Ioannis N. Mavridis, William B. Lo, Welege Samantha Buddhika Wimalachandra, Sunny Philip, Shakti Agrawal, Caroline Scott, Darren Martin-Lamb, Bryony Carr, Peter Bill, Andrew Lawley, Stefano Seri, and A. Richard Walsh
Authors of this study assessed stereo-electroencephalography (SEEG) safety in the pediatric setting, focusing on surgical complications, and explored whether robot assistance was associated with a change in practice, surgical parameters, and clinical outcomes. SEEG complications are uncommon and usually transient or treatable. Robot assistance enabled implantation of more electrodes and improved epilepsy surgery outcome compared to those in non—robot-assisted cases. This is the largest single-center, exclusively pediatric SEEG series that includes robot assistance so far.
Panayiotis E. Pelargos, Camille K. Milton, Michael D. Martin, Donald D. Horton, Stanley Pelofsky, Mary K. Gumerlock, Timothy B. Mapstone, and Ian F. Dunn
The authors describe the birth of neurosurgery in the state of Oklahoma with the arrival of Harry Wilkins and his herculean efforts. He and others were pivotal to the development of what is now the Department of Neurosurgery at the University of Oklahoma, which has led through conflict and national tragedy. The University of Oklahoma, in productive community partnerships, has continued a long tradition of excellence in clinical care and investigation, and its educational program remains its cornerstone.
The authors investigated the prevalence, postoperative pathologies, and relation with radiological parameters of early-onset adjacent-segment disease (ASD) occurring within 3 years after primary posterior lumbar interbody fusion (PLIF). Important findings were that lumbar disc herniation was significantly more common in early-onset ASD and that a major risk factor for ASD, especially early-onset ASD, is a change in segmental lordosis, which is also the only parameter that can be adjusted by the surgeon.
Gaston Tabourel, Louis-Marie Terrier, Arnaud Dubory, Joseph Cristini, Louis-Romée Le Nail, Ann-Rose Cook, Kévin Buffenoir, Hugues Pascal-Moussellard, Alexandre Carpentier, Bertrand Mathon, and Aymeric Amelot
Survival scoring systems for spine metastasis (SPM) allow one to determine the most suitable treatment according to survival estimation. In this multicenter study of 739 patients treated and followed for SPM, the authors determined that prognosis scoring systems used to estimate survival are obsolete and underestimate survival. Surgical treatment decisions should not be based only on survival estimations.
Through a systematic review and meta-analysis, the authors compared the use of rigid and flexible endoscopes in endoscopic third ventriculostomy (ETV) with or without choroid plexus cauterization (±CPC). They found similar ETV success and complication rates for ETV±CPC with flexible versus rigid endoscopy, despite lower calculated ETV success scores for patients treated with flexible endoscopy. The choice of surgical instrument has not previously been directly compared and may warrant further study.
Featuring presentations on selected papers published in this issue by Drs. Jean-Pierre Mobasser, Abdullah Feroze, and Alec Gibson. Moderated by Dr. Allan Levi, with Drs. William Couldwell (Editor-in-Chief) and Aaron Cohen-Gadol (Associate Editor).