What was the initial method proposed by pioneers for performing MEPs?

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The initial method proposed by pioneers for performing motor evoked potentials (MEPs) involved stimulating the spinal cord above the surgical site. This method was developed to assess and monitor the integrity of the motor pathways during surgery, particularly in procedures that pose a risk to the spinal cord or motor pathways. By stimulating the spinal cord directly, clinicians can record the response from muscles, ensuring that neural function is preserved throughout the surgical intervention.

This approach was significant because it allowed for real-time monitoring of motor function and provided critical feedback during surgeries. If any abnormalities were detected, surgeons could respond immediately, which potentially prevented postoperative complications such as paralysis or functional deficits. As technology advanced, other methods have been developed, but the stimulation of the spinal cord above the surgical site remains a cornerstone in the historical context of MEP monitoring techniques.

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