World Neurosurg
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Case Reports
Surgical Video: Percutaneous fusion and endoscopic resection of a thoracic metastatic tumor.
While endoscopic approaches to the spine have become increasingly utilized for spinal degenerative disease, there is a paucity of literature regarding the role of endoscopic approaches in spinal oncology.1 The endoscopic approach offers patients lower risk of wound infection, wound dehiscence, and postoperative hematoma when compared with an open approach.1 In many spinal oncology patients, an endoscopic approach allows for prompt postoperative radiation when compared with an open approach.2 Both the lower complication profile and decreased time to postoperative radiation highlight the importance of considering an endoscopic approach to metastatic spinal tumors. We present a case of a patient with a metastatic carcinoma to the thoracic spine resected via an endoscopic approach. The patient's tumor was first treated with endovascular embolization, followed by endoscopic hemilaminectomy, foraminotomy, and tumor resection. ⋯ Per institutional guidelines, the current case Video 1 did not classify as human subject research or require institutional review board review. In the Video 1, particular focus is placed on the surgical techniques involved in the endoscopic approach for resection a spinal metastatic tumor. With the increasing utilization of endoscopic approaches to the spine, the described technique for resection of spinal metastatic lesions will become increasingly relevant to spinal oncology surgeons.
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Mild craniocerebral trauma (CCT) can lead to various neurological and functional impairments, including dysphagia. Dysphagia refers to difficulties with swallowing, which can significantly impact a person's ability to eat, drink, and maintain proper nutrition. ⋯ Swallowing-feeding management combined with transcranial electrical stimulation is effective in CCT patients with dysphagia.
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Review Meta Analysis Comparative Study
Sole Stenting Versus Stent-Assisted Coiling For Treating Dissecting Posterior Circulation Aneurysms: A Systematic Review And Meta-Analysis.
Among the reconstructive methods for treating dissecting posterior circulation aneurysms, there are stent-assisted coiling (SAC), and sole stenting (SS) therapy. Despite SAC being widely employed when compared to SS, no study systematically analyzed the difference in their outcomes. ⋯ The findings suggest there is no substantial basis for favoring SAC over SS across all cases. Instead, an individualized approach should be considered, according to the patient's characteristics, surgeon skills, and the available material.
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Review Meta Analysis Comparative Study
Efficacy and safety of C3 laminectomy combined with open-door laminoplasty versus open-door laminoplasty alone: A systematic review and meta-analysis.
To evaluate efficacy and safety between C3 laminectomy + open-door laminoplasty and open-door laminoplasty alone. ⋯ Although C3 laminectomy + open-door laminoplasty has theoretic advantages, meta-analysis results show that the 2 surgical procedures are similar in terms of clinical symptoms improvement, sagittal balance, and complications. C3 laminectomy combined + open-door laminoplasty is superior only in the preservation of cervical lordosis. The limited number of studies may affect the reliability and generalizability of the results. Future high-quality, multicenter randomized controlled trials are needed to verify efficacy and safety.