Skip to main navigation Skip to main content
  • E-Submission
  • Contact us

NS : Neurospine

OPEN ACCESS
Search
Advanced Search
ABOUT
BROWSE ARTICLES
FOR CONTRIBUTORS

Page Path

7
results for

"Neurosurgery"

Article category

Publication year

More +

Keywords

More +

Authors

More +

Funded articles

More +

"Neurosurgery"

Review Article

Assessing the Fractional Curve for Proper Management of Adult Degenerative Scoliosis
Seth C. Ransom, Zach Pennington, Nolan J. Brown, Shane Shahrestani, Jessica Ryvlin, Ali Shoustari, John C. Hagen, Anthony L. Mikula, Nikita Lakomkin, Luis D. Diaz-Aguilar, Benjamin D. Elder, Joseph A. Osorio, Martin H. Pham
Neurospine 2024;21(2):458-473.   Published online June 30, 2024
DOI: https://doi.org/10.14245/ns.2347202.601

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Assessing the Fractional Curve for Proper Management of Adult Degenerative Scoliosis
Neurospine. 2024;21(2):458-473.   Published online June 30, 2024
DOI: https://doi.org/10.14245/ns.2347202.601
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Assessing the Fractional Curve for Proper Management of Adult Degenerative Scoliosis
Neurospine. 2024;21(2):458-473.   Published online June 30, 2024
DOI: https://doi.org/10.14245/ns.2347202.601
Close
Adult degenerative scoliosis (ADS) is a coronal plane deformity often accompanied by sagittal plane malalignment. Surgical correction may involve the major and/or distally-located fractional curves (FCs). Correction of the FC has been increasingly recognized as key to ameliorating radicular pain localized to the FC levels. The present study aims to summarize the literature on the rationale for FC correction in ADS. Three databases were systematically reviewed to identify all primary studies reporting the rationale for correcting the FC in ADS. Articles were included if they were English full-text studies with primary data from ADS ( ≥ 18 years old) patients. Seventy-four articles were identified, of which 12 were included after full-text review. Findings suggest FC correction with long-segment fusion terminating at L5 increases the risk of distal junctional degeneration as compared to constructs instrumenting the sacrum. Additionally, circumferential fusion offers greater FC correction, lower reoperation risk, and shorter construct length. Minimally invasive surgery (MIS) techniques may offer effective radiographic correction and improve leg pain associated with foraminal stenosis on the FC concavity, though experiences are limited. Open surgery may be necessary to achieve adequate correction of severe, highly rigid deformities. Current data support major curve correction in ASD where the FC concavity and truncal shift are concordant, suggesting that the FC contributes to the patient’s overall deformity. Circumferential fusion and the use of kickstand rods can improve correction and enhance the stability and durability of long constructs. Last, MIS techniques show promise for milder deformities but require further investigation.

Citations

Citations to this article as recorded by  Crossref logo
  • The Impact of an Anterior Lumbar Interbody Fusion on Coronal Alignment in Adult Spinal Deformity Surgery
    Aiyush Bansal, Takeshi Fujii, Rafael Garcia de Oliveira, Philip K. Louie, Venu M. Nemani, Jean-Christophe Leveque, Rajiv K. Sethi
    Operative Neurosurgery.2026;[Epub]     CrossRef
  • Efficacy of Modified Transforaminal Lumbar Interbody Fusion in Three-Planar Correction for Severe Adult Spinal Deformity: Radiographic and Clinical Outcomes
    Truc Vu, Thai Hoang, Hanh Nguyen
    Orthopedic Research and Reviews.2026; Volume 18: 1.     CrossRef
  • How to view the effectiveness of spinal deformity surgery for adult degenerative scoliosis in octogenarian population? A comprehensive analysis and judgment
    Xiangyao Sun, Jiang Huang, Weiliang Wang, Limeng Gan, Li Cao, Yuqi Liu, Siyuan Sun, Juyong Wang, Shibao Lu
    Neurosurgical Review.2025;[Epub]     CrossRef
  • Clinical Results of Lumbar Foraminal Stenosis in Degenerative Lumbar Scoliosis With Uniportal Endoscopic Decompression
    Liu Yu-Hsin, Chen Chia-Hsien
    Journal of Minimally Invasive Spine Surgery and Technique.2025; 10(Suppl 2): S210.     CrossRef
  • Effectiveness of long-segment fixation versus short-segment fixation for treating adult degenerative scoliosis: A retrospective cohort study
    Zehua Jiang, Xuanhao Fu, Wenjun Du, Rusen Zhu
    Current Problems in Surgery.2025; 73: 101935.     CrossRef
  • 7,470 View
  • 200 Download
  • 4 Web of Science
  • 5 Crossref

Original Article

Special Issue on AI & Robotics

Advancements and Challenges in Robot-Assisted Bone Processing in Neurosurgical Procedures
Yoshihiro Kitahama, Hiroo Shizuka, Yuto Nakano, Yukoh Ohara, Jun Muto, Shuntaro Tsuchida, Daisuke Motoyama, Hideaki Miyake, Katsuhiko Sakai
Neurospine 2024;21(1):97-103.   Published online March 31, 2024
DOI: https://doi.org/10.14245/ns.2347164.582

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Advancements and Challenges in Robot-Assisted Bone Processing in Neurosurgical Procedures
Neurospine. 2024;21(1):97-103.   Published online March 31, 2024
DOI: https://doi.org/10.14245/ns.2347164.582
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Advancements and Challenges in Robot-Assisted Bone Processing in Neurosurgical Procedures
Neurospine. 2024;21(1):97-103.   Published online March 31, 2024
DOI: https://doi.org/10.14245/ns.2347164.582
Close
Objective
Practical applications of nerve decompression using neurosurgical robots remain unexplored. Our ongoing research and development initiatives, utilizing industrial robots, aim to establish a secure and efficient neurosurgical robotic system. The principal objective of this study was to automate bone grinding, which is a pivotal component of neurosurgical procedures.
Methods
To achieve this goal, we integrated an endoscope system into a manipulator and conducted precision bone machining using a neurosurgical drill, recording the grinding resistance values across 3 axes. Our study encompassed 2 core tasks: linear grinding, such as laminectomy, and cylindrical grinding, such as foraminotomy, with each task yielding unique measurement data.
Results
In linear grinding, we observed a proportional increase in grinding resistance values in the machining direction with acceleration. This observation suggests that 3-axis resistance measurements are a valuable tool for gauging and predicting deep cortical penetration. However, problems occurred in cylindrical grinding, and a significant error of 10% was detected. The analysis revealed that multiple factors, including the tool tip efficiency, machining speed, teaching methods, and deflection in the robot arm and jig joints, contributed to this error.
Conclusion
We successfully measured the resistance exerted on the tool tip during bone machining with a robotic arm across 3 axes. The resistance ranged from 3 to 8 Nm, with the measurement conducted at a processing speed approximately twice that of manual surgery performed by a surgeon. During the simulation of foraminotomy under endoscopic grinding conditions, we encountered a -10% error margin.

Citations

Citations to this article as recorded by  Crossref logo
  • Recent advances in robotic-assisted laminectomy in spine surgery: a narrative review
    Tarun Mattikalli, Konstantinos Margetis, James D. Lin, Jeremy Steinberger
    Asian Spine Journal.2026; 20(2): 388.     CrossRef
  • Thermal performance of modified surgical drill margins during bone drilling: An experimental, numerical, and optimization case study
    Mohd Faizal Ali Akhbar, Shahrizan Jamaludin, Suriani Mat Jusoh, Fatin Alias, Mohd Azlan Musa, Rodianah Alias
    Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine.2026; 240(4): 411.     CrossRef
  • Force model of robot bone grinding based on finite element analysis
    Kai Yang, Qingxuan Jia, Chao Feng, Juxiang Huang, Gang Chen, Zheng Yang
    Measurement.2025; 243: 116124.     CrossRef
  • Step-coated FBG and runway-shaped beam 6-D F/T sensor with dynamic self-fault-tolerant for orthopedic surgery robot
    Chen Zhao, Tianliang Li, Haolei Fan, Haotian Zhou, Jun wang, Yu Xu, Hongliang Ren, Fei Cheng, Yuegang Tan, Zude Zhou
    The International Journal of Robotics Research.2025; 44(12): 2073.     CrossRef
  • From the Editor-in-Chief: Featured Articles in the March 2024 Issue
    Inbo Han
    Neurospine.2024; 21(1): 1.     CrossRef
  • Expanding the Scope of Robotic Spinal Surgery With Bone Decompression: Commentary on “Advancements and Challenges in Robot-Assisted Bone Processing in Neurosurgical Procedures”
    Stephen Ryu
    Neurospine.2024; 21(1): 104.     CrossRef
  • Commentary on “The Utility and Feasibility of Smart Glasses in Spine Surgery: Minimizing Radiation Exposure During Percutaneous Pedicle Screw Insertion”
    Wongthawat Liawrungrueang
    Neurospine.2024; 21(2): 440.     CrossRef
  • 5,629 View
  • 127 Download
  • 7 Web of Science
  • 7 Crossref

Review Article

Spinal Cord Injury INTS-Neurospine Special Issue

Surgical Considerations to Improve Recovery in Acute Spinal Cord Injury
Troy Q. Tabarestani, Nicholle E. Lewis, Margot Kelly-Hedrick, Nina Zhang, Brianna R. Cellini, Eric J. Marrotte, Theresa Williamson, Haichen Wang, Daniel T. Laskowitz, Timothy D. Faw, Muhammad M. Abd-El-Barr
Neurospine 2022;19(3):689-702.   Published online September 30, 2022
DOI: https://doi.org/10.14245/ns.2244616.308

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Surgical Considerations to Improve Recovery in Acute Spinal Cord Injury
Neurospine. 2022;19(3):689-702.   Published online September 30, 2022
DOI: https://doi.org/10.14245/ns.2244616.308
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Surgical Considerations to Improve Recovery in Acute Spinal Cord Injury
Neurospine. 2022;19(3):689-702.   Published online September 30, 2022
DOI: https://doi.org/10.14245/ns.2244616.308
Close
Acute traumatic spinal cord injury (SCI) can be a devastating and costly event for individuals, their families, and the health system as a whole. Prognosis is heavily dependent on the physical extent of the injury and the severity of neurological dysfunction. If not treated urgently, individuals can suffer exacerbated secondary injury cascades that may increase tissue injury and limit recovery. Initial recognition and rapid treatment of acute SCI are vital to limiting secondary injury, reducing morbidity, and providing the best chance of functional recovery. This article aims to review the pathophysiology of SCI and the most up-to-date management of the acute traumatic SCI, specifically examining the modern approaches to surgical treatments along with the ethical limitations of research in this field.

Citations

Citations to this article as recorded by  Crossref logo
  • Stem cell-derived exosome treatment for acute spinal cord injury: a systematic review and meta-analysis based on preclinical evidence
    Chunlin Mou, Ziyao Xia, Xiujuan Wang, Xunan Dai, Jiaxian Wang, Chun Zhang, Yongsheng Xu
    Frontiers in Neurology.2025;[Epub]     CrossRef
  • Endoscopic Decompression Combined With Percutaneous Pedicle Screw Fixation for AOSpine A3 or A4 Thoracolumbar Fractures With Neurological Deficits: A Retrospective Cohort Study
    Huiming Yang, Junxian Miao, Jiangtao Wang, Dan Han, Yuhang Wang, Liang Yan, Biao Wang, Dingjun Hao
    Neurospine.2025; 22(2): 571.     CrossRef
  • Effect of Early Surgical Intervention on Neurological Outcomes in Acute Spinal Cord Injury: A Systematic Review and Meta-Analysis
    Shashwat Shetty, Rana Ahmed, Arnov Mukherjee, William J Austin, Muhammed Aamir, Shahmeen Rasul, Siddhesh V Kulkarni, Farhan Saleem
    Cureus.2025;[Epub]     CrossRef
  • Innovative Strategies in 3D Bioprinting for Spinal Cord Injury Repair
    Daniel Youngsuk Kim, Yanting Liu, Gyubin Kim, Seong Bae An, Inbo Han
    International Journal of Molecular Sciences.2024; 25(17): 9592.     CrossRef
  • International Spinal Cord Injury Community Survey: Socioeconomic and Healthcare Satisfaction in Spain
    Miguel Angel González-Viejo, Merce Avellanet, Anna Boada-Pladellorens, Lluïsa Montesinos-Magraner, María Luisa Jaúregui-Abrisqueta, Enrique Bárbara-Bataller, Bosco Méndez-Ferrer, Judith Sánchez-Raya, Nora Cívicos, José Luis Méndez-Suarez, Juana María Barr
    Global Spine Journal.2024; 14(8): 2381.     CrossRef
  • Thoracolumbar junction fracture and long instrumented fusion, a trial on a standardized surgical technique with long term clinical outcomes
    Mehdi Mahmoodkhani, Nima Najafi Babadi, Majid Rezvani, Ali Nasrollahizadeh, Arman Sourani, Mina Foroughi, Sadegh Baradaran Mahdavi, Donya Sheibani Tehrani, Roham Nik Khah
    Interdisciplinary Neurosurgery.2024; 36: 101928.     CrossRef
  • The Role of Bone Mineral Density in a Successful Lumbar Interbody Fusion: A Narrative Review
    Kyriakos N Bekas, Christos Zafeiris
    Cureus.2024;[Epub]     CrossRef
  • Predictors of failure after primary anterior cervical discectomy and fusion for subaxial traumatic spine injuries
    Aman Singh, Victor Gabriel El-Hajj, Alexander Fletcher-Sandersjöö, Nabeel Aziz, Abdul Karim Ghaith, Charles Tatter, Simon Blixt, Gunnar Nilsson, Mohamad Bydon, Paul Gerdhem, Erik Edström, Adrian Elmi-Terander
    European Spine Journal.2024; 33(6): 2332.     CrossRef
  • Physiotherapists’ Use of Outcome Measure Tools in the Assessment of Neuro-Musculoskeletal Injuries for Short-Term Functional Rehabilitation Domains to Minimize Impairments and Disability following Commercial Motorcycle Road-Related Accident, Eldoret, Keny
    Catherine Mwikali Muia, Collins Situma Sindani Masinde, Musimbi Chantell Imbwaga
    African Journal of Empirical Research.2024; 5(2): 581.     CrossRef
  • Surgical and Neurointensive Management for Acute Spinal Cord Injury: A Narrative Review
    Woo-Keun Kwon, Chang-Hwa Ham, Joonho Byun, Je Hoon Jeong, Myeong Jin Ko, Subum Lee, Byung-Jou Lee, Jong Hyun Kim
    Korean Journal of Neurotrauma.2024; 20(4): 225.     CrossRef
  • Differentiation of rat bone marrow mesenchymal stem cells into neurons induced by bone morphogenetic protein 7 in vitro
    Heng Zhang, Lei Gao, Wen Zhang, Kuanxin Li
    Neurological Research.2023; 45(5): 440.     CrossRef
  • Electroacupuncture-Modulated MiR-106b-5p Expression Enhances Autophagy by Targeting Beclin-1 to Promote Motor Function Recovery After Spinal Cord Injury in Rats
    Shuhui Guo, Jianmin Chen, Ye Yang, Xiaolu Li, Yun Tang, Yuchang Gui, Jianquan Chen, jianwen Xu
    Neurospine.2023; 20(3): 1011.     CrossRef
  • Non-Traumatic Cervical Disc Herniation Presented as Sudden Paralysis of the Limbs: Two Case Reports
    Jeong-Ju Hong, Cheolsu Jwa, Jae Hoon Kim, Hee In Kang, In-Suk Bae, Hyungjoo Kwon
    The Nerve.2023; 9(2): 184.     CrossRef
  • 9,907 View
  • 235 Download
  • 10 Web of Science
  • 13 Crossref

Original Articles

Telemedicine in Neurosurgery: Standardizing the Spinal Physical Examination Using A Modified Delphi Method
Alexander F. Haddad, John F. Burke, Praveen V. Mummaneni, Andrew K. Chan, Michael M. Safaee, John J. Knightly, Rory R. Mayer, Brenton H. Pennicooke, Anthony M. Digiorgio, Philip R. Weinstein, Aaron J. Clark, Dean Chou, Sanjay S. Dhall
Neurospine 2021;18(2):292-302.   Published online June 30, 2021
DOI: https://doi.org/10.14245/ns.2040684.342

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Telemedicine in Neurosurgery: Standardizing the Spinal Physical Examination Using A Modified Delphi Method
Neurospine. 2021;18(2):292-302.   Published online June 30, 2021
DOI: https://doi.org/10.14245/ns.2040684.342
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Telemedicine in Neurosurgery: Standardizing the Spinal Physical Examination Using A Modified Delphi Method
Neurospine. 2021;18(2):292-302.   Published online June 30, 2021
DOI: https://doi.org/10.14245/ns.2040684.342
Close
Objective
The use of telemedicine has dramatically increased due to the coronavirus disease 2019 pandemic. Many neurosurgeons are now using telemedicine technologies for preoperative evaluations and routine outpatient visits. Our goal was to standardize the telemedicine motor neurologic examination, summarize the evidence surrounding clinical use of telehealth technologies, and discuss financial and legal considerations.
Methods
We identified a 12-member panel composed of spine surgeons, fellows, and senior residents at a single institution. We created an initial telehealth strength examination protocol based on published data and developed 10 agree/disagree statements summarizing the protocol. A blinded Delphi method was utilized to build consensus for each statement, defined as > 80% agreement and no significant disagreement using a 2-way binomial test (significance threshold of p < 0.05). Any statement that did not meet consensus was edited and iteratively resubmitted to the panel until consensus was achieved. In the final round, the panel was unblinded and the protocol was finalized.
Results
After the first round, 4/10 statements failed to meet consensus ( < 80% agreement, and p = 0.031, p = 0.031, p = 0.003, and p = 0.031 statistical disagreement, respectively). The disagreement pertained to grading of strength of the upper (3/10 statements) and lower extremities (1/10 statement). The amended statements clarified strength grading, achieved consensus ( > 80% agreement, p > 0.05 disagreement), and were used to create the final telehealth strength examination protocol.
Conclusion
The resulting protocol was used in our clinic to standardize the telehealth strength examination. This protocol, as well as our summary of telehealth clinical practice, should aid neurosurgical clinics in integrating telemedicine modalities into their practice.

Citations

Citations to this article as recorded by  Crossref logo
  • The role of advocacy and policy in advancing global neurosurgery
    Toufik Abdul-Rahman, Sarah M. Badar, Sruthi Ranganathan, Aderinto Nicholas, Joecelyn Kirani Tan, Ogungbemi Evelyn Faith, Mrinmoy Kundu, Andrew Awuah Wireko, Anam Sayed Mushir Ali, Oday Atallah, Viktoriia Horbas, Tetiana P. Teslyk, Valentyna Bumeister
    Annals of Medicine & Surgery.2025; 87(4): 2049.     CrossRef
  • To Zoom or not to Zoom? A retrospective comparative study to assess the validity of video versus face-to-face consultations and examinations for diagnosing lower back pain in Wales
    Megan Havard, Ronan McKeogh, Abi Goodier, Gemma Johns, Sashin Ahuja
    Asian Spine Journal.2025; 19(3): 415.     CrossRef
  • A Delphi consensus to identify the key screening tests/questions for a digital neurological examination for epidemiological research
    Vasco Ribeiro Ferreira, Carol Brayne, Paolo Ragonese, Carlos Ketzoian, Marta Piccioli, Lorenzo Tinti, Carlo Casali, Cherubino di Lorenzo, Claudia Ramos, João Azevedo, Adriana Gomes, Roderick Stewart, Hein Haas, Stan Hoppenbrouwer, Esther Metting, Valentin
    Journal of Neurology.2024; 271(5): 2694.     CrossRef
  • Feasibility and effectiveness of telehealth in the management of cervicothoracic and lumbar pain during the first six months of the SARS-CoV-2 pandemic: A case series
    George Rappard, Jake Harb, Caitlin Yi, Robb Russell
    Interventional Pain Medicine.2023; 2(3): 100260.     CrossRef
  • Telehealth in PM&R: Past, present, and future in clinical practice and opportunities for translational research
    Adam S. Tenforde, Joshua J. Alexander, Marcalee Alexander, Thiru M. Annaswamy, Conley J. Carr, Philip Chang, Monique Díaz, Mary A. Iaccarino, Stephen B. Lewis, Carolyn Millett, Sindhu Pandit, Claudia P. Ramirez, Robert Rinaldi, Megan Roop, Chloe S. Slocum
    PM&R.2023; 15(9): 1156.     CrossRef
  • Quality of Spine Surgery Information on Social Media: A DISCERN Analysis of TikTok Videos
    Tejas Subramanian, Kasra Araghi, Izzet Akosman, Olivia Tuma, Amier Hassan, Ali Lahooti, Anthony Pajak, Pratyush Shahi, Robert Merrill, Omri Maayan, Evan Sheha, James Dowdell, Sravisht Iyer, Sheeraz Qureshi
    Neurospine.2023; 20(4): 1443.     CrossRef
  • Commentary: The Legal and Socioeconomic Considerations in Spine Telemedicine
    Mohamad Bydon, Giorgos D. Michalopoulos
    Neurosurgery.2022; 90(5): e125.     CrossRef
  • Appropriate Telemedicine Utilization in Spine Surgery
    Sravisht Iyer, Patawut Bovonratwet, Dino Samartzis, Andrew J. Schoenfeld, Howard S. An, Waleed Awwad, Scott L. Blumenthal, Jason P.Y. Cheung, Peter B. Derman, Mohammad El-Sharkawi, Brett A. Freedman, Roger Hartl, James D. Kang, Han Jo Kim, Philip K. Louie
    Spine.2022; 47(8): 583.     CrossRef
  • A Systematic Review of Outpatient Telemedicine Use in Neurosurgery Since the Start of Coronavirus Disease 2019
    Jeffrey Z. Nie, Constantine L. Karras, Pavlos Texakalidis, S. Joy Trybula, Nader S. Dahdaleh
    World Neurosurgery.2022; 167: e1090.     CrossRef
  • Patient satisfaction and cost savings analysis of the telemedicine program within a neuro-oncology department
    James K. C. Liu, Richard Kang, Arkady Bilenkin, Rachel Prorok, Junmin Whiting, Krupal B. Patel, Andre Beer-Furlan, Cristina Naso, Andrea Rogers, Xavier Baez Castro, Edwin Peguero, Sepideh Mokhtari, Nam Tran, Arnold Etame, Yolanda Pina, Philippe E. Spiess,
    Journal of Neuro-Oncology.2022; 160(2): 517.     CrossRef
  • 10,064 View
  • 131 Download
  • 10 Web of Science
  • 10 Crossref
Diversity in Surgical Decision Strategies for Adult Spine Deformity Treatment: The Effects of Neurosurgery or Orthopedic Training Background and Surgical Experience
Jiin Kang, Naobumi Hosogane, Christopher Ames, Frank Schwab, Robert Hart, Douglas Burton, Christopher Shaffrey, Justin S. Smith, Shay Bess, Virginie Lafage, Kyu-Jung Cho, Yoon Ha, for the International Spine Study Group and Asian Pacific Spine Study Group
Neurospine 2018;15(4):353-361.   Published online August 29, 2018
DOI: https://doi.org/10.14245/ns.1836086.043

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Diversity in Surgical Decision Strategies for Adult Spine Deformity Treatment: The Effects of Neurosurgery or Orthopedic Training Background and Surgical Experience
Neurospine. 2018;15(4):353-361.   Published online August 29, 2018
DOI: https://doi.org/10.14245/ns.1836086.043
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Diversity in Surgical Decision Strategies for Adult Spine Deformity Treatment: The Effects of Neurosurgery or Orthopedic Training Background and Surgical Experience
Neurospine. 2018;15(4):353-361.   Published online August 29, 2018
DOI: https://doi.org/10.14245/ns.1836086.043
Close
Objective
This study is aimed to investigate whether surgical strategies for adult spinal deformity (ASD) treatment differed among Korean physicians.
Methods
This study is retrospective questionnaire-based study. ASD is challenging to manage, with a broad range of clinical and radiological presentations. To investigate possible nationality- or ethnicity-related differences in the surgical strategies adopted for ASD treatment, the International Spine Study Group surveyed physicians’ responses to 16 cases of ASD. We reviewed the answers to this survey from Korean physicians. Korean orthopedic surgeons (OS) and neurosurgeons (NS) received a questionnaire containing 16 cases and response forms via email. After reviewing the cases, physicians were asked to indicate whether they would treat each case with decompression or fusion. If fusion was chosen, physicians were also asked to indicate whether they would perform 3-column osteotomy. Retrospective chi-square analyses were performed to investigate whether the answers to each question differed according to training specialty or amount of surgical experience.
Results
Twenty-nine physicians responded to our survey, of whom 12 were OS and 17 were NS. In addition, 18 (62.1%) had more than 10 years of experience in ASD correction and were assigned to the M10 group, while 11 (37.9%) had less than 10 years of experience and were assigned to the L10 group. We found that for all cases, the surgical strategies favored did not significantly differ between OS and NS or between the M10 and L10 groups. However, for both fusion surgery and 3-column osteotomy, opinions were divided regarding the necessity of the procedures in 4 of the 16 cases.
Conclusion
The surgical strategies favored by physicians were similar for most cases regardless of their training specialty or experience. This suggests that these factors do not affect the surgical strategies selected for ASD treatment, with patient clinical and radiological characteristics having greater importance.

Citations

Citations to this article as recorded by  Crossref logo
  • Specialty Bias When Comparing Orthopaedic and Neurosurgery Trained Spine Surgeons: A Systematic Review and Bibliometric Analysis
    Daniel Farivar, Sang D. Kim, Alexander Tuchman, Kira F. Skaggs, Ryan A. Finkel, Paal K. Nilssen, David L. Skaggs
    Journal of the American Academy of Orthopaedic Surgeons.2026; 34(6): e918.     CrossRef
  • Association of frailty with regional sagittal spinal alignment in the elderly
    Yun Gi Hong, Hyung-Cheol Kim, Hyeongseok Jeon, Seong Bae An, Ji Yeon Lee, Jong Joo Lee, Kwang Joon Kim, Chang Oh Kim, Dong Ah Shin, Seong Yi, Keung Nyun Kim, Do Heum Yoon, Tae Woo Kim, Yoon Ha
    Journal of Clinical Neuroscience.2022; 96: 172.     CrossRef
  • Systematic Review of Reciprocal Changes after Spinal Reconstruction Surgery : Do Not Miss the Forest for the Trees
    Chang-Wook Kim, Seung-Jae Hyun, Ki-Jeong Kim
    Journal of Korean Neurosurgical Society.2021; 64(6): 843.     CrossRef
  • Posterior-only versus combined anterior-posterior fusion in Scheuermann disease: a systematic review and meta-analysis
    Chang-Hyun Lee, Young II Won, Young San Ko, Seung Heon Yang, Chi Heon Kim, Sung Bae Park, Chun Kee Chung
    Journal of Neurosurgery: Spine.2021; 34(4): 608.     CrossRef
  • Association of Frailty and Self-Care Activity With Sagittal Spinopelvic Alignment in the Elderly
    Tae Woo Kim, Jae Keun Oh, Ji Yeon Lee, Samuel K. Cho, Seong Bae An, Hyeong Seok Jeon, Hyung Cheol Kim, Kwang Joon Kim, Dong Ah Shin, Seong Yi, Keung Nyun Kim, Do Heum Yoon, Chang Oh Kim, Yoon Ha
    World Neurosurgery.2020; 138: e759.     CrossRef
  • Surgical Strategies for Cervical Deformities Associated With Neuromuscular Disorders
    Jong Joo Lee, Sung Han Oh, Yeong Ha Jeong, Sang Man Park, Hyeong Seok Jeon, Hyung-Cheol Kim, Seong Bae An, Dong Ah Shin, Seong Yi, Keung Nyun Kim, Do Heum Yoon, Jun Jae Shin, Yoon Ha
    Neurospine.2020; 17(3): 513.     CrossRef
  • Kyphectomy and interbody fixation using lag screws in a child with myelomeningocele kyphosis: a technical case report
    Seong-Hyun Wui, Seung-Jae Hyun, Ki-Jeong Kim, Tae-Ahn Jahng, Hyun Jib Kim
    Child's Nervous System.2019; 35(8): 1407.     CrossRef
  • From the Champion to the Team: New Treatment Paradigms in Contemporary Neurosurgery
    Teresa Somma, Tamara Ius, Francesco Certo, Laura Santi, Michelangelo de Angelis, Flavia Dones, Marco Cenzato, Miran Skrap, Paolo Cappabianca
    World Neurosurgery.2019; 131: 141.     CrossRef
  • 16,588 View
  • 182 Download
  • 9 Web of Science
  • 8 Crossref

Clinical Article

Cervical Sagittal Alignment Parameters of Patients Admitted to Neurosurgery and Emergency Clinics in a State Hospital at Eastern Part of Turkey
Sümeyye Çoruh Kaplan, Murat Şakir Ekşi
Korean J Spine 2015;12(2):75-78.   Published online June 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.2.75

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Cervical Sagittal Alignment Parameters of Patients Admitted to Neurosurgery and Emergency Clinics in a State Hospital at Eastern Part of Turkey
Korean J Spine. 2015;12(2):75-78.   Published online June 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.2.75
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Cervical Sagittal Alignment Parameters of Patients Admitted to Neurosurgery and Emergency Clinics in a State Hospital at Eastern Part of Turkey
Korean J Spine. 2015;12(2):75-78.   Published online June 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.2.75
Close
Objective

Cervical spine encompasses a bridge role between the head and the lower parts of the spine and therefore has unique properties. Our aim in this study was to evaluate the cervical sagittal alignment parameters in pediatric and adult non-surgical patients and to find any differences in respect of age, sex and admission type.

Methods

All patients who were admitted to emergency and neurosurgery clinics of Diyarbakir Bismil State Hospital due to cervical spine problems (trauma, radiculopathy, paraspinal pain) in 2014 were enrolled retrospectively into the study. Cervical anterior-posterior and lateral X-rays were obtained. Our exclusion criteria were cervical coronal deformity, multitrauma, Glasgow Coma Scale <15, traumatic disruption of the cervical spine, history of malignancy, spinal infection, metabolic or rheumatologic diseases.

Results

There were 44 female and 55 male patients (n=99) in the study. Thirty-five (35.35%) of the patients were younger than 18 years of age. Mean cervical spinal alignment parameters were as follows: -42.81±11.23° (OC2), -17.15±11.48° (C2-C7), -29.82±7.60° (T1 slope), -3.62±3.05° (C3), -3.14±3.05 (C4), -3.80±2.74° (C5), -3.12±2.36° (C6), -3.43±2.53° (C7). Positive correlations were observed between age-C2C7 angle, C2C7 angle-T1 slope, C3 angle-C4 angle, C4 angle-OC2 angle, C4 angle-T1 slope, C4 angle-C5 angle. The one only negative correlation was between OC2 angle-C2C7 angle.

Conclusion

In this regional study, it has been observed that global cervical lordosis increases as age increases. C4 vertebra is in the middle of this evaluation as it has many correlations with other cervical segments, which should be kept in mind when making surgical plans for this delicate spine region.

  • 9,401 View
  • 75 Download

Case Report

Intramedullary Entire Spinal Cord Abscess Secondary to a Congenital Dermal Sinus: A Case Report.
Byung Sub Kim, Sang Bok Lee, Kyoung Suok Cho
Korean J Spine 2010;7(3):195-198.

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

Include:

Intramedullary Entire Spinal Cord Abscess Secondary to a Congenital Dermal Sinus: A Case Report.
Korean J Spine. 2010;7(3):195-198.
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
Format:
Include:
Intramedullary Entire Spinal Cord Abscess Secondary to a Congenital Dermal Sinus: A Case Report.
Korean J Spine. 2010;7(3):195-198.
Close
Intramedullary spinal abscesses are rare and potentially devastating lesions. The first case of spinal abscess was described in 1830 and fewer than 100 cases have been reported subsequently. Only sixteen previous reports have described an intramedullary abscess of the central nervous system secondary to a dermal sinus. Involvement of the entire cord is thus exceedingly rare. We present a case of a 7-month-old girl who had rapidly progressing quadriplegia with urinary and bowel retention and was found to have an intramedullary abscess as a result of a dermal sinus. Spine MRI shows thick irregular ring enhancement appeared within the broadest area of the spinal cord on the thoracic and lumbar area on mid thoracic level to L3 and high cervical area which extended to medulla. Immediate decompressive surgery and antibiotic treatment were performed. Excellent clinical outcome was obtained with a combination of medical and surgical management. Complete neurological assessment and diagnostic study of all patients with a congenital dermal sinus are very important. Prophylatic surgery is indicated in many cases to prevent dangerous and recurrent infections of the central nervous system.
  • 3,803 View
  • 25 Download
First First Prev Prev
Page of 1
Next Next Last Last
NS : Neurospine
Facebook Twitter