodal: SSEP, MEP and EMG Multimodal
Lee 2016 Retrospective Korea 146 Mixed: Degenerative, congenital, tumor, trauma Goel's technique: Intraoperative CVJ realignment through a rod and screw system Adult Multimodal: SSEP and MEP Multimodal
Leung 2005 Retrospective UK 871 Deformity Anterior surgery Not specified Multimodal: SSEP and MEP SSEP
Li 2012 Retrospective USA 200 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Anterior cervical surgery Adult Multimodal: SSEP, MEP and EMG Multimodal
Li 2018 Retrospective China 55 AVM Not specified Both Multimodal: SSEP, MEP and EMG Multimodal, MEP, SSEP
Lieberman 2008 Retrospective USA 35 Deformity Corrective surgery Both Multimodal: MEP, D-wave MEP, multimodal
Liu 2022 Retrospective China 326 Degenerative Posterior thoracic
Decompression surgery
Adult Multimodal: SSEP and MEP Multimodal
Loder 1991 Retrospective USA 52 Deformity Not specified Both SSEP SSEP
Lubitz 1999 Retrospective USA 60 Deformity Not specified Adolescent MEP MEP
Luk 2001 Retrospective Hong Kong 30 Deformity Not specified Adolescent Multimodal: CSEP, SSEP, MEP MEP, SSEP
MacDonald 2007 Retrospective Saudi Arabia 206 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Thoracolumbar surgeries Both Multimodal: SSEP and MEP Multimodal
Makarov 2012 Retrospective USA 233 Deformity External fixation procedures Adolescent SSEP SSEP
Manninen 1998 Retrospective Canada 309 Mixed: Tumor, abscess, degenerative (stenosis, disc), trauma Corrective surgery, laminectomy, fusion Both SSEP SSEP
Melachuri 2017 Retrospective USA 1036 Degenerative Posterior spinal fusions Adult SSEP SSEP
Melachuri 2019 Retrospective USA 1057 Degenerative Lumbar interbody fusions Adult SSEP SSEP
Melachuri 2020 Retrospective USA 771 Mixed Thoracic decompression and fusion Adult SSEP SSEP
Melachuri 2021 Retrospective USA 179 Mixed Mixed Adult Multimodal: SSEP and EMG Multimodal, EMG
May 2006 Retrospective UK 182 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Anterior or posterior cervical surgery Adult SSEP SSEP
Meyer 1988 Retrospective USA 150 Trauma Thoracic and lumbar spine internal fixation Both SSEP SSEP
Miller 2019 Retrospective USA 125 Deformity Not specified Adult MEP MEP
Mochida 1997 Retrospective Japan 32 Mixed: Tumor, AVM, degenerative (OPLL), tethered cord Thoracic and thoracolumbar surgery Not specified MEP MEP
Muramoto 2013 Retrospective Japan 80 Mixed: Degenerative, tumor, trauma, deformity Thoracic spine surgery Adult Multimodal: SSEP, MEP and D-wave MEP
Muramoto 2014 Retrospective Japan 37 Tumor: Intramedullary Various Both MEP MEP
Neira 2016 Retrospective Canada 296 Deformity Spinal fusion Adolescent Multimodal: SSEP and MEP Multimodal, SSEP
Noonan 2002 Retrospective USA 165 Deformity Corrective surgery Adolescent Multimodal: SSEP and MEP Multimodal
Noordeen 1997 Retrospective UK 99 Deformity Not specified Adolescent SSEP SSEP
Oya 2017 Retrospective USA 135 Degenerative Laminoplasty Adult Multimodal: SSEP, MEP and EMG EMG, MEP
Padberg 1996 Retrospective USA 74 Mixed: Degenerative, congenital, trauma Anterior, posterior and circumferential fusion Both SSEP SSEP
Padberg 1998 Retrospective USA 500 Deformity Instrumentation Both Multimodal: SSEP and MEP Multimodal
Papastefanou 2000 Retrospective UK 442 Mixed: Degenerative, trauma, tumor, deformity Not specified Both SSEP SSEP
Paradiso 2006 Prospective Canada 44 Adult tethered cord Detethering procedures Adult Multimodal: SSEP and EMG EMG, SSEP, MEP
Park 2011 Retrospective USA 29 Deformity Anterior, posterior and circumferential fusion Adult Multimodal: SSEP, MEP and EMG EMG, SSEP, MEP
Park 2018 Retrospective Korea 34 Tumor: Intramedullary Not specified Both Multimodal: SSEP, MEP and EMG SSEP, MEP
Pastorelli 2011 Retrospective Italy 172 Deformity Posterior fusion with instrumentation surgery, anterior spinal Fusion by thoracotomy, combined anterior and posterior Approach Adult Multimodal: SSEP and MEP Multimodal
Pastorelli 2015 Retrospective Italy 40 Deformity Posterior fusion with instrumentation surgery Adolescent Multimodal: SSEP and MEP Multimodal
Pelosi 2002 Retrospective UK 97 Mixed: Degenerative, trauma, deformity, infection Anterior or posterior surgery Both Multimodal: SSEP and MEP Multimodal
Platabello 2015 Retrospective Spain 75 Mixed: Degenerative, tumor, trauma Anterior and posterior cervical Adult Multimodal: SSEP, MEP and EMG Multimodal
Qiu 2022 Retrospective China 87 Chiari malformation, syringomyelia, split-cord malformation, and tethered cord syndrome Posterior spinal fusion Both Multimodal: SSEP and MEP SSEP, MEP
Quinones 2005 Retrospective USA 28 Tumor: Intramedullary Not specified Adult MEP MEP
Quraishi 2009 Retrospective Canada 102 Deformity Instrumented fusion,
Decompression,
Osteotomies,
PLIF,
ALIF
Adult Multimodal: SSEP, MEP and EMG Multimodal, EMG
Ruschel 2021 Retrospective Brazil 47 Tumor: Intramedullary Not specified Adult Multimodal: SSEP, MEP and D-wave EMG
Sakaki 2012 Retrospective Japan 350 Degenerative ACDF, laminoplasty, laminectomy, posterior fusion Not specified MEP MEP
Schar 2017 Retrospective Switzerland 17 Degenerative: L5–S1 isthmic spondylolisthesis Instrumented transforaminal lumbar interbody fusion Both Multimodal: SSEP, MEP and EMG Multimodal
Schwartz 2007 Retrospective USA 38 Deformity Anterior, posterior and circumferential fusion Both Multimodal: SSEP and MEP Multimodal
Skaggs 2009 Retrospective USA 1736 Deformity Not specified Both Multimodal: SSEP and MEP Multimodal
Skinner 2005 Retrospective USA 13 Tumor: Intramedullary Not specified Both EMG EMG
Smith 2006 Retrospective USA 577 Degenerative: Non-myelopathy:cervical stenosis, radiculopathy, herniated nucleus pulposus, junctional stenosis, Or nonunion from prior surgery ACDF Adult SSEP SSEP
Stechison 1995 Retrospective USA 150 Mixed: Degenerative, trauma, tumor, deformity Various Not specified SSEP SSEP
Sutter 2007 Retrospective Switzerland 1017 Mixed: Degenerative, deformity and tumor Various Both Multimodal: SSEP, MEP and EMG Multimodal, EMG
Sutter 2019 Retrospective Switzerland 2728 Mixed: Degenerative, deformity and tumor Not specified Both Multimodal: SSEP, MEP and EMG Multimodal, MEP
Sutter I 2007 Retrospective Switzerland 109 Tumor Not specified Both Multimodal: SSEP, MEP and EMG Multimodal
Sutter II 2007 Retrospective Switzerland 409 Degenerative Not specified Both Multimodal: SSEP, MEP and EMG Multimodal
Takahashi 2021 Prospective Japan 1934 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Not specified Adult Multimodal: SSEP, MEP and D-wave MEP
Tanaka 2015 Retrospective Japan 196 Degenerative ACDF, laminoplasty, lumbar fusion, lumbar laminectomy, discectomy, fenestration Not specified MEP MEP
Taylor 2021 Prospective USA 540 Degenerative Cervical ACDF, laminectomy, posterior fusion Not specified Multimodal: SSEP and MEP Multimodal
Thirumala 2014 Retrospective USA 477 Deformity Corrective surgery Adolescent SSEP SSEP
Tiruchelvarayan 2013 Retrospective Singapore 13 Tumor: Intramedullary Laminectomy with or without fixation Both Multimodal: SSEP and MEP Multimodal
Tohmeh 2022 Prospective USA 59 Mixed: Degenerative, deformity Transpsoas lateral lumbar interbody fusion Adult SSEP SSEP
Tong Yu 2017 Prospective China 12 Deformity Corrective surgery Adolescent Multimodal: SSEP, MEP and EMG Multimodal
Traba 2018 Retrospective Spain 203 Degenerative TLIF, XLIF Adult Multimodal: SSEP, MEP and EMG MEP
Tsirikos 2004 Retrospective UK 82 Trauma Posterior fusion, cervical laminectomy, anterior corpectomy, ACDF Both SSEP SSEP
Tsirikos 2020 Retrospective UK 1155 Deformity Posterior closing wedge osteotomies Both Multimodal: SSEP and MEP Multimodal, SSEP
Ushirozako 2018 Retrospective Japan 295 Deformity Posterior corrective surgery, with 3-column osteotomies, with posterior column resections, after LLIF Adult MEP MEP
Ushirozako 2019 Retrospective Japan 703 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Not specified Adult MEP MEP
Ushirozako 2020 Retrospective Japan 393 Deformity Corrective surgery Both MEP MEP
Ushirozako 2021 Retrospective Japan 428 Tumor Not specified Adult MEP MEP
Van der wal 2021 Retrospective Netherlands 78 Tumor: Extramedullary Not specified Both Multimodal: SSEP and MEP Multimodal
Velayutham 2016 Retrospective India 300 Tumor Not specified Both MEP MEP
Vitale 2010 Retrospective USA 162 Deformity Not specified Both Multimodal: SSEP and MEP Multimodal
Wang 2016 Retrospective China 117 Deformity Not specified Both MEP MEP
Wang 2016 Retrospective China 86 Degenerative Posterior laminoplasty or laminectomy surgery Both MEP MEP
Welch 1997 Retrospective USA 32 Degenerative Lumbar fusion Adult EMG EMG
Wilent 2019 Retrospective USA 40919 Degenerative Extradural cervical surgery Adult Multimodal: SSEP, MEP and EMG Multimodal, MEP
Wilent 2020 Retrospective USA 4386 Degenerative Extradural posterior lumbosacra Adult Multimodal: SSEP, MEP and EMG MEP, EMG, SSEP
Xu 2011 Retrospective USA 57 Degenerative ACDF Adult Multimodal: SSEP and MEP MEP, SSEP
Yang 1994 Prospective China 11 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Various Adult Multimodal: SSEP and MEP MEP, SSEP
Yoshida 2018 Prospective Japan 2867 Mixed: Degenerative (stenosis, disc, OPLL), trauma, deformity (scoliosis), tumor Various Not specified MEP MEP
Yoshida 2022 Prospective Japan 311 Deformity ALIF, LLIF, PLIF, TLIF Adult MEP MEP
Zhuang 2014 Retrospective China 1162 Deformity Pedicle subtraction osteotomy, smith-petersen osteotomy, vertebral column resection Both Multimodal: SSEP and MEP MEP
Zuccaro 2017 Retrospective USA 806 Deformity Posterior spinal fusion, vertebral body stapling, vertebral column resection Adolescent Multimodal: SSEP and MEP MEP