World Neurosurg
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Randomized Controlled Trial
Treatment of unstable thoracolumbar fractures: does fracture level fixation accelerate the bone healing?
To investigate the effect of fusion on short segment including fractured level (SSIFL) and long segment (LS) transpedicular fixation after acute thoracolumbar junction burst fractures. The 2-year clinical and radiologic follow-up results of the 2 groups also were compared. ⋯ Fusion occurred sooner and patients experienced earlier clinical recovery in the SSIFL group compared with the LS group.
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Case Reports Comparative Study
Delayed catheter related intracranial hemorrhage following a ventriculo-peritoneal or ventriculo-atrial shunt in the hydrocephalus.
Delayed catheter-related intracranial hemorrhage is not rare after a ventriculoperitoneal (VP) or ventriculoatrial (VA) shunt for the treatment of hydrocephalus. Immediate postoperative catheter-related intracranial hemorrhage is possibly due to the procedure itself; however, delayed intracranial hemorrhage may have other underlying mechanisms. This study aimed to investigate the clinical characteristics and reveal the risk factors of delayed catheter-related intracranial hemorrhage after a VP or VA shunt. ⋯ Delayed catheter-related intracranial hemorrhage is not rare after a VP or VA shunt. However, most patients can be cured after appropriate treatment. Postoperative anticoagulation therapy with enoxaparin may be associated with an increased risk of bleeding.
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Comparative Study
Single center experience of Mechanical thrombectomy with the Trevo XP ProVue 6×25 mm stent retriever in MCA occlusion : Comparison with Trevo XP ProVue 4×20 mm.
There are few studies assessing the suitable stent size for mechanical thrombectomy in middle cerebral artery (MCA) occlusion. We attempted to determine what size of stent is suitable for thrombectomy in MCA occlusion through a comparison of Trevo XP 6 × 25 mm and 4 × 20 mm stents. ⋯ Our study showed that the Trevo XP 6 × 25 mm stent provides better clinical and radiologic outcomes than the Trevo XP 4 × 20 mm stent for MCA occlusion without an increase in the rate of complications.
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To assess technical success and clinical and imaging outcomes of flow diversion (FD) treatment of multiple, tandem intracranial aneurysms. ⋯ FD appears technically feasible, safe, and effective for treatment of tandem intracranial aneurysms, with potential advantages over traditional endovascular or surgical treatment modalities. Larger studies are needed to confirm these findings.
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Comparative Study
Hybrid Bone SPECT/CT imaging in evaluation of chronic low back pain.Correlation with facet joints arthropathy.
Evidence to support the use of bone hydroxydiphosphonate (HDP) single photon emission computed tomography (SPECT/CT) in patients with facetogenic low back pain (LBP) is still limited. In this study we compared the scintigraphic patterns on bone SPECT/CT with the degree of structural facet joint (FJ) degeneration on CT in patients with LBP. ⋯ The ability of SPECT/CT to precisely localize scintigraphically active FJs may provide significant improvement in the diagnosis and treatment of patients with LBP. In this study we demonstrate that in >40% of FJs, the scintigraphic patterns on SPECT/CT did not correlate with the degree of degeneration on CT.