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No abstract text is available yet for this article.
October 11, 2018: Neurosurgery
Ted K Yanagihara, Tony J C Wang
No abstract text is available yet for this article.
October 10, 2018: Neurosurgery
Jefferson W Chen
No abstract text is available yet for this article.
October 10, 2018: Neurosurgery
(no author information available yet)
No abstract text is available yet for this article.
October 9, 2018: Neurosurgery
Panagiotis Kerezoudis, Amy E Glasgow, Mohammed Ali Alvi, Robert J Spinner, Fredric B Meyer, Mohamad Bydon, Elizabeth B Habermann
BACKGROUND: Return to the operating room (ROR) has been put forth by the National Quality Forum and the American College of Surgeons as a surgical quality indicator. However, current quality metrics fail to consider the nature and etiology of the ROR. OBJECTIVE: To provide a comprehensive description of all reoperations after neurosurgical procedures and assess the validity of ROR as a quality measure in neurosurgery. METHODS: We retrospectively analyzed all neurosurgical procedures performed in a high-volume, tertiary care academic medical center between June 1, 2014 and December 31, 2016...
October 8, 2018: Neurosurgery
John H Chi, Kurt M Eichholz, Paul A Anderson, Paul M Arnold, Andrew T Dailey, Sanjay S Dhall, James S Harrop, Daniel J Hoh, Sheeraz Qureshi, Craig H Rabb, P B Raksin, Michael G Kaiser, John E O'Toole
BACKGROUND: Treatment of thoracolumbar burst fractures has traditionally involved spinal instrumentation with fusion performed with standard open surgical techniques. Novel surgical strategies, including instrumentation without fusion and percutaneous instrumentation alone, have been considered less invasive and more efficient treatments. OBJECTIVE: To review the current literature and determine the role of fusion in instrumented fixation, as well as the role of percutaneous instrumentation, in the treatment of patients with thoracolumbar burst fractures...
October 8, 2018: Neurosurgery
Bengt Karlsson, Hidefumi Jokura, Huai-Che Yang, Masaaki Yamamoto, Roberto Martinez, Jun Kawagishi, Wan-Yuo Guo, Guus Beute, David H C Pan, Hitoshi Aiyama, Wen-Yuh Chung, Michael Söderman, Tseng Tsai Yeo
BACKGROUND: The optimal management of unruptured brain arteriovenous malformations (AVMs) is controversial after the ARUBA trial. OBJECTIVE: To confirm or repudiate the ARUBA conclusion that "medical management only is superior to medical management with interventional therapy for unruptured brain arteriovenous malformations." METHODS: Data were collected from 1351 patients treated with Gamma Knife Surgery (GKS; Elekta AB, Stockholm, Sweden) for unruptured and untreated AVMs The follow-up was 8817 yr (median 5...
October 8, 2018: Neurosurgery
Mostafa M E Atteya, Sherif Raslan, Mohamed Elkallaf
No abstract text is available yet for this article.
October 8, 2018: Neurosurgery
Balamurugan Vellayappan, Daniel Tan, Matthew Foote, Kristin J Redmond, Simon S Lo
No abstract text is available yet for this article.
October 8, 2018: Neurosurgery
Christian C Okoye, Ravi B Patel, Arjun Sahgal, Eric L Chang, Simon S Lo
No abstract text is available yet for this article.
October 8, 2018: Neurosurgery
Alessandra A Gorgulho, Fernando Fernandes, Lucas P Damiani, Daniel A N Barbosa, Abrão Cury, Camila M Lasagno, Priscila R T Bueno, Bruno F O Santos, Renato H N Santos, Otávio Berwanger, Alexandre B Cavalcanti, Manoel J Teixeira, Ricardo A Moreno, Antonio A F De Salles
BACKGROUND: More than 30% of major depressive disorder patients fail to respond to adequate trials of medications and psychotherapy. While modern neuromodulation approaches (ie, vagal nerve stimulation, deep brain stimulation) are yet to prove their efficacy for such cases in large randomized controlled trials, trigeminal nerve stimulation (TNS) has emerged as an alternative with promising effects on mood disorders. OBJECTIVE: To assess efficacy, safety, tolerability, and placebo effect duration of continuous subcutaneous TNS (sTNS) in treatment-resistant depression (TRD)...
September 28, 2018: Neurosurgery
Jeffrey M Hills, Inamullah Khan, Ahilan Sivaganesan, Benjamin Weisenthal, Joshua Daryoush, Marjorie Butler, Mohamad Bydon, Kristin R Archer, Anthony Asher, Clinton J Devin
BACKGROUND: Emergency department (ED) overuse is a costly and often neglected source of postdischarge resource utilization after spine surgery. Failing to investigate drivers of ED visits represents a missed opportunity to improve the value of care in spine patients. OBJECTIVE: To identify the prevalence, drivers, and timing of ED visits following elective spine surgery. METHODS: Patients undergoing elective spine surgery for degenerative disease at a major medical center were enrolled in a prospective longitudinal registry...
September 28, 2018: Neurosurgery
Ali R Tafreshi, Mark J Landau, William J Mack, Steven Y Cen, Arun P Amar
No abstract text is available yet for this article.
September 28, 2018: Neurosurgery
Jingyi Liu, Natalia Gormley, Hormuzdiyar H Dasenbrock, Linda S Aglio, Timothy R Smith, William B Gormley, Faith C Robertson
BACKGROUND: Transitional care programs (TCPs) coordinate care to improve safety and efficiency surrounding hospital discharge. While TCPs have the potential to reduce hospital length of stay and readmissions, their financial implications are less well understood. OBJECTIVE: To perform a cost-benefit analysis of a previously published neurosurgical TCP implemented at an urban academic hospital from 2013 to 2015. METHODS: Patients received intensive preoperative education and framing of expectations for hospitalization, in-hospital discharge planning and medication reconciliation with a nurse educator, and a follow-up phone call postdischarge...
September 28, 2018: Neurosurgery
Frank A Segreto, Virginie Lafage, Renaud Lafage, Justin S Smith, Breton G Line, Robert K Eastlack, Justin K Scheer, Dean Chou, Nicholas J Frangella, Samantha R Horn, Cole A Bortz, Bassel G Diebo, Brian J Neuman, Themistocles S Protopsaltis, Han Jo Kim, Eric O Klineberg, Douglas C Burton, Robert A Hart, Frank J Schwab, Shay Bess, Christopher I Shaffrey, Christopher P Ames, Peter G Passias
BACKGROUND: Limited data are available to objectively define what constitutes a "good" versus a "bad" recovery for operative cervical deformity (CD) patients. Furthermore, the recovery patterns of primary versus revision procedures for CD is poorly understood. OBJECTIVE: To define and compare the recovery profiles of CD patients undergoing primary or revision procedures, utilizing a novel area-under-the-curve normalization methodology. METHODS: CD patients undergoing primary or revision surgery with baseline to 1-yr health-related quality of life (HRQL) scores were included...
September 28, 2018: Neurosurgery
Perry Dhaliwal, Daniel Yavin, Tara Whittaker, Geoffrey S Hawboldt, Gordon A E Jewett, Steven Casha, Stephan du Plessis
BACKGROUND: Despite the potential for faster postoperative recovery and the ease of direct intraoperative injection, intrathecal morphine is rarely provided in lumbar spine surgery. OBJECTIVE: To evaluate the safety and efficacy of intrathecal morphine following lumbar fusion. METHODS: We randomly assigned 150 patients undergoing elective instrumented lumbar fusion to receive a single intrathecal injection of morphine (0.2 mg) or placebo (normal saline) immediately prior to wound closure...
September 27, 2018: Neurosurgery
Rouzbeh Motiei-Langroudi, Ajith J Thomas, Luis Ascanio, Abdulrahman Alturki, Efstathios Papavassiliou, Ekkehard M Kasper, Jeffrey Arle, Ronnie L Alterman, Christopher S Ogilvy, Martina Stippler
BACKGROUND: Patients with bilateral chronic subdural hematoma (bCSDH) undergo unilateral evacuation for the large or symptomatic side because the contralateral hematoma is either small or asymptomatic. However, the contralateral hematoma may subsequently grow and require evacuation. OBJECTIVE: To characterize factors that predict contralateral hematoma growth and need for evacuation. METHODS: A retrospective study on 128 surgically treated bCSDHs...
September 27, 2018: Neurosurgery
Francesca Alice Pedrini, Filippo Boriani, Federico Bolognesi, Nicola Fazio, Claudio Marchetti, Nicola Baldini
BACKGROUND: Peripheral nerve reconstruction is a difficult problem to solve. Acellular nerve allografts (ANAs) have been widely tested and are a promising alternative to the autologous gold standard. However, current reconstructive methods still yield unpredictable and unsuccessful results. Consequently, numerous studies have been carried out studying alternatives to plain ANAs, but it is not clear if nerve regeneration potential exists between current biological, chemical, and physical enrichment modes...
September 21, 2018: Neurosurgery
Peter L Santa Maria, Yangyang Shi, Richard K Gurgel, C Eduardo Corrales, Scott G Soltys, Chloe Santa Maria, Kevin Murray, Steven D Chang, Nikolas H Blevins, Iris C Gibbs, Robert K Jackler
BACKGROUND: An understanding of the hearing outcomes is needed for treatment counseling for patients with vestibular schwannomas (VS). OBJECTIVE: To determine long-term hearing results following stereotactic radiosurgery (SRS) for VS and identify any influential variables. METHODS: Tertiary hospital retrospective cohort. RESULTS: There were 579 tumors (576 patients) treated with SRS. Eighty-two percent (473) of tumors had ≥1 yr and 59% (344 ≥3 yr follow-up...
September 20, 2018: Neurosurgery
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