Authors:Zach Pennington, Ethan Cottrill, Daniel Lubelski, Jeff Ehresman, Kurt Lehner, Mari L. Groves, Paul Sponseller, and Daniel M. Sciubba
Enhanced recovery after surgery protocols have gained a significant foothold in adult general surgery populations for their ability to improve outcomes and reduce costs. In this study the authors systematically review the application of enhanced recovery after surgery protocols to pediatric scoliosis populations and find that these protocols may shorten hospitalizations, reduce complication rates, and reduce postoperative pain. This is the first quantitative analysis of the pediatric enhanced recovery after surgery literature, and it highlights the need for additional, high-quality studies.
Authors:Song Li, Saihu Mao, Changzhi Du, Zezhang Zhu, Benlong Shi, Zhen Liu, Jun Qiao, and Yong Qiu
Researchers presented a large consecutive series of 39 surgically treated cases with progressive dystrophic lumbar scoliosis secondary to neurofibromatosis type 1 to assess the unique characteristics associated with surgical treatment. Surgical strategies for dystrophic lumbar scoliosis secondary to neurofibromatosis type 1 were diverse, being crucially determined by the location and the severity of dystrophic changes. Additional posterior satellite rods or supplementary anterior fusion is necessary in cases with insufficient apical screw density. Despite a high incidence of postoperative coronal imbalance, improvement of coronal balance was frequently confirmed during follow-up.
Authors:Roxanna M. Garcia, Taemin Oh, Tyler S. Cole, Benjamin K. Hendricks, and Michael T. Lawton
The interplay between tissue sensitivity in the brainstem and extreme eloquence makes it difficult to avoid leaving cavernous malformation remnants on occasion. The rate of brainstem cavernous malformation (BSCM) recurrence requiring reoperation was 6.6%, with a 5.9% annual hemorrhage risk, consistent with that reported for unoperated BSCMs. There are fine lines between complete resection and recurrence and between safe and harmful surgery. The right-angle method helps anticipate blind spots and inspect the resection cavity for residual lesions during surgery.
Authors:Brittany M. Stopa, Maya Harary, Ray Jhun, Arun Job, Saef Izzy, Timothy R. Smith, and William B. Gormley
Researchers used two different US national databases to study and compare the incidence of traumatic brain injury. The estimates from these databases differed greatly, with an average 448% difference. Identifying this discrepancy is important because accurate estimates of traumatic brain injury burden are needed to inform research efforts, healthcare expenditures, and policy decisions.