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The majority of spinal surgeons now utilize intraoperative neurophysiological monitoring (IONM) during spinal procedures to limit the risk of inadvertent injury. Nevertheless, probably the most frequent error is the failure of the surgeon and IONM to obtain adequate preoperative baselines (e.g. before intubation or positioning).

surgical neurology international

Intraoperative neuro-monitoring corner editorial: The need for preoperative sep and mep baselines in spinal surgery: Why can′t we and our monitoring colleagues get this right?