Authors:Du Cheng, Melissa Yuan, Imali Perera, Ashley O’Connor, Alexander I. Evins, Thomas Imahiyerobo, Mark Souweidane and Caitlin Hoffman
Craniosynostosis correction, including cranial vault remodeling, fronto-orbital advancement, and endoscopic suturectomy, requires practical experience with complex anatomy and tools. The rarity of the condition and infrequent exposure during residency limit extraoperative training, and lack of cadaveric teaching tools, given the pediatric nature of synostosis, compounds this challenge. The authors created lifelike 3D-printed models of human infants with craniosynostosis that were incorporated into a practical course for endoscopic and open correction. A survey of participants in the hands-on training sessions demonstrated that the model is highly useful to neurosurgical trainees.
Authors:Joyce Koueik, Mark R. Kraemer, David Hsu, Elias Rizk, Ryan Zea, Clayton Haldeman and Bermans J. Iskandar
An estimated 40%–50% of all ventriculoperitoneal shunts fail within 2 years of placement, typically via proximal shunt obstruction. This study suggests that addition of an antisiphon device distal to the primary valve leads to a significant decline in the rate of ventricular catheter obstruction, validating similar results published in 2010 and implicating shunt overdrainage as a central cause of proximal shunt obstruction.
Authors:Marc Oria, Soner Duru, Federico Scorletti, Fernando Vuletin, Jose L. Encinas, Laura Correa-Martín, Kenan Bakri, Helen N. Jones, Francisco M. Sanchez-Margallo and Jose L. Peiro
The authors studied several experimental models of induced hydrocephalus in a fetal lamb model and found that BioGlue was the most effective and did not produce inflammatory side effects. This novel use of BioGlue produces a model with the potential for new insights into hydrocephalus pathology and the development of therapeutics in obstructive hydrocephalus without the confounding effects of neuroinflammation.
Authors:Krishnan Ravindran, John C. Wellons and Michael C. Dewan
The authors pooled data from published studies on the risk of stroke in pediatric moyamoya, in order to determine which type of surgical operation was best at reducing future stroke from occurring. This study is important for neurosurgeons to guide management of pediatric moyamoya patients.
Authors:David S. Hersh, Kenneth Moore, Vincent Nguyen, Lucas Elijovich, Asim F. Choudhri, Jorge A. Lee-Diaz, Raja B. Khan, Brandy Vaughn and Paul Klimo Jr.
The authors report on their recent institutional experience in evaluating and treating children with radiation-induced cerebral vasculopathy. Stenoocclusive cerebral vasculopathy is an infrequent delayed complication of ionizing radiation. It has been well described with photon-based radiation therapy but less so following proton-beam radiotherapy.
Authors:LaVerne W. Thompson, Kathryn D. Bass, Justice O. Agyei, Hibbut-Ur-Rauf Naseem, Elizabeth Borngraber, Jiefei Wang and Renée M. Reynolds
This work demonstrates the incidence and incidence rate of nonaccidental trauma (NAT), specifically abusive head trauma, seen at Women and Children’s Hospital of Buffalo (now the John R. Oishei Children’s Hospital) in the Western New York counties served by Kaleida Health. Having this local information is of particular importance given that patterns of NAT vary across the United States. The damage inflicted by NAT to a child’s health and development warrants surveillance of its occurrence and evaluation of current measures aimed at its prevention.
Authors:Georgina E. Sellyn, Andrew T. Hale, Alan R. Tang, Alaina Waters, Chevis N. Shannon and Christopher M. Bonfield
The authors critically evaluated return-to-play timelines for pediatric patients after thoracolumbar spinal surgery. They found a lack of current standardized guidelines in the literature. Thus, they assessed and refined appropriate timelines for patients and doctors to use when determining appropriate return to play.
Authors:Jonathan Dallas, Chevis N. Shannon and Christopher M. Bonfield
This study used the National Inpatient Sample to assess the effect of hospital characteristics (such as size, region, and scoliosis fusion volume) on the cost of neuromuscular scoliosis fusion. Prior studies have shown that the cost of neuromuscular scoliosis fusion is significantly higher than more common forms of scoliosis; decreasing such costs would in turn decrease the financial burden on the healthcare market and increase overall patient access to care.
Authors:Aladine A. Elsamadicy, Andrew B. Koo, Megan Lee, Adam J. Kundishora, Christopher S. Hong, Astrid C. Hengartner, Joaquin Camara-Quintana, Kristopher T. Kahle and Michael L. DiLuna
The authors investigated the impact affective disorders have on perioperative complication rates, length of stay, and total costs in adolescents undergoing elective posterior spinal fusion surgery (≥ 4 levels) for adolescent idiopathic scoliosis. This study’s findings suggest that affective disorders may not have a significant impact on surgical outcomes in adolescent patients undergoing surgery for scoliosis compared to adults, and thus further study is needed in order to manage these complex patients postoperatively in order to better overall patient satisfaction and the quality of care delivered.