World Neurosurg
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To investigate patient-reported outcomes following lumbar discectomy in patients with lateral lumbar disc herniation (LDH) compared with patients with paramedian LDH. ⋯ Patients with lateral and paramedian LDH reported similar postsurgical outcomes. Spine surgeons should be less hesitant to operate on patients with lateral LDH. Patients with extraforaminal LDH experienced the least relief of leg pain.
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Cavernous malformations (CMs) are benign vascular lesions composed of clusters of dilated, thin-walled, blood-filled vessels. The prevalence of CMs in the general population ranges from 0.4%-0.9%, with the majority located in the brain, while spinal cord CMs represent rare subtypes. Spinal CMs are clinically significant due to their potential for symptomatic hemorrhage, leading to neurological deficits. Although rare, they have attracted increasing attention in the literature. Thereby both, intramedullary hemorrhage and spinal cord surgery bear the risk of injury. This case series reports functional outcomes following surgical and conservative treatment of spinal CMs. ⋯ Spinal CMs can be safely managed through surgical resection, with a relatively low morbidity rate and no reported mortality. Our results demonstrate that postoperative morbidity was predominantly characterized by sensory deficits, while motor deficits were less common.
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In recent years, a modified percutaneous vertebroplasty procedure, known as Vesselplasty, has demonstrated favorable clinical outcomes in the treatment of osteoporotic vertebral compression fractures (OVCFs). However, there have been no reports on the application of Vesselplasty for Genant grade 3 OVCFs. This study aims to evaluate the efficacy and clinical outcomes of Vesselplasty in treating Genant grade 3 OVCFs, thereby providing evidence-based guidance for clinical decision-making. ⋯ Both Vesselplasty and PVP techniques effectively alleviate pain symptoms in patients with Genant grade 3 OVCFs. However, Vesselplasty demonstrates superior efficacy in restoring vertebral height, correcting kyphotic deformity, and reducing the risk of cement leakage.
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This study examines the risk of developing symptomatic retro-odontoid pseudotumor (ROP) following cervical laminoplasty. ROP can result in cervical myelopathy, leading to substantial morbidity. Identifying the risk factors for symptomatic ROP is essential to improving patient outcomes after laminoplasty. ⋯ This study highlights that a high preoperative RS ratio is a significant risk factor for symptomatic ROP, with a notable increase in O-C2 ROM observed in the ROP group following laminoplasty. These findings suggest that ROP is a progressive condition that may worsen after surgical intervention, particularly in patients with pre-existing retro-odontoid masses.