Neurosurgery
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The aim of intervention for unruptured intracranial aneurysms (UIAs) is safe, effective treatment. ⋯ Complication-effectiveness analyses increase the information available with regard to outcome for the management of UIAs.
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Concern about radiation-induced optic neuropathy (RION) has governed recent thinking about the role of radiation therapy in the treatment of meningiomas involving the anterior optic pathways. Despite this concern, during the last few years, the use of radiosurgery for such lesions has increased steadily. ⋯ Good local control rate and a low risk of RION indicate that mRS is a safe and effective treatment option in cases of large meningiomas.
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Posterior cervical fusion with cervical interfacet spacer (CIS) is a novel allograft technology offering the potential to provide indirect neuroforaminal decompression while simultaneously enhancing fusion by placing the allograft in compression. ⋯ CIS provides an important fusion technique, allowing placement of an allograft in compression for posterior cervical fusion in patients with anterior cervical pseudarthroses. Although there was improvement in clinical outcome measures after surgery, placement of CIS had no clinically significant impact on cervical lordosis and C2-7 sagittal vertical axis.