The objective of this study was to compare open surgery and endoscope-assisted surgery in a single center to treat children < 6 months of age with craniosynostosis. This study is unique because none of the patients (with the exception of those diagnosed with coronal synostosis) used helmet therapy for the correction of craniosynostosis. To the authors' knowledge, this is the first study conducted in non-North American and non-European children showing the outcomes in craniosynostosis management.
Single-position prone transpsoas interbody fusion is gaining popularity, but its complication profile is poorly described. Researchers performed a systematic review and pooled analysis to understand the safety profile of this procedure. Intraoperative and postoperative complication rates were low and comparable to historical rates for lateral position transpsoas surgery. No vascular or visceral complications have been reported to date. Nonetheless, the quality of these published studies was low; further prospective studies are needed.
The objective of the paper was to determine the clinical characteristics of patients in whom a small, subhemispheric resection failed, who went on to become seizure free after undergoing a hemispherectomy. The presence of a known hemispheric pathology such as Rasmussen encephalitis or a pathology involving > 2 lobes such as focal cortical dysplasia is predictive of subhemispheric surgery failure. This study helps in selecting patients who should proceed to a hemispheric surgery and avoid smaller, less successful, subhemispheric resections.
Efforts to reduce the occurrence of proximal junctional kyphosis (PJK) and failure (PJF) in patients with adult spinal deformity (ASD) have resulted in the development of novel prophylactic techniques and enhanced clinical and radiographic selection criteria. This study presents a validated model incorporating such techniques with a robust area under the curve of 92.3%, allowing for the prediction of clinically significant PJK and PJF. Thus, the model can assist surgeons and institutions in optimizing patient selection, enhancing intraoperative decision-making, and reducing postoperative complications in ASD surgery.
This study aimed to evaluate the effect of collateral status on outcomes in patients who had undergone endovascular treatment (EVT) for acute basilar artery occlusion (BAO) due to large-artery atherosclerosis (LAA) by using the composite collateral score. A good collateral status (composite collateral score 3-5) was a strong prognostic factor after EVT in patients with BAO underlying LAA. This study has provided evidence for evaluation of the collateral circulation in the posterior circulation.
Researchers explored the clinical outcomes and risk factors related to the recurrence of and survival from solitary fibrous tumors (SFTs) and hemangiopericytomas that were classified on the basis of the 2021 WHO classification of central nervous system tumors. The 2021 WHO classification better predicted the malignancy of different pathological grades, and in particular WHO grade 3 SFTs had worse prognosis. This study provides an important basis for clinical evaluation and treatment of SFTs and hemangiopericytomas.
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Featuring presentations on selected articles published in this issue by Dr. Omer Doron and Dr. Ramesh Grandhi. Co-Moderated by Dr. Adam Arthur and Stravropoula Tjoumakaris with Drs. William Couldwell (Editor-in-Chief) and Aaron Cohen-Gadol (Associate Editor).
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