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Multidisciplinary Care of Neurosurgical Patients with Genetic Syndromes
Neurosurgical patients with genetic syndromes often receive care from multidisciplinary teams. Successful models range from multiple providers in one clinic space seeing a patient together to specialists located at different institutions working together. Collaboration and bidirectional communication are key. Multidisciplinary care improves outcomes and patient satisfaction. Choosing the goal of the clinic, using ancillary staff, and obtaining institutional buy-in are important initial first steps to establishing a multidisciplinary team clinic. Multidisciplinary teams can leverage technology to expand care via telehealth ...
Source: Neurosurgery Clinics of North America - October 26, 2021 Category: Neurosurgery Authors: Melissa A. Villegas, Ericka Okenfuss, Ravi Savarirayan, Klane White, Julie Hoover-Fong, Michael B. Bober, Angela Duker, Janet M. Legare Source Type: research

Neurosurgical Evaluation and Management of Children with Achondroplasia
This article provides an updated review on the neurosurgical evaluation and care of children with Achondroplasia. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - October 26, 2021 Category: Neurosurgery Authors: Alon Kashanian, James A. Stadler, Moise Danielpour Source Type: research

Tumor Syndromes
There are multiple syndromes associated with tumors of the central nervous system (CNS). The most common CNS tumor syndrome is neurofibromatosis-1, with well-defined major and minor criteria needed for diagnosis. Other syndromes with variable degree of CNS and extra-CNS involvement that the neurosurgeon should be aware of include neurofibromatosis-2; Turcot syndrome; Cowden syndrome; Gorlin syndrome; Li-Fraumeni syndrome; ataxia-telangiectasia; multiple endocrine neoplasia type 1; von Hippel-Lindau syndrome; and tuberous sclerosis complex. Although most CNS tumor syndromes follow an autosomal dominant pattern of inheritanc...
Source: Neurosurgery Clinics of North America - October 26, 2021 Category: Neurosurgery Authors: Aravinda Ganapathy, Elizabeth Juarez Diaz, Justin T. Coleman, Kimberly A. Mackey Source Type: research

Syndromic Craniosynostosis
Craniosynostosis involves the premature fusion of 1 or more cranial sutures and commonly presents as an isolated, nonsyndromic diagnosis. A subset of patients have syndromic craniosynostosis. Several unique considerations must be taken into account when managing patients with syndromic craniosynostosis. A multidisciplinary craniofacial team with a central coordinator is particularly useful for coordinating care among various specialists, and close monitoring is mandatory owing to the increased risk of intracranial hypertension. Surgical management varies among centers, but core options include fronto-orbital advancement wi...
Source: Neurosurgery Clinics of North America - October 26, 2021 Category: Neurosurgery Authors: David S. Hersh, Christopher D. Hughes Source Type: research

Epilepsy Syndromes: Current Classifications and Future Directions
This review describes the clinical presentations and treatment options for commonly recognized epilepsy syndromes in the pediatric age group, based on the 2017 International League Against Epilepsy classification. Structural epilepsies that are amenable to surgical intervention are discussed. Lastly, emerging technologies are reviewed that are expanding our knowledge of underlying epilepsy pathologies and will guide future syndromic classification systems including genetic testing and tissue repositories. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - October 26, 2021 Category: Neurosurgery Authors: Laura C. Swanson, Raheel Ahmed Source Type: research

Cervical Total Disc Replacement: Indications and Technique
Cervical total disc replacement devices have been marketed in the United States (US) since 2007, with abundant level 1 evidence published on the treatment. Adherence to the strict inclusion/exclusion criteria and the surgical technique training of the US clinical trials remains the consistent and conservative approach to patient selection and implantation technique. However, patient selection and surgical technique remain debated among US surgeons as the published data and available cervical total disc replacements continue to grow. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Authors: Pierce Nunley, Kelly (Frank) Van Schouwen, Marcus Stone Source Type: research

Cervical Total Disc Replacement: Novel Devices
This article reviews the available literature for novel cervical total disc replacement devices, including ones which are available inside and outside of the United States. It includes biomechanical consideration as well as design characteristics and clinical data when available. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Authors: Richard D. Guyer, Joseph L. Albano, Donna D. Ohnmeiss Source Type: research

Cervical Spine Surgery
Three procedures dominate surgical management of degenerative cervical spine disorders: posterior cervical laminoforaminotomy (PCF), cervical total disc replacement (CTDR), and anterior cervical discectomy and fusion (ACDF). Together they provide a 360 ° approach to degenerative cervical spine disease that help surgeons reach the correct treatment decisions. ACDF, CTDR, and PCF are effective procedures for the treatment of a broad range of degenerative cervical disorders. Minimally invasive technique, outpatient setting, motion preservation, and adjacent segment disease should be taken into consideration in the surgical p...
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Authors: Vincent Rossi, Tim Adamson Source Type: research

Cervical Total Disc Replacement
Cervical total disc replacement (CTDR) has gained popularity over the last 2  decades. It is a motion-preserving option to ACDF and is becoming more popular with patients and surgeons alike. Understanding complications that are unique to CTDR is crucial to performing successful, durable surgery. Careful patient selection and meticulous surgical technique are key to reducing complications associated with the surgery. Patient’s should be followed closely after surgery with routine flexion/extension x-rays for early detection of any complications that may occur. Most complications can be observed with close follow-up. Howe...
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Authors: Richard L. Price, Domagoj Coric, Wilson Z. Ray Source Type: research

Lumbar Total Disc Replacement
This article reviews the history and current trends in use for lumbar toral disc arthroplasty for degenerative disc disease treatment. Furthermore, indications, contraindications, and complications management are discussed. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Authors: Daniel Franco, Garrett Largoza, Thiago S. Montenegro, Glenn A. Gonzalez, Kevin Hines, James Harrop Source Type: research

Update on Spinal Arthroplasty
The majority of this Update on Motion Preservation Technologies is dedicated to cervical arthroplasty, owing to the quicker and more pervasive adoption of total disc replacement (TDR) devices in the cervical spine. The disparity in acceptance of this novel technology is multifactorial, but lies largely in the familiarity of the anterior cervical approach to spine surgeons as well as the straightforward nature of the diagnosis of cervical radiculopathy. Conversely, the anterior lumbar approach is more precarious, generally requiring an exposure surgeon, and the surgical treatment of mechanical low-back pain remains somewhat...
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Authors: Domagoj Coric Tags: Preface Source Type: research

Update on Motion Preservation Technologies
NEUROSURGERYCLINICS OF NORTH AMERICA (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Authors: Domagoj Coric Source Type: research

Copyright
ELSEVIER (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Source Type: research

Contributors
RUSSELL R. LONSER, MD (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Source Type: research

Contents
Domagoj Coric (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 17, 2021 Category: Neurosurgery Source Type: research