World Neurosurg
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Portable intraoperative computed tomography (iCT) with integrated 3-dimensional navigation (NAV) offers new opportunities for more precise navigation in spinal surgery, eliminates radiation exposure for the surgical team, and accelerates surgical workflows. We present the concept of "total navigation" using iCT NAV in spinal surgery. Therefore, we propose a step-by-step guideline demonstrating how total navigation can eliminate fluoroscopy with time-efficient workflows integrating iCT NAV into daily practice. ⋯ Total navigation makes spine surgery safer and more accurate, and it enhances efficient and reproducible workflows. Fluoroscopy and radiation exposure for the surgical staff can be eliminated in the majority of cases.
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Case Reports
Three dimensional anatomy of the white matter fibers of the temporal lobe: Surgical implications.
The aim of this work is to describe in detail the complex 3-dimensional organization of the white matter of the temporal lobe and discuss the surgical implications of the approaches to lesions located into the mesial temporal region and within the temporal horn and the atrium of the lateral ventricles. ⋯ The complex 3-dimensional organization of the white matter substance of the temporal lobe is characterized by 2 main systems of boundaries: the sagittal stratum and the temporal stem. Their knowledge is essential for the appropriate treatment of pathologies localized in this region as demonstrated by the 2 clinical cases presented in this work.
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Randomized Controlled Trial Comparative Study
Posterior cervical transfacet fusion with facetal spacer for the treatment of single-level cervical radiculopathy: a randomized controlled prospective study.
Single-level cervical radiculopathy may be treated conservatively with cervical tractions. Posterior cervical transfacet fusion with a facetal spacer is a viable option. The aim of the present study is to compare posterior cervical transfacet fusion with conservative physical treatment in single-level cervical radiculopathy. ⋯ posterior cervical transfacet fusion is a safe and effective procedure to treat single-level cervical radiculopathy.
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Review Historical Article
Meningeal preservation in a child mummy from Ancient Egypt.
Over many centuries, the ancient Egyptians developed a method of preserving bodies so they would remain lifelike. Mummification of bodies was originally a natural process in Egypt, and it evolved to a sophisticated embalming system to preserve the individual for the afterlife. ⋯ One of them was a 6-8 old-year male child with a damaged skull that allowed us to see the meningeal structures covering the entire cranial vault, in absence of brain remains. This finding in a child mummy is exceptional, as reflected in the specialized literature.
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Review Meta Analysis
Does dynamic supine magnetic resonance imaging improve the diagnostic accuracy of cervical spondylotic myelopathy? A review of the current evidence.
We aimed to critically analyze the current evidence regarding the role of dynamic supine magnetic resonance imaging (dsMRI) in the evaluation of cervical spondylotic myelopathy. ⋯ dsMRI represents an available modification of conventional static magnetic resonance imaging and is potentially able to demonstrate pathologies that might be previously missed. Evidence suggests that dsMRI can elucidate spinal cord compression with higher sensitivity, resulting in improved diagnostic accuracy of cervical spondylotic myelopathy, which may impact surgical planning for these patients. However, more high-quality studies are required to further establish its indications to avoid overdiagnosis with this powerful imaging technique and to justify its cost-effectiveness.