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Assessing the impact of obesity on full endoscopic spine surgery: surgical site infections, surgery durations, early complications, and short-term functional outcomes

Jannik Leyendecker, Braeden Benedict, Chayanne Gumbs, Peer Eysel, Jan Bredow, Albert Telfeian, Peter Derman, Osama Kashlan, Anubhav Amin, Sanjay Konakondla, Christoph P. Hofstetter, and John Ogunlade

. Data were obtained following the approval of the University of Washington IRB and collected pseudonymously according to national law and in accordance with the 1975 Declaration of Helsinki. Virtual Follow-Up via Remote Patient Monitoring For data collection, an IRB-approved, validated smartphone application was used as previously described. 19 , 20 In brief, informed consent was obtained from all patients, and the application was enabled for asynchronous virtual patient-provider communication, continuous patient monitoring, and virtual follow-ups. Patients

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Pain alleviation and functional improvement: ultra-early patient-reported outcome measures after full endoscopic spine surgery

Jannik Leyendecker, Tobias Prasse, Christine Park, Cathryn Payne, Pia Rückels, Eliana Bieler, Peer Eysel, Jan Bredow, Albert Telfeian, Peter Derman, Osama Kashlan, Sanjay Konakondla, John Ogunlade, and Christoph P. Hofstetter

is a lack of data surrounding the crucial early postoperative days after spine surgery, which are frequently without patient-provider contact for outpatient operations. We believe that following outpatient surgery, the early postoperative days are highly relevant for patient expectations and indicative of the early and later rehabilitation process. Hence, the aim of this study was to prospectively delineate pain, disability, and functional recovery within the first days after FESS using a validated smartphone application for remote patient monitoring. 13 , 14

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Construct validity of the Surgical Autonomy Program for the training of neurosurgical residents

Elayna P. Kirsch, Alexander Suarez, Katherine E. McDaniel, Rajeev Dharmapurikar, Timothy Dunn, Shivanand P. Lad, and Michael M. Haglund

theory, which subdivides a large learning task into discrete, smaller zones of proximal development (ZPDs). 20 In order to deploy SAP, our group developed a smartphone application (app) to track residents’ progress and allow for formative, rapid feedback. Our SAP smartphone app was designed to be user-friendly and provide real-time formative feedback for residents. The SAP has successfully been implemented within the neurosurgery residency training program at Duke University. 20 In this study, we aimed to establish preliminary validity evidence that SAP is a reliable

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Letter to the Editor. Photographic assessment of adult spinal deformity

Noor H. Maria and Qurrat A. Siddiq

of microelectromechanical systems (MEMS) accelerometers, smartphones are now able to sense acceleration and inclination quite accurately. Keeping this new feature in view, it is prudent to evaluate the benefit of a smartphone app that can read and display the accelerometer signal for use in a variety of clinical applications, including scoliometery. 4 In two studies, the use of such a method has been proved to be quite beneficial in accurate measurement of scoliosis. 3–5 Many such apps are free, and neurosurgeons and spine surgeons can easily calculate the angle

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Introduction. Innovations in neurosurgical quality and safety

Albert E. Telfeian, Ziya L. Gokaslan, Thomas Santarius, and Hyeun-Sung Kim

parts: 1) topics on innovations in care delivery; and 2) topics on innovations in measuring, predicting, and grading outcomes. What is an innovation in care delivery today? As an example, during a pandemic and in a nation on lockdown, patients with Parkinson’s disease could receive their postoperative care by smartphone. Technology has evolved, which gives us new tools. The new perspective is to think to measure the cost savings to patients who do not have to travel from remote locations to receive their postoperative care. What is an innovation in measuring

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Letter to the Editor. Concerns with remote postoperative patient monitoring using the SPINEhealthie app

Shiho Uchino, Tadatsugu Morimoto, Hirohito Hirata, and Masaaki Mawatari

handling electronic devices refused to participate. We seek guidance on devising viable solutions catering to patients without smartphones or those who lack confidence in handling electronic devices. We hold the authors’ expertise in high regard and eagerly anticipate their insights to address these concerns, which will undoubtedly contribute to a more robust validation of the results presented in this critical study. References 1 Prasse T , Yap N , Sivakanthan S , Remote patient monitoring following full endoscopic spine surgery: feasibility and

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Editorial. Neurosurgical healthcare delivery quality and “where we go from here” after the pandemic

Albert E. Telfeian

, lost family without being able to say “goodbye.” But if the cost of the coronavirus pandemic was on the scale of actual lives lost, we should endeavor to look as hard as we can at the possible lessons learned from our time in the pandemic that can make lives better. This editorial is an expository application of “Remote video-based outcome measures of patients with Parkinson’s disease after deep brain stimulation using smartphones: a pilot study,” by Xu et al., 3 to what neurosurgery quality might look like in the future. 3 Time Spent With the Patient In the

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Introduction. Big data and its impact on the future of neurosurgery

Michael Y. Wang, Jang W. Yoon, Gelareh Zadeh, Paul Park, Erica F. Bisson, and Daniel M. Sciubba

to harvest data from MRI for normal pressure hydrocephalus, planning the ideal pedicle screws based on bone mineral density mapping, and smartphone analytics for “fingerprinting” recovery after surgery, just to name a few. This body of work will be reflected on as just the earliest applications of many new and exciting technologies. It is obvious that as computational power, data inputs, and connectomics evolve, we will begin to unravel the mysteries of the nervous system and better define the appropriate surgical treatments that can address complex nuances of

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Editorial. The role of telemedicine in countries with limited facilities: which peculiarities?

Franco Servadei and Ismail Zaed

Inc.) during the COVID-19 pandemic. 9 Free video consultation was most appreciated by patients and caregivers because it saves time, increases accessibility to healthcare services, and allows for better overall communication between the doctor and patient. Two items were particularly significant in this analysis: familiarity with smartphone use and level of schooling. Preference for an audio or video call was not influenced by patient age: there was a homogeneous distribution of satisfaction level by age. In addition, the longer duration of the video calls

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A multicenter, open-label, controlled trial on acceptance, convenience, and complications of rechargeable internal pulse generators for deep brain stimulation: the Multi Recharge Trial

Martin Jakobs, Ann-Kristin Helmers, Michael Synowitz, Philipp J. Slotty, Judith M. Anthofer, Jürgen R. Schlaier, Manja Kloss, Andreas W. Unterberg, and Karl L. Kiening

following factors that might indicate a better performance and lower complication rates with an r-IPG: pursuing a job, driving a car, or using a smartphone. TABLE 1. Study population subgroups Variable No. (%) of Patients Age in yrs  <40 13 (6.7%)  40–59 61 (31.3%)  60–79 116 (59.5%)  ≥80 5 (2.6%) Sex  Female 68 (34.9%)  Male 127 (65.1%) Movement disorder  PD 121 (62.1%)  Tremor 34 (17.4%)  Dystonia 40 (20.5%) r-IPG model  Medtronic Activa RC 103 (52.8%)  Abbott Brio 45 (23.1%)  Boston Scientific Vercise RC 47 (24.1%) r-IPG implantation timepoint  Primary 139 (71