World Neurosurg
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To evaluate the efficacy of the Crane reduction technique in midline lumbar fusion (MIDLF) with cortical bone trajectory screws for treating degenerative spondylolisthesis, and to identify factors affecting the reduction rate. ⋯ The Crane technique combined with MIDLF is an effective and safe surgical approach for treating L4-5 degenerative spondylolisthesis, demonstrating high reduction rates with consistent minimal residual slip, particularly in Grade II cases.
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Patients in the neurological intensive care unit (ICU) are at an increased risk of venous thromboembolism (VTE). Anticoagulation is often indicated because deep venous thrombosis (DVT) can develop into pulmonary embolism (PE). However, anticoagulation also increases the risk of intracranial bleeding. Physicians must weigh the opposing risks carefully. It is commonly believed that upper extremity DVT (UEDVT) is less likely to develop into PE as compared to lower extremity DVT (LEDVT), but this lacks evidence, and our study investigates its validity. ⋯ In this sample of neurocritical care patients, the coexistence of DVT and PE did not differ in patients with upper versus lower extremity DVT. This should be considered in the neurocritical care unit when deciding whether to treat patients with DVT with anticoagulants.
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This study aims to evaluate the clinical outcomes of using C1 posterior arch screws (PASs) combined with C2 translaminar screws as an adjunct for reinforcing upper cervical spine fixation. ⋯ Unilateral or bilateral C1 PASs combined with C2 translaminar screws demonstrated successful outcomes in this small patient series. C1 PASs effectively served as additional reinforcement for C1 lateral mass screws, enhancing upper cervical spine fixation.