World Neurosurg
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Highly upmigrated herniation can be difficult to remove using percutaneous endoscopic lumbar discectomy (PELD) and the conventional transforaminal approach. Although many surgeons have constantly explored new techniques and approaches, we still lack a more effective, convenient, and economical technique to treat highly upmigrated herniation. We have described a novel approach, the transforaminal isthmus plasty approach, for PELD to treat highly upmigrated disc herniation. ⋯ The transforaminal isthmus plasty approach is an effective and viable alternative approach for PELD to treat highly upmigrated disc herniation.
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Spinal cord ischemia is a serious and catastrophic clinicopathologic condition. Despite studies reported over the last 20 years, alternative and efficient treatment options remain unclear. We examined the neuroprotective effects of vigabatrin on a spinal ischemia-reperfusion model. ⋯ Neuroprotective effects of vigabatrin are shown. For clinical use, further studies are needed.
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Cerebral fat embolism (CFE) is a rare complication that usually occurs after trauma injury. The incidence of CFE due to aesthetic surgery is extremely rare and can lead to fatal outcome. Due to the rarity of this complication, there is still lack of knowledge and standardization of the treatment. ⋯ CFE is associated with high morbidity and mortality, and early surgical intervention can improve the prognosis.
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Bloodless dry fields are indispensable for successful and safe neurosurgical operations using microscopes. Appropriate irrigation and suction systems are needed to obtain clear surgical fields. We invented a novel malleable continuous suction tube to address this need. ⋯ The newly developed malleable suction tube is effective for microsurgery.
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Use of short-segment or long-segment fusion is controversial in treatment of adult lumbar degenerative scoliosis (ALDS). The aim of this study was to explore efficacy and feasibility of precision treatment of ALDS with selective nerve root block. ⋯ Precision treatment of ALDS with selective nerve root block can achieve favorable clinical outcomes and good fusion with less surgical injury and low complications. Deformity correction is limited, which requires further study.