Facilitating TCeMEP Recordings During Pediatric Spinal Surgery
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Owing to the immaturity of the Pediatric CNS, higher levels of stimuli and longer stimulating pulse train might be required to elicit TCeMEP. Temporal facilitation can be used to facilitate MEP generation. We have appended the LQP stimulation technique, which allows the stimulation over the higher concentration of current using a lower voltage and a more focused stimulation improving the highest amplitude MEP at the lowest stimulus intensity, proving to be safe and reliable in this age group.