Journal of neurological surgery. Part A, Central European neurosurgery
-
J Neurol Surg A Cent Eur Neurosurg · Nov 2012
Minimally invasive transpedicular dorsal stabilization of the thoracolumbar and lumbar spine using the minimal access non-traumatic insertion system (MANTIS): preliminary clinical results in 52 patients.
The aim of this study is to report about a preliminary experience with a new minimally invasive percutaneous transpedicular dorsal stabilization system (MANTIS, Stryker, Kalamazoo, MI, USA) for thoracolumbar and lumbar spinal diseases to demonstrate the benefits of the operative technique and drawbacks. ⋯ Minimally invasive transpedicular screw stabilization systems such as the MANTIS lead to safe and effective procedures. They can be used for different spinal disorders and can be combined with additional surgical procedures such as intervertebral fusion or decompression, if necessary.
-
J Neurol Surg A Cent Eur Neurosurg · Nov 2012
Clinical outcome of subthalamic stimulation in Parkinson's disease is improved by intraoperative multiple trajectories microelectrode recording.
The use of multiple trajectories microelectrode recording (MER) during implantation of deep brain stimulation (DBS) electrodes into the subthalamic nucleus (STN) in patients with Parkinson's disease (PD) is discussed controversially because of possible risks and unclear benefits. The aim of the study is to investigate whether MER combined with intraoperative evaluation of stimulation effects improve clinical outcome in PD patients undergoing STN DBS surgery. ⋯ DBS surgery based on intraoperative multiple trajectories MER and test stimulation improves clinical outcome if compared with intraoperative test stimulation alone. The data suggest that DBS surgery solely based on MRI and intraoperative test stimulation without MER may lead to nonoptimal placement of DBS electrodes and consequently poorer clinical outcome.