Neurosurgery Clinics of North America Neurosurgery Clinics of North America RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Electrode Development for Epilepsy Diagnosis and Treatment
Recording neural activity has been a critical aspect in the diagnosis and treatment of patients with epilepsy. For those with intractable epilepsy, intracranial neural monitoring has been of substantial importance. Clinically, however, methods for recording neural information have remained essentially unchanged for decades. Over the last decade or so, rapid advances in electrode technology have begun to change this landscape. New systems allow for the observation of neural activity with high spatial resolution and, in some cases, at the level of the activity of individual neurons. These new tools have contributed greatly t...
Source: Neurosurgery Clinics of North America - September 21, 2023 Category: Neurosurgery Authors: Angelique C. Paulk, Pariya Salami, Rina Zelmann, Sydney S. Cash Source Type: research

Interpretation of the Intracranial Electroencephalogram of the Human Hippocampus
Understanding and discriminating the normal and abnormal elements of the intracranial electroencephalogram (iEEG) is essential in decision-making for epilepsy surgery. The hippocampus is widely acknowledged as a key structure in decision-making processes for surgical treatment in temporal lobe epilepsy and epilepsies that involve the mesial temporal structures. This review will provide a summary of the current state of our knowledge and understanding regarding normal and abnormal features of the iEEG of the human hippocampus. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 20, 2023 Category: Neurosurgery Authors: Vasileios Kokkinos Source Type: research

The Role of Anterior Spine Surgery in Deformity Correction
There are a range of anterior-based approaches to address flexible adult spinal deformity from the thoracic spine to the sacrum, with each approach offering access to a range of vertebral levels. It includes the transperitoneal (L5 –S1), paramedian anterior retroperitoneal (L3–S1), oblique retroperitoneal (L1–2 to L5–S1), the thoracolumbar transdiaphragmatic approach (T9–10 to L4–5), and thoracotomy approach (T4–T12). The lumbar and lumbosacral spine is especially favorable for anterior-based approaches given the relative mobility of the peritoneal organs and position of the vasculature. (Source: Neurosurgery...
Source: Neurosurgery Clinics of North America - September 16, 2023 Category: Neurosurgery Authors: Hanci Zhang, Leah Y. Carreon, John R. Dimar Source Type: research

Spinal Deformity Update
NEUROSURGERY CLINICS OF NORTH AMERICA (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 16, 2023 Category: Neurosurgery Authors: Sigurd H. Berven, Praveen V. Mummaneni Source Type: research

Copyright
ELSEVIER (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 16, 2023 Category: Neurosurgery Source Type: research

Contributors
RUSSELL R. LONSER, MD (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 16, 2023 Category: Neurosurgery Source Type: research

Contents
Sigurd H. Berven and Praveen V. Mummaneni (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 16, 2023 Category: Neurosurgery Source Type: research

Forthcoming Issues
Epilepsy Surgery: Paradigm Shifts (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - September 16, 2023 Category: Neurosurgery Source Type: research

Evolution of SEEG Strategy
Overall stereoelectroencephalography (SEEG) has a favorable risk profile, patient tolerability, and superior investigative capability of individualized 3-dimensional seizure onset activity over subdural electrodes. Further, our recent surgical approach to safely enable multinuclear thalamic propagation mapping can only be performed with SEEG. For these reasons, SEEG has become the gold standard of phase II monitoring at our institution, and believe the ability to develop precision network-centric approaches to therapy will be critical to enhance our ability to care for medically refractory, and importantly, even complex mu...
Source: Neurosurgery Clinics of North America - September 9, 2023 Category: Neurosurgery Authors: Vivek P. Buch, Josef Parvizi Source Type: research

Preoperative Optimization
Adult spinal deformity (ASD) is common and the complication rate in ASD surgery is high due to its invasiveness. There are several factors that increase the risk of complications with ASD surgery. These include age, past medical history, frailty, osteoporosis, or operative invasiveness. Risk factors for perioperative complications can be categorized as modifiable and non-modifiable. The purpose of this article is to present the current available evidence on risk factors for perioperative complications, with a focus on frailty, osteoporosis, surgical site infection prevention, and hip-spine syndrome. In addition, we present...
Source: Neurosurgery Clinics of North America - August 7, 2023 Category: Neurosurgery Authors: Kosei Nagata, John R. Dimar, Leah Y. Carreon, Steven D. Glassman Source Type: research

The Lumbosacral Fractional Curve in Adult Degenerative Scoliosis
Spine surgeons are often faced with a profoundly difficult challenge in surgically treating adult degenerative scoliosis. Deformity correction surgery is complicated by the difficulty in offering extensive surgical corrections to the elderly, complication-prone population it commonly affects. As spine surgeons attempt to offer minimally invasive solutions to this disease process, the need for fusion of the fractional curve at L4, L5, and S1 may be discounted. A treatment strategy to identify, address, and treat the fractional curve with either open or minimally invasive techniques can lead to improved patient outcomes and ...
Source: Neurosurgery Clinics of North America - August 5, 2023 Category: Neurosurgery Authors: Peter G. Campbell, Pierce D. Nunley Source Type: research

Strategies to Avoid Distal Junctional Pathology
Distal junctional pathology remains an unsolved issue in spine surgery. Distal junctional pathology can occur on a spectrum from asymptomatic radiographic finding to catastrophic distal construct failure. It is significant to address as postoperative sagittal balance has been shown to be correlated with patient-reported outcomes. Current literature and clinical experience suggest there are techniques that can be implemented regardless of setting to avoid distal junctional pathology. Much of the avoidant strategy relies on understanding the deformity pathology, selection of the lowest instrumented vertebra (LIV), health of ...
Source: Neurosurgery Clinics of North America - August 1, 2023 Category: Neurosurgery Authors: Gerard F. Marciano, Matthew E. Simhon, Ronald A. Lehman, Lawrence G. Lenke Source Type: research

PreOperative Planning for Adult Spinal Deformity Goals
Adult Spinal Deformity (ASD) is a complex pathologic condition with significant impact on quality of life, including pain, loss of function, and fatigue. Achieving realignment goals is crucial for long-term results. Reliable preoperative planning strategies, including nomograms, measurement tools, and level selection, are key to maximizing the likelihood of achieving a good outcome following ASD corrective surgery. This review covers recent literature on such strategies, including review of the different targets for realignment and their association with outcomes (both patients-reported outcomes and complications), selecti...
Source: Neurosurgery Clinics of North America - August 1, 2023 Category: Neurosurgery Authors: Jay Dalton, Ayman Mohamed, Noel Akioyamen, Frank J. Schwab, Virginie Lafage Source Type: research

Antepsoas Approaches to the Lumbar Spine
Lumbar interbody fusion (LIF) is a well-established approach in treating spinal deformity and degenerative conditions of the spine. Since its inception in the 20th century, LIF has continued to evolve, allowing for minimally invasive approaches, high fusion rates, and improving disability scores with favorable complication rates. The anterior to the psoas (ATP) approach utilizes a retroperitoneal pathway medial to the psoas muscle to access the L1-S1intervertebral disc spaces. In contrast to the transpsoas arppoach, its primary advantage is avoiding transgressing the psoas muscle and the contained lumbar plexus, which pote...
Source: Neurosurgery Clinics of North America - July 28, 2023 Category: Neurosurgery Authors: Travis S. CreveCoeur, Colin P. Sperring, Anthony M. DiGiorgio, Dean Chou, Andrew K. Chan Source Type: research

Minimally Invasive Transforaminal Lumbar Interbody Fusion
The purpose of this article is to review the outcomes concerning lumbar lordosis restoration after the MIS-TLIF and to present strategies to create lumbar lordosis by using this MIS posterior approach. MIS-TLIF is an effective MIS lumbar interbody fusion that can achieve lumbar lordosis restoration. Several crucial steps aid in this sagittal profile correction during the MIS-TLIF, including the appropraite prone positioning, optimizing disc space preparation, maximizing disc space height, anterior interbody cage placement, and reducing the spondylolisthesis. (Source: Neurosurgery Clinics of North America)
Source: Neurosurgery Clinics of North America - July 27, 2023 Category: Neurosurgery Authors: Teerachat Tanasansomboon, Jerry E. Robinson, Neel Anand Source Type: research