in Journal of Neurosurgery: Spine
In Brief
The authors made a list of answers to FAQs for adult spinal deformity surgery. It is important because this paper can provide useful information; adult spinal deformity surgery has high complication and revision rates and informed consent is critical.
in Journal of Neurosurgery: Pediatrics
In Brief
The authors investigated the 1-year costs of ICU-treated pediatric traumatic brain injury (TBI) in Finland. Increased injury severity was associated with increased total 1-year cost, and the majority of the total 1-year resources were spent on patients with favorable outcomes, suggesting that ICU treatment of pediatric TBI is cost-effective. This study is important because Finland’s public tax-funded healthcare system allows assessment of costs of the entire treatment chain, making Finland one of the few places where reliable health economics studies can be carried out.
in Journal of Neurosurgery: Spine
In Brief
The authors investigated whether spinal curvatures (scoliosis, thoracic kyphosis, and lumbar lordosis), spinal abnormalities (spondylolysis and spondylolisthesis), level of pain, and disability changed over a 9-year period in adults with cerebral palsy who underwent selective dorsal rhizotomy more than 25 years ago. None of the outcome measures progressed over a 9-year period in adulthood. Despite the positive outcomes, it is imperative to monitor adults with cerebral palsy for possible progression during the aging process.
in Journal of Neurosurgery: Spine
In Brief
The authors investigated the prophylactic use of paraspinal muscle flap closure, a well-established salvage maneuver for wound complication management, to prevent wound infection and dehiscence in patients undergoing thoracolumbar fusion surgery and harboring risk factors for wound complications. The authors also created a protocol for patient risk factors indicating when the muscle flap closure should be considered. The prophylactic use of the paraspinal muscle flap closure method significantly reduced the incidence of wound complications and was associated with very low complication rates, even in subsets of patients with multiple risk factors.
in Journal of Neurosurgery
In Brief
Researchers evaluated the performance and replicability of two proposed brainstem cavernous malformation grading systems (Lawton-Garcia and Dammann-Sure) for predicting neurological outcome after the resection of such lesions. Both grading systems appear to be robust, pertinent, and replicable tools to estimate neurological outcome after surgery, and the authors provide evidence supporting their combined use. Using these grading systems would be of clinical importance in further improving the selection of candidates for surgical treatment.
in Journal of Neurosurgery
In Brief
The objective of this paper is to describe the history, current state, and anticipated future direction of American Board of Neurological Surgery (ABNS) certification in the US. The key finding is that the ABNS continues to evolve in order to elevate standards for the practice of neurological surgery and to better serve public health and safety in a rapidly changing healthcare environment. The study adds value to the field by informing neurosurgeons and the public of the continuous efforts of the ABNS toward quality improvement and safety.
Article Spotlight
Mobilization of the high-riding vertebral artery for C2 screw insertion
See Article >From the Neurosurgical Atlas
JNSPG Journal Club
September 2020 — Thoracolumbar Anterior Spine Surgery
In this conversation, Drs. Mark Oppenlander (University of Michigan) and Dean Chou (University of California San Francisco) will discuss Dr. Oppenlander and colleagues’ paper, "The feasibility of computer-assisted 3D navigated multiple-level lateral lumbar interbody fusion in combination with posterior instrumentation for adult spinal deformity" published in the September 2020 issue of Neurosurgical Focus. Co-moderated by Drs. Christopher Shaffrey (Duke University) and Paul Park (University of Michigan) with 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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