4.179 hasil
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Brain and Spine
Scopus
ISSN 2772-5294 · Elsevier · 4.179 artikel di indeks
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Artikel Jurnal
The four-eye principle in preoperative indication for lumbar spine surgery: A retrospective cohort analysis with prospective follow-up
Background: Accurate preoperative indication is crucial for achieving successful outcomes in lumbar spine surgery. The “four-eye principle,” requiring consensus between two independent specialists, has been proposed as a quality assurance measure, yet clinical evidence and the potential impact of…
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Artikel Jurnal
Cortical structural variations and scoliosis risk: insights from a large-scale Mendelian randomization analysis
Introduction: Scoliosis is a complex condition that may be influenced by neurobiological factors, including brain structure. Research question: Does a causal relationship exist between brain structure and scoliosis, and if so, which brain structural imaging-derived phenotypes (IDPs) are implicated?…
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Artikel Jurnal
Does adding an interbody cage in L4–L5 posterolateral fusion for degenerative spondylolisthesis and stenosis improve clinical outcome?
Introduction: As the population ages, L4–L5 degenerative spondylolisthesis is increasingly common. Posterolateral fusion was long standard; interbody cages are widely used for perceived higher fusion rates. Research question: Does adding an interbody cage to posterolateral fusion improve outcomes…
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Artikel Jurnal
Complications associated with anterior cervical spine surgery: A systematic review of literature
Introduction: Anterior cervical spine surgery has become a widely accepted approach for treating various cervical spine pathologies. Research question: This systematic review aimed to evaluate the frequency, etiology and outcomes of complications associated with anterior cervical spine surgery…
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Artikel Jurnal
Comparative analysis of the pedicle screw accuracy, screw revision and loosening rate and radiation exposure of robotic-guided (RG), intraoperative computed tomography (iCT)-navigation guided, and fluoroscopy guided placement technique
Objective: This retrospective single-center study aimed to compare the accuracy and revision rates of pedicle screw (PS) placement using robot-guided (RG), intraoperative CT-navigated (iCT-nav), and fluoroscopy-guided (FG) techniques. Additionally, screw loosening and overall revision rates were…
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Artikel Jurnal
Bioimpedance in neurosurgery for tumor margin delineation
Introduction: The electrical properties of brain tissue, shaped by cellular composition, fluid content, and ion distribution, create measurable impedance differences that can be exploited intraoperatively [1–7]. Bioimpedance has emerged as a promising adjunct for guiding resection in gliomas and…
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Artikel Jurnal
Hydrocortisone versus dexamethasone in cerebral salt-wasting after aneurysmal subarachnoid hemorrhage
Introduction: Cerebral salt wasting syndrome (CSW) is frequently observed in aneurysmal subarachnoid hemorrhage (SAH) patients and results in excessive natriuresis with decreased extracellular fluids, leading to hyponatremia and hypovolemia. Hyponatremia is associated with an increased complication…
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Artikel Jurnal
Power-drill fluoroscopy-controlled technique as an alternative to navigation-assisted pedicle screw placement: A propensity score-matched retrospective cohort study
Introduction: Power-drill fluoroscopy-controlled freehand (PFH) pedicle screw placement is a drill-based refinement of the freehand technique that combines fluoroscopic control with tactile feedback. Its performance in degenerative spine surgery remains underexplored. This study compared the…
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Artikel Jurnal
Ethical issues in neurosurgery – A scoping review from the EANS Ethico-legal committee
Background: Ethical considerations are integral to neurosurgical decision-making, yet emerging technologies, demographic shifts, and global crises continuously introduce new challenges. Key ethical concerns include patient autonomy, prioritization, the value of life, research ethics, and…
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Artikel Jurnal
Outcome and complications after two-level Anterior Cervical Discectomy and Fusion (ACDF) with or without plating. A propensity matched cohort study
Introduction: Anterior cervical discectomy and fusion (ACDF1) is the current standard of treatment for disc herniation and radiculopathy resistant to non-operative care and can be performed with or without plating. Research question: Which method of two-level ACDF with or without fixated plate…
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Artikel Jurnal
Swipe, watch, learn? An analysis of TikTok as a source of patient education on spondylolisthesis
Introduction: Social media has become a major source of health information. TikTok, a rapidly expanding global platform that enables broad dissemination of medical content, yet the accuracy and reliability of such information remain uncertain. In this context, assessing the educational quality of…
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Artikel Jurnal
Comparative effectiveness of intrathecal morphine versus erector spinae plane block for analgesia after scoliosis surgery: a retrospective analysis
Objective: To compare the efficacy of analgesia techniques after idiopathic scoliosis surgery. Methods: Register data of scoliosis patients were analyzed between January 2020 and June 2023. Patients were divided into four groups: intravenous anesthesia (IA) only, Erector Spinae Plane Block (ESPB)…
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Artikel Jurnal
A systematic review and meta-analysis on surgery for lumbar disc herniation: optimal timing of surgery, return to work and outcomes compared with conservative management
Introduction: It has been estimated that between 50 and 90 % of the general population will suffer from low back pain at some point in their lives. 5 %–10 % of this patient population also experiences back-related leg pain caused by underlying spinal pathology such as lumbar disc herniations (LDH)…
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Artikel Jurnal
Vestibular schwannoma microsurgery peculiarities for better functional outcome and result comparison
Introduction: Vestibular schwannomas (VS) are surgically challenging due to proximity to critical neurovascular structures. Preservation of facial and cochlear nerve function is essential for quality of life (QoL). Research question: Does a refined microsurgical technique with extent of tumor…
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Artikel Jurnal
Management of neurologically intact traumatic posterior atlantoaxial dislocation with odontoid fracture and bilateral locked facets: a case report and literature review
Background: Traumatic posterior atlantoaxial dislocation (TPAD) with an associated odontoid fracture is exceedingly rare, typically resulting from high-energy trauma such as high-velocity road traffic accidents or falls from height. This report details a previously undescribed case of an old TPAD…
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Artikel Jurnal
Neurosurgical and neuro-oncological outcomes of confirmatory brain biopsies in patients with glioblastoma: a real-life monocentric experience
Introduction: Glioblastoma (GB) is an uncurable tumor with poor prognosis despite resection plus adjuvant cares. When unresectable, even in case of a clear radiological imaging, guidelines require a formal histological diagnosis to confirm the diagnosis of GB. Research question: This study aims to…
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Artikel Jurnal
Sexual health after lumbar discectomy in younger patients—What can they expect? A prospective cohort study using patient-reported outcome data
Introduction: Sexual health is an important aspect of wellbeing and is often impaired in younger adults with lumbar disc herniation (LDH). Evidence describing postoperative sexual health specifically in this age group remains limited. Research question: How does self-reported sexual health change…
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Artikel Jurnal
Combined anterior, antero-lateral and lateral approaches to the cervical spine. Advocating the brachial plexus approach to the crossing of spine and nerve
Introduction: The aim for total resection of large cervical tumors extending from the dura through the neuroforamen in the direction of the brachial plexus presents significant surgical challenges due to the complex anatomy and the risk of neurological injury. Traditional anterior approaches often…
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Artikel Jurnal
Spinal cord protection by epidural separation during vertebral cryoablation for metastatic spine disease: A proof-of-concept preclinical study
Introduction: Cryoablation for spinal metastases is limited by the risk of cryogenic neural injury near the spinal cord. Physical separation between the vertebral body and dura may provide a thermal margin, but the distance–temperature relationship in the epidural space remains insufficiently…
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