World Neurosurg
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Increased systemic bone mineral density has been reported in patients with ossification of the posterior longitudinal ligament (OPLL). This study investigated the differences in vertebral Hounsfield unit (HU) values between the bridged and nonbridged groups of patients with OPLL of the cervical spine at the ossification-related segments. ⋯ We found that the mean HU value of the cervical spine in patients with OPLL was higher than that of the control group, and the ROM was smaller than that of the control group, with the smallest ROM in the continuous type. In the ossification-related segments, the bridging group exhibited lower vertebral HU values, reduced segmental mobility, and thicker ossification thickness.
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This study was to explore the factors associated with prolonged hospital length of stay (LOS) in patients with intracranial aneurysms (IAs) undergoing endovascular interventional embolization and construct prediction model machine learning algorithms. ⋯ This study comprehensively identified key predictive factors for prolonged LOS in patients with IA undergoing interventional embolization and confirmed the efficacy of an RF model for predicting prolonged LOS in patients with IA undergoing interventional embolization. The construction of the LOS prediction model may effectively optimize healthcare resource utilization, inform better clinical decision-making, and offer valuable prognostic insights.
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Surgical treatments for degenerative lumbar spinal disorders involve decompression of neural structures and arthrodesis to address pain from unstable intervertebral segments. Lumbar instrumented facet fusion (IFF), a less invasive technique, has shown positive short-term outcomes, but reports on its long-term outcomes are scarce. This study aims to report its long-term biomechanical stability and clinical outcomes. ⋯ Instrumented facet fusion is a safe and less invasive alternative method of lumbar spinal arthrodesis with comparable fusion rate and clinical outcome. This method show relatively low revision rate.
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To The Editor, We thoroughly read the article published in your journal entitled as "Safety and Efficacy of Ketorolac After Craniotomy for Tumor Resection" (1) and would like to appreciate the efforts being put by the authors. However to enhance the literature of this article we have some appraisal assessments which if added can enhance the quality of the literature and addressing these factors may improve the depth of the model.
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The presence of isocitrate dehydrogenase (IDH) mutations and 1p/19q codeletion significantly influences the diagnosis and prognosis of patients with lower-grade gliomas (LGGs). The ability to predict these molecular signatures preoperatively can inform surgical strategies. This study sought to establish an interpretable imaging feature set for predicting molecular signatures and overall survival in LGGs. ⋯ Gliomas with IDH mutations were more likely to exhibit smooth nonenhancing margins and pial invasion. In clinical practice, imaging prediction allows for the assessment of IDH mutation to shift from a postoperative outcome to a preoperative guidance indicator, facilitating more precise treatment for patients with LGGs.