Article
Orthopedics
Peter Endre Eltes, Laszlo Kiss, Ferenc Bereczki, Zsolt Szoverfi, Chloe Techens, Gabor Jakab, Benjamin Hajnal, Peter Pal Varga, Aron Lazary
Summary: The developed method aims to measure geometrical changes in surgically treated segments accurately and reproducibly. The volume and surface area of injected PMMA can predict the extent of indirect spinal canal decompression and have a significant impact on the clinical benefit achieved with the PCD procedure.
JOURNAL OF ORTHOPAEDIC TRANSLATION
(2021)
Article
Clinical Neurology
Fabrizio Fasoli, Roberto Gandini, Jacopo Scaggiante, Marcello Bartolo, Serena Capobianco, Gabriella Cerone
Summary: Mechanical percutaneous disc decompression (PDD) and percutaneous radiofrequency targeted disc decompression (TDD) are comparable treatments for patients with low back pain and radicular leg pain. There were no significant differences between the two treatment groups in primary and secondary outcomes at 6 and 12 months of follow-up.
Review
Surgery
Chloe Techens, Peter Endre Eltes, Aron Lazary, Luca Cristofolini
Summary: Percutaneous Cement Discoplasty (PCD) is a minimally invasive technique developed to treat lumbar disc degeneration disease, significantly improving clinical status of patients for up to two years. The surgery impacts spine alignment and increases disc height.
FRONTIERS IN SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Gianluigi Bisleri, Arjun K. Pandey, Subodh Verma, Syed M. Ali Hassan, Bobby Yanagawa, Masud Khandaker, Mario Gaudino, Andrea M. Russo, Atul Verma, Deepak L. Bhatt, Andrew C. T. Ha
Summary: Hybrid ablation is a novel therapy that combines minimally invasive surgical and percutaneous catheter-based techniques for the management of atrial fibrillation (AF). Observational studies have shown approximately 70% success rates but higher risks compared to catheter-based ablation. Hybrid ablation is typically offered to patients with persistent or longstanding persistent AF, requiring two procedures. While a randomized trial demonstrated its superiority over catheter-based ablation, it also showed higher complication rates. Contemporary studies have shown a decrease in the incidence of serious complications. Additional randomized trials are needed to determine the risks, benefits, and cost effectiveness of hybrid ablation in clinical practice.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2023)
Article
Orthopedics
Hongwei Jia, Bin Xu, Xiangbei Qi
Summary: This study investigated the indirect decompression effect of cement with different doses on nerve roots and the biomechanical changes on the spine during percutaneous cement discoplasty (PCD) using finite element analysis (FEA). The results showed that the injection of bone cement reduced the stress on the nerve roots, and the greater the amount of cement, the lesser the nerve root stress.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Cardiac & Cardiovascular Systems
Ali El-Sayed Ahmad, Ali Bayram, Saad Salamate, Sami Sirat, Mohamed Amer, Farhad Bakhtiary
Summary: This study compared the outcomes of percutaneous arterial decannulation using the MANTA vascular closure device with surgical approach in minimally invasive cardiac surgeries. The results showed that percutaneous access and closure with the MANTA system had lower incidence of access site complications and shorter stays in the intensive care unit compared to surgical access and closure.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Medicine, General & Internal
Hidetomi Terai, Koji Tamai, Kunikazu Kaneda, Toshimitsu Omine, Hiroshi Katsuda, Nagakazu Shimada, Yuto Kobayashi, Hiroaki Nakamura
Summary: This study investigated the impact of different physical therapy programs after microendoscopic lumbar decompression on patient satisfaction. The findings indicated that a physical therapy program focused on improving low back pain was more effective in reducing postoperative pain and increasing treatment satisfaction compared to the conventional program.
JOURNAL OF CLINICAL MEDICINE
(2022)
Editorial Material
Clinical Neurology
Carlos Sola, Gaston Camino Willhuber, Gonzalo Kido, Matias Pereira Duarte, Mariana Bendersky, Maximiliano Mereles, Matias Petracchi, Marcelo Gruenberg
Summary: This article introduces a percutaneous technique for treating advanced degenerative disk disease in elderly patients, providing a detailed technical description based on experience, presenting postoperative imaging results, and offering indications and recommendations for the application of this alternative minimally invasive strategy.
EUROPEAN SPINE JOURNAL
(2021)
Article
Orthopedics
Zongjiang Wang, Ying Tan, Kai Fu, Zhaowu Meng, Liang Wang
Summary: Comparing the clinical outcomes of r-PELD and f-PELD in patients with lumbar disc herniation, it was found that r-PELD had significantly lower intraoperative blood loss and fluoroscopy frequency compared to f-PELD, with no significant differences in complications, postoperative disability and leg pain, and duration of hospitalization between the two groups.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Cardiac & Cardiovascular Systems
Kristina Ma, Mikael Kastengren, Peter Svenarud, Ram Green, Magnus Dalen
Summary: This study describes the use of percutaneous femoral access in patients undergoing minimally invasive cardiac surgery (MICS) via minithoracotomy. F emoral artery closure was performed using a plug-based closure device. Intraoperative ultrasound assessment of correct deployment of the arterial closure device reduced the risk of vascular complications.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Review
Neurosciences
Tian-Tian Chang, Yu-Hao Chang, Shu-Hao Du, Pei-Jie Chen, Xue-Qiang Wang
Summary: This article summarizes the effectiveness and limitations of NIBS techniques in the management of chronic low back pain (CLBP). It suggests that NIBS may be effective for treating CLBP, but there are limitations in current research that require further investigation.
FRONTIERS IN MOLECULAR NEUROSCIENCE
(2022)
Article
Multidisciplinary Sciences
Xiaojian Liu, Hairun Liu, Yushan Wang
Summary: The new percutaneous multi-function pedicle locator showed advantages in enhancing surgical accuracy, reducing operation time, lowering costs, and shortening the learning curve for young orthopedists in minimally invasive spine surgery (MISS) without the use of computer-assisted navigation technology.
SCIENTIFIC REPORTS
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Gaston Camino-Willhuber, Gonzalo Kido, Santiago Vildoza, Ezequiel Martinez, Soji Tani, Matias Petracchi, Marcelo Gruenberg, Carlos Sola, Mariana Bendersky
Summary: This study analyzed the correlation between the severity of intervertebral vacuum phenomenon (IVP), Modic changes, and subchondral sclerosis in patients with lumbar degeneration. The results showed a significant positive correlation between IVP and Modic type, IVP and Modic grade, and IVP and subchondral sclerosis. Additionally, subchondral sclerosis was significantly associated with Modic type and grade.
Article
Surgery
Nora Nevermann, Linda Feldbruegge, Sebastian Knitter, Felix Krenzien, Nathanael Raschzok, Georg Lurje, Wenzel Schoening, Johann Pratschke, Moritz Schmelzle
Summary: Extrahepatic transection of the right hepatic artery and right portal vein before parenchymal dissection is a standard procedure in minimal invasive right hepatectomy. This study reports a simplified approach where the hilar dissection is omitted and the dissection line is defined with ultrasound. The results show that ultrasound-guided hepatectomy is at least comparable to the standard technique in terms of intraoperative and postoperative outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Clinical Neurology
Federico Fusini, Massimo Girardo, Alessandro Aprato, Alessandro Masse, Alberto Lorenzi, Domenico Messina, Gabriele Colo
Summary: Percutaneous cement discoplasty shows promising clinical results in providing pain relief for elderly patients, but the current literature quality is poor, and further research is needed to confirm its clinical efficacy and correct indications.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Gaston Camino-Willhuber, Alfredo Guiroy, Mariano Servidio, Nelson Astur, Fernando Nin-Vilaro, Fernando Alvarado-Gomez, Murilo Daher, Bruno Saciloto, Allan Ono, Olavo Letaif, Baron Zarate-Kalfopulos, Ratko Yurac, Emiliano Vialle, Marcelo Valacco
Summary: This multicentric retrospective study analyzed the prevalence and risk factors of early postoperative complications in adult spinal deformity patients treated with fusion surgery. The study also investigated the impact of complications on unplanned readmission and hospital length of stay. The results showed a 45% prevalence of complications within 30 days, with 20% of patients requiring unplanned readmission. Presence of complications significantly increased hospital length of stay.
GLOBAL SPINE JOURNAL
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Julio Urrutia, Gaston Camino-Willhuber, Nelson Astur, Marcelo Valacco, Matias Borensztein, Osvaldo Velan, Pablo Cikutovic
Summary: A recent study described a scoring system to grade sacroiliac joint (SIJ) degeneration using computed tomography (CT) scans, but independent evaluation showed only moderate agreement among observers using this scheme. The study aimed to assess inter- and intra-observer agreement independently using the Eno classification and determining gas in the SIJ. While substantial intra-observer agreement was found, the moderate inter-observer agreement suggests that the Eno classification may not be suitable for clinical practice or research.
Letter
Clinical Neurology
Gaston Camino-Willhuber, Mariana Bendersky, Homero Bianchi, Marcelo Gruenberg, Carlos Sola
EUROPEAN SPINE JOURNAL
(2022)
Article
Clinical Neurology
Gaston Camino-Willhuber, Byron Delgado, Nelson Astur, Alfredo Guiroy, Marcelo Valacco, Luigi Aurelio Nasto, Luca Piccone, Giovanni Barbanti-Brodano, Antonio Leone, Valerio Cipolloni, Enrico Pola, Julio Urrutia
Summary: The study evaluated the agreement of a clinical-radiological classification of pyogenic spinal infections proposed by Pola et al. The results showed substantial agreement among evaluators and moderate agreement within the same evaluator in terms of the main categories, but only moderate agreement in terms of the subtypes.
EUROPEAN SPINE JOURNAL
(2022)
Review
Clinical Neurology
Juan P. Cabrera, Gaston Camino-Willhuber, Sathish Muthu, Alfredo Guiroy, Marcelo Valacco, Enrico Pola
Summary: This study compared the efficacy of percutaneous and open pedicle screw fixation in the treatment of thoracic and lumbar pyogenic spondylodiscitis through a systematic review and meta-analysis. The results showed that compared to open surgery, percutaneous surgery significantly reduced operating time, blood loss, postoperative pain, length of stay, and the incidence of wound infection, with no difference in rates of screw misplacement or loosening between the two treatments.
CLINICAL SPINE SURGERY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Gaston Camino-Willhuber, Santiago Vildoza, Ezequiel Martinez, Lucia Canestrari, Fernando Holc, Michael Oh, Nitin Bhatia, Yu-Po Lee, Homero Bianchi, Mariana Bendersky
Summary: This study aimed to analyze the prevalence and related factors of the vacuum phenomenon in adult patients. A retrospective cohort study was conducted on patients who underwent abdominal computed tomography for non-spine-related reasons. The presence of intervertebral vacuum phenomenon, subchondral sclerosis, and facet joint degeneration were included as CT-based characteristics to determine the prevalence of the vacuum phenomenon and establish its relationship with patient demographics and other signs of spine degeneration. The results showed that 38% of the participants had intervertebral vacuum phenomenon, and risk factors associated with this condition were age, smoking, and subchondral sclerosis.
Article
Orthopedics
Marc-Olivier Gauci, Manuel Olmos, Caroline Cointat, Pierre-Emmanuel Chammas, Manuel Urvoy, Albert Murienne, Nicolas Bronsard, Jean-Francois Gonzalez
Summary: This study aimed to validate an automatic shoulder RoM measurement system using an RGB-D video camera and an artificial intelligence algorithm. The results showed that the combination of RGB-D and AI was reliable in measuring shoulder RoM, compared to traditional methods.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Clinical Neurology
Julio Urrutia, Byron Delgado, Gaston Camino-Willhuber, Alfredo Guiroy, Nelson Astur, Marcelo Valacco, Juan Jose Zamorano, Catalina Vidal, Ratko Yurac
Summary: The complex anatomy of the upper cervical spine has led to multiple separate classification systems for upper cervical spine trauma. The AOSpine UCCS was recently described, but an independent agreement assessment has not been conducted. The study found that the inter-observer and intra-observer agreement of the AOSpine UCCS was only moderate.
Article
Clinical Neurology
Lukas Schoennagel, Maximilian Muellner, Thomas Caffard, Soji Tani, Gaston Camino-Willhuber, Jiaqi Zhu, Henryk Haffer, Phillip Suwalski, Artine Arzani, Erika Chiapparelli, Krizia Amoroso, Manuel Moser, Jennifer Shue, Ek Tsoon Tan, John A. Carrino, Andrew A. Sama, Frank P. Cammisa, Federico P. Girardi, Alexander P. Hughes
Summary: This study found a significant association between aortic abdominal calcification (AAC) and morphological changes in the paraspinal muscles (PPM), such as atrophy and increased fatty infiltration. AAC possibly reduces blood flow to the lumbar posterior paraspinal muscles, leading to these muscle changes. This study improves our understanding of the interaction between AAC and spinal musculature.
EUROPEAN SPINE JOURNAL
(2023)
Article
Clinical Neurology
Gaston Camino-Willhuber, Henryk Haffer, Maximilian Muellner, Yusuke Dodo, Erika Chiapparelli, Soji Tani, Krizia Amoroso, Michele Sarin, Jennifer Shue, Ellen M. Soffin, William D. Zelenty, Gbolabo Sokunbi, Darren R. Lebl, Frank P. Cammisa, Federico P. Girardi, Alexander P. Hughes, Andrew A. Sama
Summary: This study compared the impact of different combinations of comorbidities on the risk of complications after spine surgery, highlighting the necessity of sub-stratification of frailty status to identify high-risk patients.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Gaston Camino-Willhuber, Soji Tani, Lukas Schonnagel, Thomas Caffard, Henryk Haffer, Erika Chiapparelli, Michele Sarin, Jennifer Shue, Ellen M. Soffin, William D. Zelenty, Gbolabo Sokunbi, Darren R. Lebl, Frank P. Cammisa, Federico P. Girardi, Alexander P. Hughes, Andrew A. Sama
Summary: The study aimed to evaluate the effect of frailty and hypoalbuminemia on the risk of complications after spine surgery. The combination of frailty and hypoalbuminemia significantly increases the risk of complications after spine surgery. Frail patients with severe hypoalbuminemia have a significantly higher risk of complications, reoperation, readmission, and mortality compared to patients without hypoalbuminemia.
WORLD NEUROSURGERY
(2023)
Review
Clinical Neurology
Gbolabo Sokunbi, Gaston Camino-Willhuber, Philip K. Paschal, Oluseun Olufade, Farah S. Hussain, Jennifer Shue, Celeste Abjornson, William D. Zelenty, Darren R. Lebl, Frank P. Cammisa, Federico P. Girardi, Alexander P. Hughes, Andrew A. Sama
Summary: A systematic review found inconsistent results regarding the association between diastasis recti abdominis (DRA) and low back pain (LBP), with some studies showing a positive correlation and others showing no association. Better studies are needed to further understand the relationship between DRA and LBP.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Melanie Catena Baudo, Facundo Villamil, Pablo Sebastian Paolinelli, Nicolas Cristian Domenech, Andres Cervio, Lucia Alba Ferrara, Mariana Bendersky
Summary: The frontal aslant tract (FAT) connects the supplementary motor area with the pars opercularis and is now known as the extended FAT (eFAT). The eFAT is believed to play a role in various brain functions, including verbal fluency. This study successfully reconstructed and analyzed the morphology and anatomical characteristics of the eFAT.
WORLD NEUROSURGERY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Gaston Camino-Willhuber, Gonzalo Kido, Santiago Vildoza, Ezequiel Martinez, Soji Tani, Matias Petracchi, Marcelo Gruenberg, Carlos Sola, Mariana Bendersky
Summary: This study analyzed the correlation between the severity of intervertebral vacuum phenomenon (IVP), Modic changes, and subchondral sclerosis in patients with lumbar degeneration. The results showed a significant positive correlation between IVP and Modic type, IVP and Modic grade, and IVP and subchondral sclerosis. Additionally, subchondral sclerosis was significantly associated with Modic type and grade.
Letter
Clinical Neurology
Matias Pereira Duarte, Gaston Camino-Willhuber, Mariana Bendersky
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Guilu He, Jianhao Lin, Jing Ye, Fobao Huang, Changzhi Yan, Zesi Liu, Xiuming Zhou, Qiao Li, Liang Zhang
Summary: This article introduces long tunneled external ventricular drain (LTEVD), which effectively avoids multiple surgeries by connecting an external shunt valve. It allows visual control of drainage flow, prolongs catheter indwelling time, and eliminates the need for multiple surgeries.
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Vinay Suresh, H. S. Suresh, Bharath Raju, Himanshu Jindal, Ahmad Ozair
Summary: This study investigated the outcomes of postoperative discitis treated with debridement and a novel technique focused on reducing outpatient antibiotic requirement in a low- and middle-income country (LMIC) setting. The results showed that patients with medically refractory postoperative discitis potentially have good outcomes after debridement plus 2-week local antibiotic instillation in LMICs.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Beatrice C. Bono, Davide Milani, Fabio Ferreli, Simone Olei, Luca Raspagliesi, Maria Pia Tropeano, Giovanni B. Lasio, Federico Pessina
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Avi A. Gajjar, Shrey Patel, Raj Swaroop Lavadi, Rida Mitha, Rohit Prem Kumar, Tavis Taylor, Galal A. Elsayed, D. Kojo Hamilton, Nitin Agarwal
Summary: Art in neurosurgery has played a crucial role in the discipline for centuries. Medical illustrations help visualize anatomy and surgical procedures, contributing to education, surgical planning, and navigation.
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Joaquin Perez Zabala, Yamila Basilotta Marquez, Romina Arganaraz, Beatriz Mantese
Summary: We present a low-cost and easily accessible adaptation system for stereotactic procedures in infants. By using a headband cast technique, a stereotactic biopsy was successfully performed in a 5-month-old patient, achieving precise targeting, histopathological diagnosis, and no associated complications.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Muhammad Kusdiansah, Arnau Benet, Yosuke Suzuki, Kenichi Haraguchi, Nakao Ota, Kosumo Noda, Rokuya Tanikawa
Summary: Fusiform vertebral artery aneurysms are difficult to treat, and endovascular and open microsurgical treatments are used for different situations. This report presents a case with complex anatomy and branch involvement and describes the treatment strategy used.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Victor M. Lu
Summary: This review emphasizes four essential domains that should be considered when interpreting pediatric neurosurgical SRMAs and provides examples to ensure accurate and effective interpretation of findings in this niche.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Lapo Bonosi, Angelo Torrente, Filippo Brighina, Cateno Concetto Tito Petralia, Pietro Merlino, Chiara Avallone, Vincenzo Gulino, Roberta Costanzo, Lara Brunasso, Domenico Gerardo Iacopino, Rosario Maugeri
Summary: Corticocortical evoked potentials (CCEPs) have emerged as a valuable intraoperative monitoring technique in eloquent brain tumor surgery, aiding in preserving critical functional areas. Current research shows the potential of CCEPs in guiding surgical decision making, reducing the risk of postoperative neurological deficits, and mapping functional connectivity, but further research and standardization are needed.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Yuchen Duan, Dagang Feng, Min Zhu, Heng Qiu, Tong Li, Zhen Chen, Leiming Jiang, Yong Huang
Summary: This study aimed to compare the effect of different Modic changes (MC) grades on the cage subsidence rate after spinal interbody fusion surgery. A meta-analysis was conducted on relevant randomized controlled trials and cohort studies. The results showed that MC may be associated with a higher cage subsidence rate. With the increase in MC grades, the incidence of subsidence decreased gradually, but it was always higher than that in the non-Modic changes (NMC). Oblique lumbar interbody fusion may be a better treatment choice for lumbar degenerative disease with MC.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Brian F. Saway, Conor M. Cunningham, Mustafa Ismail, Alejandro M. Spiotta
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Joanna M. Roy, Michael M. Covell, Carmelo Venero Jr, Christian A. Bowers
Summary: Early exposure to neurosurgery during medical school is critical for improving recruitment into the specialty. However, about 30% of medical schools in the U.S. lack a neurosurgery program, limiting students' exposure to the field. Virtual education, facilitated by webinars during the pandemic, has advantages such as global outreach and accessibility for international medical students. This review identifies and describes 16 educational resources, serving as a guide for medical students interested in neurosurgery.
WORLD NEUROSURGERY
(2024)
