in Journal of Neurosurgery: Pediatrics
In Brief
The authors created an MRI spine protocol using fast sequencing to avoid sedation in pediatric patients and then assessed its use in identifying and monitoring syrinx and spinal dysraphism. They report the first pediatric series of a fast-sequence spine MRI protocol for use in young patients that does not require sedation and is able to identify and monitor syrinx and spinal dysraphism.
in Journal of Neurosurgery
In Brief
The study presents the first-ever description of the temporal profile of human motor endplate (MEP) degeneration following peripheral nerve injury (PNI) with the findings that MEP degeneration differs in time course between humans and mice or rodents and that denervated MEPs may persist in humans for years. The results highlight the importance of species-specific findings and may serve to objectively answer critical questions regarding the optimal timing of both surgical intervention and adjuvant treatments for PNIs.
in Journal of Neurosurgery
In Brief
The authors quantified the efficacy of multidisciplinary tumor boards (MDTBs) by tracking changes in diagnostic interpretations and treatment plans for brain tumor patients after their cases were discussed. The study results demonstrate that MDTB discussions led to a significant number of diagnostic and treatment plan changes, as well as shortened referral times, for patients whose cases were discussed, highlighting the clinical impact of multidisciplinary care within this patient population.
in Journal of Neurosurgery: Pediatrics
In Brief
The authors evaluated postoperative pediatric neurosurgical patients in order to determine how common postoperative fevers are and how common and helpful workups are in these patients. The authors determined that performing invasive and costly fever workups are not worthwhile in these patients in the first 4 postoperative days.
in Journal of Neurosurgery: Spine
In Brief
The authors developed a clinical prediction score to identify patients at risk of developing poor postoperative pain control after spine surgery. Seven variables predictive of inadequate pain control were incorporated into this score. This score accurately predicted the probability of heightened pain after elective spine surgery. The ability of clinicians to risk-stratify patients preoperatively creates an opportunity to develop anticipatory therapies and personalized clinical care pathways to improve pain outcomes after spine surgery.
Article Spotlight
Mobilization of the high-riding vertebral artery for C2 screw insertion
See Article >From the Neurosurgical Atlas
JNSPG Journal Club
August 2020 — Lumbar Spinal Osteoporosis
Drs. Dean Chou (University of California San Francisco) and Paul Anderson (University of Wisconsin) discuss Dr. Chou and colleagues’ paper, "The association between lower Hounsfield units of the upper instrumented vertebra and proximal junctional kyphosis in adult spinal deformity surgery with a minimum 2-year follow-up” published in the August 2020 issue of Neurosurgical Focus. Moderated by Dr. Timothy Witham (Johns Hopkins) and Drs. William Couldwell and Aaron Cohen-Gadol (EIC and Associate Editor, Neurosurgical Focus).
Visit the JNSPG Journal Club page >Subscribe to JNS
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