World Neurosurg
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Case Reports
Deconstructive Endovascular Treatment of Ruptured Serpentine Basilar Artery Aneurysm by Mid-Basilar Occlusion.
No clear treatment course for cerebral aneurysms in the main trunk of the basilar artery (BA) has been established thus far. ⋯ Parent vessel sacrifice carries a risk of perforator injury due to extension of thrombosis from the blind pouch into eloquent perforator vessels. Minimizing this risk requires careful evaluation of anatomy and strategic occlusion, which preserves runoff into relatively large vessels, such as the superior cerebellar artery, the anterior inferior cerebellar artery, or the penetrating branch from the blind pouch, as much as possible.
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To investigate the risk factors and to construct a nomogram for the prediction of postoperative neck tilt (PNT) in patients with Lenke I and II adolescent idiopathic scoliosis (AIS). ⋯ Preoperative neck tilt, postoperative upper instrumented vertebrae imbalance, postoperative T1 tilt, and ΔMTC-ΔPTC are predictors for the nomogram. The nomogram can provide surgeons with a simple and effective tool to predict the occurrence and development of patients with PNT in Lenke I and II AIS.
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Case Reports
Continuous Interrupted Double Throw Suturing Method: A novel suturing technique for Extracranial-Intracranial Bypass.
Despite failure of the EC/IC Bypass Study Group to demonstrate effectiveness in minimizing future stroke events, superior temporal artery-medial cerebral artery (STA-MCA) bypass remains an essential treatment for complex giant intracranial aneurysms, tumors, moyamoya disease with ischemia, and atherosclerotic steno-occlusive disease with hemodynamic cerebrovascular insufficiency. The objective of this report is to describe a novel suturing technique for STA-MCA bypass that helps reduce donor-recipient anastomosis time, allowing for a well-organized systematic workflow. ⋯ We describe a novel technique for interrupted STA-MCA bypass suturing that adds efficiency, safety, organization, and operative ease compared with the conventional method of interrupted vessel suturing.
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In the treatment of ossification of posterior longitudinal ligament (OPLL)-induced cervical myelopathy, laminoplasty (LMP) is the most widely used surgical procedure. However, the progression of ossification masses is a well-known complication of LMP. This study aimed to investigate whether the novel anterior cervical decompression technique (vertebral body sliding osteotomy; VBSO) based on anterior column fusion suppresses the progression of OPLL compared with motion-preserving posterior decompression surgery (LMP). ⋯ The solid fusion of the anterior column by VBSO is associated with the lower incidence of OPLL growth and potential for growth arrest.
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The common fibular nerve (CFN) is the most frequently injured nerve in the lower limbs. Surgical management is necessary in approximately two thirds of patients and includes neurolysis, suture, graft repair, or nerve transfer. The distal sural nerve is the preferred donor for grafting, but it is not without complications and requires a second incision. We sought to study the surgical anatomy of the lateral sural cutaneous nerve (LSCN) with the aim of repairing CFN injuries through the same incision and as a potential source for grafting in other nerve injuries. ⋯ LSCN harvest is a viable alternative for nerve grafting, especially for repairing short CFN injuries, thereby avoiding the need for a second incision.