World Neurosurg
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Literature data on the frequency and pathogenesis of sacroiliac joint (SIJ) pain and arthropathy following lumbosacral fusion with long constructs combined with sacroiliac fixation remains scarce. From clinical experience, we noticed that many patients undergoing these surgeries develop SIJ disease postoperatively. ⋯ Based on our experience, we believe that fusing the SIJ simultaneously during sacropelvic fixation in the context of a long lumbosacral fusion surgery may lead to a decline in the incidence of SIJ disease, as well as remission of SIJ pain in patients requiring revision surgeries. Future, multicenter prospective studies are needed to test and validate this observation.
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To introduce a membrane retraction technique that can provide good exposure of deep-seated recipient arteries in cortical sulci and simplify the anastomosis procedure. ⋯ The membrane retraction technique is an effective and safe method for the treatment of adult patients with moyamoya disease with deep-seated recipient arteries within the sulci.