World Neurosurg
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To analyze the correlation between C2 incidence (C2I) and cervical and thoracolumbar sagittal parameters and determine the effectiveness of C2I for evaluating global spinopelvic sagittal alignment. ⋯ C2I was significantly correlated with both cervical and thoracolumbar sagittal parameters, and different sagittal alignment patterns were presented regarding the amount of C2I. As the geometric summation from the pelvis to C2 vertebra, C2I would be a beneficial clue to connect correlation chains of spinal sagittal alignment.
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Mechanical thrombectomy (MT) has demonstrated benefit in patients with acute ischemic stroke due to proximal large-vessel occlusion. However, it is unclear whether these results can be extrapolated to patients with an occlusion of the second segment (M2) of the middle cerebral artery (MCA). We sought to study outcomes in patients with M2 occlusion treated with MT and to better understand clinical predictors of these outcomes. ⋯ The results of our single-institution experience suggest that MT-based endovascular therapy for M2 occlusions is safe and effective. Baseline NIHSS was a predictor of outcomes in patients treated with MT for M2 segment occlusion of the MCA.
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To evaluate the efficacy and clinical results of full endoscopic debridement and drainage (FEDD) for high-risk patients with spondylodiscitis. ⋯ FEDD may be an effective alternative to extensive open surgery in patients with infectious spondylodiscitis, especially those who are high-risk candidates for surgery (elderly patients with multiple comorbidities and patients in poor general condition).
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To investigate the position of the aorta relative to the spine in patients with de novo lumbar scoliosis (DLS). ⋯ Although the position of the aorta relative to the spine showed no significant difference between patients with DLS and normal subjects, great attention should still be paid to prevent DLS-induced aorta injury.