World Neurosurg
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The purpose of this retrospective cohort study was to compare the 2-year radiological outcome and revision rates in patients with adult spinal deformity treated with either pedicle subtraction osteotomy (PSO) or posterior lumbar interbody fusion (PLIF), when PLIF was used to improve sagittal balance. ⋯ A significantly lower revision rate was seen for patients undergoing PLIF compared with PSO at a 2-year follow-up. A satisfactory sagittal correction was obtained for both groups regardless of the procedure. Thus, PLIF could be a viable option in selected cases.
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Growing rods is a distraction-based, growth-friendly method that is commonly used in the treatment of scoliosis. ⋯ This study drew a knowledge map of growing rods in scoliosis over the past 2 decades. The changes in research hotspots and current research directions have been summarized. The high costs and limited access to growing rods methodology in less-developed regions highlight the economic and technical challenges of globalizing these advanced treatments.
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This retrospective study aimed to identify key prognostic factors for patients with traumatic intracranial hemorrhage (TICH) and develop a comprehensive nomogram for prognostic assessment. ⋯ Age, GCS scores, TCA status, and hematoma volume are independent prognostic factors for TICH. This model offers a valuable tool for clinicians in assessing TICH patient outcomes, warranting further validation and exploration of additional predictive factors for enhanced prognostic accuracy.
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To evaluate outcomes for workers' compensation (WC) patients versus patients with commercial insurance (CI) undergoing lumbar decompression at an ambulatory surgical center. ⋯ WC patients report inferior preoperative and postoperative outcomes in disability, mental health, and physical function compared to CI patients. However, WC patients were more likely to report clinically significant improvements in depressive burden. Surgeons can counsel WC patients on expected mental health improvements and recommend psychosocial and physical rehabilitation.
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This historical account reviews the course and lasting impact of Dr. Harvey Cushing (1869-1939) in neurosurgery. ⋯ This historical reconstruction provides glimpses into the personality of Dr. Harvey Cushing and his marked impact on neurosurgery and adds to the growing literature on his person.