World Neurosurg
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Understanding the morphologic patterns of degenerative and traumatic spinal conditions is essential for precise diagnosis and management plans. This study evaluates the sequence of structural changes in degenerative spinal disorder patients' discovertebral unit and the traumatic spinal injury patterns in a northwestern Nigerian population. ⋯ This study showed different morphologic patterns in degenerative and traumatic spinal conditions in the study population, with considerable age, gender, and symptom correlations. These findings emphasize the importance of understanding these patterns for effective diagnosis and management strategies of spinal degeneration and trauma.
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This study aims to evaluate the clinical and surgical outcomes with suprasellar Rathke's cleft cysts(RCCs) treated using the extended endoscopic transnasal(EET) approach. It emphasizes surgical strategies, nuances of the technique, and the importance of cyst wall resection in optimizing outcomes while preserving postoperative pituitary function. ⋯ Surgical intervention is essential for suprasellar RCCs due to their proximity to vital structures. Tailored strategies and gentle resection with minimal stalk manipulation are key to effective treatment and preserving endocrine function.
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To describe in detail the characteristics of the travels and relationship of splanchnic nerves, and to provide an anatomical basis for splanchnic nerve block. ⋯ Anatomy: 90% of the GSN and LSN intersect. The point was (18.69±3.52) mm from the median sagittal plane, (7.99±4.43) mm from the anterior aspect of the vertebral body, (8.2±7.9) mm from the cranial aspect of the superior endplate of the T12 vertebral body, and (7.03±12.41) mm from the caudal aspect of the inferior endplate of the T12 vertebral body. Clinical validation: All patients exhibited a decrease in VAS and an increase in QS compared to preoperative levels (P < 0.0001) CONCLUSIONS: The intersection of the GSN and LSN exists in the downward course, and its position is relatively fixed, located on the anterior side of the T11-L1 vertebral body, and the point where the GSN crosses the diaphragm is searched for anteriorly and upwardly, and the block is performed according to the position of the intersection of the GSN and LSN in the clinic, which is safe and effective.