World Neurosurg
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Review Meta Analysis
Global sagittal balance of spine in asymptomatic controls: A systematic review and meta-analysis.
To assess the global sagittal balance of spine (GSBS) in asymptomatic controls. ⋯ This paper presents normative data on TPA, SSA, SVA, Barrey index, OD-HA, and FBI as a reference for evaluating/measuring a GSB of spine in asymptomatic controls.
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Review Case Reports
Skull base leiomyomas and angioleiomyomas: A systematic literature review and an uncommon case report.
Skull base leiomyomas (LMs) and angioleiomyomas (ALMs) are rare, and the understanding of this disease is limited. We present a systematic literature review of skull base LM and ALM and report a case of internal auditory canal (IAC) ALM. ⋯ Skull base LM and ALM are rare. Given the need for pathology, surgery has been the standard treatment for symptomatic skull base LM and ALM. It is important to understand the available data about this disease and consider it in the differential of skull base lesions.
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Meta Analysis
Determinants of surgical remission in prolactinomas: a systematic review and meta-analysis.
Prolactin-secreting tumors respond well to medical management, with a few patients requiring surgery. We conducted a systematic review and meta-analysis to study the determinants of surgical remission in these tumors. ⋯ Transsphenoidal surgery for prolactinomas may be particularly effective in small, noninvasive, treatment-naive tumors and may provide a viable first-line alternative to dopamine agonist therapy in such patients.
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Intraoperative neuromonitoring (IONM) techniques are usually implemented during spine surgery to avoid nefarious abuse of the nervous system, which can cause postoperative problems. A lack of bibliometric analysis on the topic of IONM in spine surgery has been identified. ⋯ Research production by country seems to be in line with what is observed in other surgical fields, but research funding for IONM in spine surgery seems to be lower, even with the clear interest of private funding agencies. The conceptual networks have shown the importance of motor-evoked potential, electromyography, and the effect of anesthesia, particularly in scoliosis surgery.
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Randomized Controlled Trial
Efficacy and Safety of a Thrombin-Containing Collagen-based Haemostatic Agent in Spinal Surgery: A Randomized Clinical Trial.
When common hemostatic methods, such as suturing, cautery, and compression, fail to arrest bleeding during surgery, various local hemostatic agents are used. We aimed to evaluate the hemostatic efficacy and safety of CollaStat (Dalim Tissen Co. Ltd., Seoul, Korea), a novel thrombin-containing, collagen-based topical haemostatic agent used in spinal surgery, by comparing it with Floseal (Baxter Healthcare, Deerfield, Illinois, USA). ⋯ The hemostatic efficacy and safety of CollaStat were found to be noninferior to those of Floseal. Therefore CollaStat can be safely and effectively used in spinal surgery.