World Neurosurg
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Traumatic brain injury (TBI) prediction models have gained significant attention in recent years because of their potential to aid in clinical decision making. Existing models, such as Corticosteroid Randomization after Significant Head Injury (CRASH) and International Mission for Prognosis and Analysis of Clinical Trials (IMPACT), are currently losing external validity and performance, probably because of their diverse inclusion criteria and changes in treatment modalities over the years. There is a lack of models that predict outcomes strictly pertaining to primary decompression after TBI. In this study, we aimed to develop an easy-to-use prediction model for predicting the risk of poor functional outcomes at 3 months after hospital discharge in adult patients who had undergone primary decompressive craniectomy (DC) for isolated moderate-to-severe TBI. ⋯ Our study provides a ready-to-use prognostic nomogram derived from prospective data that can predict the risk of having a GOSE of 1-4 at three months following primary DC with high sensitivity, PPV, and low LR-.
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In recent years, several studies have shown the presence of a linear correlation between the PI and spondylolisthesis . However, no study has attempted to investigate a potential association between facet sagittal angle and spinopelvic parameters, especially PI in the normal population. ⋯ The PI seems to be correlated to the other spondylolisthesis risk factors: facet tropism and female gender. It carries the heaviest load in the progression towards sagittally oriented facet joints, which might lead to segmental instability and eventual spinal pathologies.
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To assess radiological characteristics, which may support the clinical diagnosis of trigeminal neuralgia (TN) caused by pure venous conflict. ⋯ Identification of shorter and/or thicker CN V on the affected side in patients with TN without obvious offending vessel on MRI may suggest presence of pure venous conflict and help with decision-making on MVD surgery.
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To construct a universally applicable nomogram using computed tomography perfusion (CTP) parameters based on Rapid processing of PerfusIon and Diffusion (RAPID) software for evaluating the prognosis of acute anterior circulation large vessel occlusion (LVO) treated by endovascular therapy. ⋯ Our nomogram can be used as a simple and reasonable tool to predict the prognosis of acute anterior circulation LVO treated by endovascular therapy. The CTP parameter VCBF<30% obtained by RAPID software was an important predictive factor in this model.
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This study aimed to determine the predictive factors for analgesic reduction and amelioration of mobility following percutaneous sacroplasty in patients with insufficiency fractures or metastatic lesions. ⋯ Percutaneous sacroplasty was effective for pain relief, functional outcomes, and short-term satisfaction. The absence of concomitant vertebroplasty was significantly associated with VAS improvements.