What is the primary advantage of using Dural- or Direct-SSEP SC recordings?

The primary advantage of using Dural- or Direct-SSEP (Somatosensory Evoked Potential) SC (Subcortical) recordings is that waveforms are higher in amplitude and require fewer responses for analysis. This enhanced amplitude is crucial as it improves the signal-to-noise ratio, making it easier to detect and interpret the responses during intraoperative monitoring. Higher amplitude waveforms can lead to greater reliability in identifying potential neural or functional compromise during surgical procedures. Consequently, fewer stimuli may be needed to gather sufficient data, allowing for more efficient monitoring and potentially reducing the overall duration of the monitoring process. This is particularly beneficial in intraoperative settings where time and clarity of results are essential for patient safety and surgical outcomes.