Minimally invasive lumbar unilateral tubular laminotomy for bilateral decompression has gradually gained acceptance as a less destabilizing but efficacious and safe alternative to traditional open techniques. The authors have further advanced the principles of minimally surgery (MIS) by utilizing working-channel endoscope-based Full-endoscopic technique allows high-resolution off-axis visualization neural structures within lateral recess, thereby minimizing need facet joint resection....

OBJECTIVE Deep brain stimulation (DBS) is a safe and effective therapy for movement disorders, such as Parkinson’s disease (PD), essential tremor (ET), dystonia. There considerable interest in developing “closed-loop” DBS devices capable of modulating response to sensor feedback. In this paper, the authors review related literature present selected approaches signal sources feedback being considered deployment closed-loop systems. METHODS A search using keywords “closed-loop DBS” “adaptive...

In this study, we sought to retrospectively evaluate union and infection rates after treatment of distal femur nonunions using a combined nail/plate construct with autogenous bone grafting obtained from the ipsilateral reamer irrigator aspirator system. Ten (10) patients treated at Level I trauma center for nonunion femoral fracture 2004 2014 were included in study. Union rate postoperative recorded. Mean interval index surgery repair was 12 months (range 4-36 months). Follow-up 24 indicated...

Deep venous thrombosis (DVT) and pulmonary embolism (PE) are recognized as major causes of morbidity mortality in orthopaedic trauma patients. Despite the high incidence these complications following trauma, there is a paucity literature investigating clinical risk factors for DVT this specific population. As our healthcare system increasingly emphasizes quality measures, it critical surgeons to understand that increase trauma.Utilizing ACS-NSQIP database, we sought determine identify...

OBJECTIVE Seizures are among the most common perioperative complications in patients undergoing craniotomy for brain tumor resection and have been associated with increased disease progression decreased survival. Little evidence exists regarding relationship between postoperative seizures hospital quality measures, including length of stay (LOS), disposition, readmission. The authors sought to address these questions by analyzing a glioma population over 15 years. METHODS A retrospective...

A patient with lumbar spine stenosis presented for decompression, clearly stating a preference spinal anesthesia (SA) over general (GA). Surgery was performed under uneventful SA without sedation. The recovered from surgery quickly and incident, requiring no postoperative opioid analgesia. What data support administering surgery? literature search found nine recently published reviews favoring GA. These cited many of the same, older, flawed, primary research reports. Although choosing...

Abstract BACKGROUND: Antiepileptic drugs (AEDs) are frequently administered prophylactically to mitigate seizures following craniotomy for brain tumor resection. However, conflicting evidence exists regarding the efficacy of AEDs, and their influence on surgery-related outcomes is limited. OBJECTIVE: To evaluate perioperative AEDs postoperative seizure rate hospital-reported quality metrics. METHODS: A retrospective cohort study was conducted, incorporating all adult patients who underwent...

Fixation of the electrode during deep brain stimulation (DBS) surgery is an important aspect procedure. We have developed alternative method for securing leads that utilizes a titanium hemoclip and cement. This technique described, rates complications are compared to conventional methods leads.A total 291 DBS operations performed by single surgeon were retrospectively analyzed. reviewed medical records look complications. based on used. Re sults: 9 patients (3.1%) surgical site infections...

OBJECTIVE Anterior cervical discectomy and fusion (ACDF) is the most common treatment for degenerative disease of spine. Given high rate pseudarthrosis in multilevel stand-alone ACDF, there a need to explore utility novel grafting materials. In this study, authors present single-institution retrospective study patients with spine who underwent ACDF surgery or without cellular allograft supplementation. METHODS prospectively collected database, 28 supplemented (ViviGen) 25 decellularized...

Abstract BACKGROUND: Deep brain stimulation is increasingly used to treat a variety of disorders. As the prevalence this technology increases, greater demands are placed on neurosurgical practitioners improve cosmetic results, maximize patient comfort, and minimize complication rates. We have employed subpectoral implantation internal pulse generators (IPGs) satisfaction. OBJECTIVE: To determine rates subpectorally IPGs as compared those in subcutaneous location. METHODS: reviewed series 301...

Summary In this study, we sought to retrospectively evaluate union and infection rates after treatment of distal femur nonunions using a combined nail/plate construct with autogenous bone grafting. 10 patients treated at Level I Trauma Center for nonunion femoral fracture from 2004 2014 were included in the study. Union rate postoperative recorded.10 underwent femur. Mean interval index surgery repair was 12 months (range 4-36 months). All achieved an average 3.9 2.3-8 months) initial...

Introduction Traumatic cerebrospinal fluid (CSF) fistulae can be a challenging neurosurgical disease, often requiring complicated surgical intervention. Case Presentation A 54-year-old man presented with gunshot wound to the head complex injury skull base and significant CSF leakage from multiple sites. single surgery was performed using combined Neurosurgery, Neurotology, Rhinology team, which successful in repairing defects preventing further leak. Discussion Trauma is common inciting...

Objective: Patients undergoing transsphenoidal (TSS) pituitary tumor surgery are spared a large craniotomy but left with an anterior skull base defect, which prohibits the use of positive pressure ventilation. Obstructive sleep apnea (OSA) can be seen in patients tumors and is treated continuous airway (CPAP). The objective our study was twofold: (1) To document incidence OSA TSS surgery, (2) to report pneumocephalus subsequent postoperative outcomes.