World Neurosurg
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Multicenter Study Comparative Study
Assessment of the radiation exposure of surgeons and patients during a lumbar microdiscectomy and a cervical microdiscectomy: a French prospective multicenter study.
Cervical and lumbar disk herniations are the most frequently carried out procedures in spinal surgery. Often, a few snapshots during the procedure are necessary to validate the level or to position the implant. The objective of this study is to quantitatively estimate the radiation received by a spine surgeon and patient during a low-dose radiation procedure. ⋯ Exposure to x-rays for surgeons and patients during surgery for lumbar disk herniation is higher than during surgery for cervical herniation disk. Our results show that radiation exposure to the spine surgeon is still far below the annual dose limits.
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Review Case Reports
Predictors of Outcome in Non-Traumatic Spontaneous Acute Spinal Subdural Hematoma: Case report and Literature Review.
To analyze the clinical presentation and outcome of nontraumatic spontaneous acute spinal subdural hematoma by observing the predictors of outcome. ⋯ Although mortality and morbidity associated with nontraumatic spontaneous acute spinal subdural hematoma has decreased during the last 2 decades, the disease still carries a mortality rate of approximately1.3% and a morbidity (permanent neurologic deficits) rate of 28%. The main factors affecting the outcome are neurologic status at presentation and coagulopathies.
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Multicenter Study
Preliminary Analysis of Adjacent Segment Degeneration in Patients Treated with Posterior Cervical Cages - 2 Year Follow-Up.
Select patients with unremitting symptoms of cervical radiculopathy may be treated with indirect foraminal decompression and fusion via placement of a cervical cage placed bilaterally through a tissue sparing, posterior approach. Segmental fusion is known to affect adjacent segments. The aim of this study was to assess the affect of posterior fusion using bilateral cervical cages on adjacent segment degeneration (ASDegeneration) at 2 years postoperatively. ⋯ In the current study, 5.9% of subjects treated with posterior cervical cages placed bilaterally between the facet joints developed adjacent segment degeneration at 2 years. Mild progression of existing degeneration was observed in 11.8% of subjects. Further evaluation to establish long-term incidence is needed.
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Review Case Reports
CNS Melioidosis mimics malignancy: A case report and literature review.
Central nervous system (CNS) melioidosis is notorious because of the difficulty in bacteria eradication and the destruction of brain structures. Early manifestation of CNS melioidosis mimics malignancy or stroke. We present a case of CNS melioidosis that initially manifested as malignancy. ⋯ CNS melioidosis requires accurate pathogen identification and appropriate long-term antibiotic treatment for eradication of bacteria and prevention of relapse. Débridement and adequate drainage provide better infection control and outcome.