Effectiveness and safety of robot-assisted versus fluoroscopy-assisted pedicle screw implantation in scoliosis surgery: a systematic review and meta-analysis
This study aimed to assess the effectiveness and safety of robot-assisted versus fluoroscopy-assisted pedicle screw implantation in scoliosis surgery. The study was registered in the PROSPERO (CRD42023471837). Two independent researchers searched PubMed, Web of Science, Cochrane Library, and China National Knowledge Infrastructure. The outcomes included operation time, pedicle screw implantation time, blood loss, number of fluoroscopic, accuracy of pedicle screw position, hospital stays, postoperative hospital stays, Visual Analog Scale (VAS), Japanese Orthopaedic Association (JOA) score, Scoliosis Research Society-22(SRS-...
Source: Neurosurgical Review - March 8, 2024 Category: Neurosurgery Source Type: research
The summit of the isthmic crest of the axis as a new entry point for C2 pedicle screw: an anatomical study
(Source: Neurosurgical Review)
Source: Neurosurgical Review - March 8, 2024 Category: Neurosurgery Source Type: research
Letter to the editor: Effect of low fibrinogen level on in-hospital mortality and 6-month functional outcome of TBI patients, a single center experience, the retrospective cohort study
AbstractThis retrospective cohort study aimed to investigate the impact of low fibrinogen levels on in-hospital mortality and 6-month functional outcomes in patients with traumatic brain injury (TBI) within a single center,focusing on the strengths, weaknesses, and suggestions for future research. Patients were followed up to assess in-hospital mortality and functional outcomes at six months post-injury using standardized scales. Statistical analyses, including multivariable regression models, were employed to evaluate the association between low fibrinogen levels and outcomes, adjusting for potential confounders, and reve...
Source: Neurosurgical Review - March 8, 2024 Category: Neurosurgery Source Type: research
Could the combination of immunotherapy and target therapy be a potential double edge sword for glioblastoma treatment? A correspondence
(Source: Neurosurgical Review)
Source: Neurosurgical Review - March 8, 2024 Category: Neurosurgery Source Type: research
Treatment strategies for saccular anterior inferior cerebellar artery aneurysms: a systematic review
ConclusionMicrosurgical and endovascular interventions demonstrate comparable effectiveness, with microsurgery showing superiority in specific situations. Therefore, tailoring treatment is crucial to individual patient needs. Subgroup analyses highlight demographic-specific trends, guiding clinicians in managing this rare pathology. (Source: Neurosurgical Review)
Source: Neurosurgical Review - March 7, 2024 Category: Neurosurgery Source Type: research
Correspondence regarding: “A comprehensive systematic review and meta-analysis study comparing decompressive craniectomy versus craniotomy in patients with acute subdural hematoma”
(Source: Neurosurgical Review)
Source: Neurosurgical Review - March 7, 2024 Category: Neurosurgery Source Type: research
Assessing the clinical efficacy of reverse question mark scalp incision in decompressive hemicraniectomy: a trial sequential analysis
(Source: Neurosurgical Review)
Source: Neurosurgical Review - March 7, 2024 Category: Neurosurgery Source Type: research
Letter to the editor: A prospective cohort study on perioperative percutaneous balloon compression for trigeminal neuralgia: safety and efficacy analysis
In conclusion, PBC represents a significant advancement in TN management, providing high initial pain relief rates with minimal invasiveness. However, further research is necessary to standardize procedures, address complications, and evaluate the long-term efficacy for a comprehensive understanding of its role in TN treatment. (Source: Neurosurgical Review)
Source: Neurosurgical Review - March 4, 2024 Category: Neurosurgery Source Type: research
Endovascular coiling versus neurosurgical clipping in the management of aneurysmal subarachnoid haemorrhage in the elderly: a multicenter cohort study
AbstractThe comparability of endovascular coiling over neurosurgical clipping has not been firmly established in elderly patients with aneurysmal subarachnoid haemorrhage (aSAH). Data were obtained from all patients with aSAH aged ≥60 across three tertiary hospitals in Singapore from 2014 to 2019. Outcome measures included modified Rankin Scale (mRS) score at 3 and at 6 months, and in-hospital mortality. Of the 134 patients analyzed, 84 (62.7%) underwent coiling and 50 (37.3%) underwent clipping. The endovascular group show ed a higher incidence of good mRS score 0–2 at 3 months (OR = 2.45 [95%CI:1.16–5.20];p =...
Source: Neurosurgical Review - March 1, 2024 Category: Neurosurgery Source Type: research
Letter to the editor: long-term outcomes and potential predictive recurrence factors after endonasal endoscopic surgical treatment of symptomatic rathke ’s cleft cysts
(Source: Neurosurgical Review)
Source: Neurosurgical Review - February 28, 2024 Category: Neurosurgery Source Type: research
Effect of low fibrinogen level on in-hospital mortality and 6-month functional outcome of TBI patients, a single center experience
This study included all TBI patients admitted to our center who had no prior history of coagulopathy or any systemic disease, were alive on arrival, and had not received any blood product before admission. On admission, hospitalization, imaging, and 6-month follow-up information of included patients were extracted from the TBI registry database. The baseline characteristics of patients with fibrinogen levels of less than 150 mg/dL were compared with the cases with higher levels. To assess the effect of low fibrinogen levels on in-hospital mortality, a uni- and multivariate was conducted between those who died in hospital...
Source: Neurosurgical Review - February 28, 2024 Category: Neurosurgery Source Type: research
“Letter to the editor: traumatic atlantoaxial rotatory fixation in adults: a systematic review of published cases”
AbstractThis critique evaluates a recent study on adult traumatic atlantoaxial rotatory fixation (AARF), focusing on its strengths, weaknesses, and suggestions for future research. The study provides a comprehensive examination of the anatomical and biomechanical complexities of the C1 –C2 articulation, shedding light on the rare nature of adult traumatic AARF and common injury mechanisms. It categorizes AARF based on the atlanto-dental interval (ADI) and dislocation severity, aiding clinicians in assessing injury severity and treatment planning. Furthermore, the study explores conservative and surgical management approa...
Source: Neurosurgical Review - February 28, 2024 Category: Neurosurgery Source Type: research
Letter to the editor: fully endoscopic microvascular decompression for hemifacial spasm: a clinical study and analysis
This article presents a comprehensive analysis of microvascular decompression (MVD) surgery as a treatment option for hemifacial spasm (HFS). Beginning with a thorough literature review, it explores the historical context, prevalence, and underlying mechanisms of HFS, laying a robust foundation for discussing MVD. Various surgical techniques, from traditional microscopic to fully endoscopic approaches, are described, along with their procedural nuances and advantages. Clinical data, including patient demographics and surgical success rates, substantiate the efficacy of MVD in alleviating HFS symptoms. The discussion of pos...
Source: Neurosurgical Review - February 28, 2024 Category: Neurosurgery Source Type: research
Letter to the editor “effect of continuous hypertonic saline infusion on clinical outcomes in patients with traumatic brain injury”
(Source: Neurosurgical Review)
Source: Neurosurgical Review - February 28, 2024 Category: Neurosurgery Source Type: research
Pre-operative predictors of post-operative seizure control in low-grade glioma: a systematic review and meta-analysis
The objective of this systematic review and meta-analysis was to summarize existing literature and identify factors associated with post-operative seizure control (defined as Engel I classification) in patients with LGGs, with a focus on pre-operative factors. Patient data extracted include tumor location and histology, pre-operative anti-seizure medication use, extent of resection (EOR), adjuvant treatment, pre-operative seizure type, duration, and frequency, and post-operative Engel classification. A random-effects model was used to calculate the effects of EOR, pre-operative seizure durat ion, adjuvant radiation, and ad...
Source: Neurosurgical Review - February 27, 2024 Category: Neurosurgery Source Type: research
