World Neurosurg
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The COVID-19 pandemic has had widespread consequences on health care systems around the world. It resulted in extensive changes to the referral patterns, management, and rehabilitation of surgical conditions. We aimed to evaluate the effect the COVID-19 pandemic has had on traumatic brain injury (TBI) specifically. ⋯ Implementation of strict infection control measures and COVID-19 screening was commonplace, with some reporting changes to operating room protocols. TBI was more likely to be conservatively managed. Rehabilitation services were restricted, with a greater shift towards telemedicine to provide rehabilitative therapy remotely.
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Review Historical Article
Pentagon inside the 'Circle of Willis' and the Golden ratio.
The Golden ratio ("phi" or "Ф") has been known to us for ages and its use in art and architectural designs has enhanced its exquisiteness. Even some of the astounding creations of nature do follow this principle of Golden or divine proportions. Three centuries ago the circle of Willis at the base of the brain was first described and illustrated by Thomas Willis. ⋯ The components of this complex neurovascular structure are so arranged that it appears more like a pentagon than a circle. A regular pentagon, unlike a circle, is a Golden shape that mathematically obeys the laws of Golden proportions. Like most other marvelous structures in nature, the close resemblance of the circle of Willis to a pentagon is more of a conscious effort of nature to establish consonance with aesthetic perception, rather than just a mere coincidence.
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Effective image segmentation of cerebral structures is fundamental to 3-dimensional techniques such as augmented reality. To be clinically viable, segmentation algorithms should be fully automatic and easily integrated in existing digital infrastructure. We created a fully automatic adaptive-meshing-based segmentation system for T1-weighted magnetic resonance images (MRI) to automatically segment the complete ventricular system, running in a cloud-based environment that can be accessed on an augmented reality device. This study aims to assess the accuracy and segmentation time of the system by comparing it to a manually segmented ground truth dataset. ⋯ The described adaptive meshing-based segmentation algorithm provides accurate and time-efficient automatic segmentation of the ventricular system from T1 MRI scans and direct visualization of the rendered surface models in augmented reality.
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Comparative Study
Comparative study of bilateral dual sacral-alar-iliac screws with bilateral single sacral-alar-iliac screws for adult spine deformities.
To evaluate the feasibility of O-arm navigation of bilateral dual sacral-alar-iliac (SAI) screws compared with conventional bilateral single SAI and S1 pedicle screws for pelvic anchors in cases of adult spinal deformity. ⋯ Dual SAI screws were associated with a significantly reduced incidence of screw loosening compared with single SAI screws. The bilateral dual SAI screws technique for pelvic anchors is feasible for the treatment of patients with adult spinal deformity.
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Limited literature has addressed impact of preoperative back pain severity on patient-reported outcome measures (PROMs), recovery ratios (RRs), and patient satisfaction following minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). ⋯ Patients with greater preoperative back pain demonstrated significantly worse postoperative scores for most PROMs at most time points and significantly worse patient satisfaction for disability, back and leg pain at multiple time points.