in Journal of Neurosurgery: Spine
In Brief
This study aimed to evaluate the clinical and radiological effects of indirect decompression after anterior lumbar interbody fusion for central spinal canal stenosis. The authors believe that their study makes a significant contribution to the literature because it reports on the effects of indirect decompression of central canal stenosis performed using anterior lumbar interbody fusion, which has been less studied, and this is also the first quantitative analysis of indirect decompression after anterior lumbar interbody fusion for central spinal canal stenosis.
in Journal of Neurosurgery
In Brief
This article assesses the long-term predictive capability of the SAFIRE grading scale using the Barrow Ruptured Aneurysm Trial (BRAT) patient population by comparing patient outcomes at the 1- and 6-year follow-ups. The SAFIRE grading scale is a simple bedside assessment that predicts the prognostic outcome of aSAH patients at 2 months. Furthermore, this study finds that the grading scale may also be used as a predictor of long-term outcomes in these patients.
in Journal of Neurosurgery: Spine
In Brief
The authors compared standing and supine radiographs for 73 patients and found that those with bilateral sacroiliac (SI) joint vacuum signs, as identified on CT, had a change in pelvic incidence between the supine and standing positions. This suggests there may be increasing motion across the SI joint with significant joint degeneration.
in Journal of Neurosurgery
In Brief
The object of this study was to evaluate the utility of proton density–weighted MRI and tractography of the intersecting dentato-rubro-thalamic tract for direct "intersectional" targeting of the ventral intermediate nucleus for treating patients with essential tremor (ET). This method was feasible for deep brain stimulation lead placement in patients with ET. These advanced targeting techniques can supplement awake intraoperative testing or be used independently in asleep cases to improve surgical efficiency and confidence.
in Journal of Neurosurgery: Pediatrics
In Brief
The objective of this paper was to evaluate the clinical and hemodynamic benefits of an occipital artery–middle cerebral artery bypass for patients with pediatric moyamoya disease who had recurrent symptoms after initial revascularization. Cerebrovascular reactivity values in both middle cerebral artery and posterior cerebral artery territories are significantly improved, with clinical improvement after occipital artery–middle cerebral artery bypass despite progression of posterior cerebral artery stenosis in most patients. The occipital artery–middle cerebral artery bypass is an effective rescue therapy for cases of pediatric moyamoya disease.
From the Neurosurgical Atlas
JNSPG Journal Club
December 2020 — Preparedness and guidelines for neurosurgical practice during pandemic
In this conversation, Drs. Ashish Suri (All India Institute of Medical Sciences, New Delhi, India) and Franco Servadei (Humanitas University and Research Hospital, Milano, Italy) discuss Dr. Suri and colleagues’ paper, "Preparedness and guidelines for neurosurgery in COVID-19 era: Indian perspective from a tertiary care referral hospital,” published in the December 2020 issue of Neurosurgical Focus. Moderated by Dr. Miguel Arraez (University of Malaga. Spain), with Drs. William Couldwell and Aaron Cohen-Gadol (EIC and Associate Editor, Neurosurgical Focus).
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