Journal of neurosurgical sciences最新文献

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One-year clinical and radiologic outcomes of Surpass Evolve flow diverter for large unruptured intracranial aneurysms. Surpass Evolve 分流器治疗大型未破裂颅内动脉瘤的一年临床和放射学疗效。
IF 1.9 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-21 DOI: 10.23736/S0390-5616.23.06161-1
Hyun J Han, Joonho Chung, Chang K Jang, Jung-Jae Kim, Keun Y Park, Yong B Kim
{"title":"One-year clinical and radiologic outcomes of Surpass Evolve flow diverter for large unruptured intracranial aneurysms.","authors":"Hyun J Han, Joonho Chung, Chang K Jang, Jung-Jae Kim, Keun Y Park, Yong B Kim","doi":"10.23736/S0390-5616.23.06161-1","DOIUrl":"https://doi.org/10.23736/S0390-5616.23.06161-1","url":null,"abstract":"<p><strong>Background: </strong>Surpass Evolve Flow Diverter (SE-FD; Stryker Neurovascular, Kalamazoo, MI, USA) was launched in 2019 as a new generation FD of Surpass Streamline. The aim of this study was to report the effectiveness and safety of SE-FD insertion for unruptured intracranial aneurysm at one-year follow-up.</p><p><strong>Methods: </strong>Between November 2019 and October 2021, a total of 106 patients with 108 aneurysms were treated with FD in single institution. Of these, SE-FD insertion was performed in 40 patients with 41 aneurysms. At one-year follow-up, clinical and angiographic outcomes were retrospectively evaluated from electronic medical record and aneurysm database.</p><p><strong>Results: </strong>There were 12 male and 28 female patients (mean age 59.1 years, 95% CI: 55.3-62.9). Fusiform aneurysm dissection was 46.3% (19/41). Mean maximum aneurysm diameter was 13.2 mm (SD 5.53), and 34.1% (14/41) of aneurysms were 15 mm or bigger. Among 41 aneurysms, complex aneurysm (recurred, thrombosed, or branch artery-incorporated) was accounted for 41.5% (17/41). All procedures were successfully conducted with 7.3% (3/41) of procedure-related complications. At one-year follow-up (N.=40), neurologic morbidity was noted in 2 cases (5.0%; both with modified Rankin Scale [mRS] 1) without any mortality. At one-year follow-up (N.=41), radiologic outcomes were adequate occlusion in 33 (80.5%) and complete occlusion in 29 (70.7%). There was no retreatment in our cohort.</p><p><strong>Conclusions: </strong>Surpass Evolve Flow Diverter seemed to be safe and effective for the treatment of dissecting/fusiform or complex aneurysms at one-year follow-up. However, further study is needed to evaluate long term results.</p>","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138830112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
O-(2-18F-fluoroethyl)-L-tyrosine (18F-FET) PET as a potential selection tool for second surgery in glioblastoma patients. O-(2-18F-氟乙基)-L-酪氨酸(18F-FET)PET作为胶质母细胞瘤患者二次手术的潜在选择工具。
IF 1.9 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-21 DOI: 10.23736/S0390-5616.23.06019-8
Orazio S Santonocito, Gianluca Grimod, Anna L DI Stefano, Francesco Pieri, Mariagrazia Nizzola, Nicola Mazzuca, Francesco Pasqualetti, Riccardo Morganti, Vanna Zucchi, Carlo Gambacciani
{"title":"O-(2-18F-fluoroethyl)-L-tyrosine (18F-FET) PET as a potential selection tool for second surgery in glioblastoma patients.","authors":"Orazio S Santonocito, Gianluca Grimod, Anna L DI Stefano, Francesco Pieri, Mariagrazia Nizzola, Nicola Mazzuca, Francesco Pasqualetti, Riccardo Morganti, Vanna Zucchi, Carlo Gambacciani","doi":"10.23736/S0390-5616.23.06019-8","DOIUrl":"https://doi.org/10.23736/S0390-5616.23.06019-8","url":null,"abstract":"<p><strong>Background: </strong>Treatment-related changes still represent a diagnostic challenge in the management of patients with suspect of recurrent glioblastoma. The specificity of conventional MRI in detecting recurrence remains limited. Brain PET imaging provides information on tumor metabolism and can contribute to improving the diagnostic accuracy of cerebral neoplasms. We performed a retrospective analysis to evaluate the clinical value of O-(2-<sup>18</sup>F-fluoroethyl)-L-tyrosine (<sup>18</sup>F-FET) PET in the diagnosis of glioblastoma recurrence.</p><p><strong>Methods: </strong>A retrospective analysis on patients considered suitable for salvage surgery for recurrence glioblastoma was performed. <sup>18</sup>F-FET-PET was performed to investigate gadolinium enhancement suspected for recurrence. Static and kinetic <sup>18</sup>F-FET parameters were analyzed and related to O-6-methylguanine-DNA methyltransferase (MGMT) status.</p><p><strong>Results: </strong>Forty-two of the 51 patients who underwent <sup>18</sup>F-FET-PET were re-operated. In each case, neuropathological diagnosis of tumor recurrence was confirmed. pMGMT hypermethylation was detected in 21 patients. Mean tumor-to-brain ratios (TBR) max was 3.87 (range 2.6-6.0). Static and kinetic <sup>18</sup>F-FET parameters were similar according to MGMT status.</p><p><strong>Conclusions: </strong><sup>18</sup>FET-PET can be a reliable tool to improve the selection of patients suitable for salvage surgery for glioblastoma recurrence.</p>","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138830111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Geographic trends in the utilization of frailty as a preoperative decision-making tool in neurosurgery. 利用衰弱作为神经外科术前决策工具的地理趋势。
IF 1.9 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-01 Epub Date: 2023-07-10 DOI: 10.23736/S0390-5616.23.06104-0
Joanna M Roy, Syed F Kazim, Kavelin Rumalla, Meic H Schmidt, Christian A Bowers
{"title":"Geographic trends in the utilization of frailty as a preoperative decision-making tool in neurosurgery.","authors":"Joanna M Roy, Syed F Kazim, Kavelin Rumalla, Meic H Schmidt, Christian A Bowers","doi":"10.23736/S0390-5616.23.06104-0","DOIUrl":"10.23736/S0390-5616.23.06104-0","url":null,"abstract":"","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9764235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Single-step resection and reconstruction of orbito-fronto-temporal pathologies using a PMMA CAD-implant. 使用PMMA cad植入物一步切除和重建眼窝-额-颞部病变。
IF 1.9 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-01 Epub Date: 2022-06-28 DOI: 10.23736/S0390-5616.22.05758-7
David Breuskin, Gerrit Fischer, Joachim Oertel, Stefan Linsler
{"title":"Single-step resection and reconstruction of orbito-fronto-temporal pathologies using a PMMA CAD-implant.","authors":"David Breuskin, Gerrit Fischer, Joachim Oertel, Stefan Linsler","doi":"10.23736/S0390-5616.22.05758-7","DOIUrl":"10.23736/S0390-5616.22.05758-7","url":null,"abstract":"<p><strong>Background: </strong>Resection of bone infiltrating meningiomas of the sphenoid plane and the orbital walls is a highly challenging neurosurgical procedure. In this study, the authors present 11 cases of fronto-orbital and sphenoid wing meningioma which were subjected to tumor resection and cranioplasty using a pre-designed CAD PMMA-implant in one single staged procedure.</p><p><strong>Methods: </strong>Eleven cases were prospectively analyzed from January 2011 to December 2018. In all cases preoperative CT scans were performed and evaluated, in order to produce a customized PMMA-implant, fitting the osseous defect left after surgical resection of the predefined tumorous mass. Surgery was performed with standard techniques with the addition of availability of preplanned neuronavigational data as well as a matching template of the implant for intraoperative use. After tumor resection, cranioplasty followed using the predesigned PMMA implant.</p><p><strong>Results: </strong>Gross total resection was achieved in 82% (9 of 11 cases). Mean time of surgery for the combined procedure resulted in 223min±99min, with a mean blood loss of 427±192cc. Mean hospital stay for the combined procedure resulted in 11.5±3 days. In 18% of the cases (2/11), patients suffered from late onset infection of the implant and needed a surgical removal.</p><p><strong>Conclusions: </strong>The presented data show that gross total resection and subsequent single staged bone reconstruction in osseous sphenoid wing and orbital rim meningiomas can be achieved using predesigned PMMA CAD implants with preplanned tumor resection borders with neuronavigational guidance.</p>","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40408781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The "STARS" study: advanced preoperative rehearsal and intraoperative navigation in neurosurgical oncology. “STARS”研究:神经外科肿瘤先进的术前预演和术中导航。
IF 1.9 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-01 Epub Date: 2022-04-05 DOI: 10.23736/S0390-5616.22.05516-3
Alessandro Perin, Enrico Gambatesa, Chiara B Rui, Giovanni Carone, Claudia Fanizzi, Francesca M Lombardo, Tommaso F Galbiati, Donatella Sgubin, Hagit Silberberg, Paolo Cappabianca, Torstein R Meling, Francesco DI Meco
{"title":"The \"STARS\" study: advanced preoperative rehearsal and intraoperative navigation in neurosurgical oncology.","authors":"Alessandro Perin, Enrico Gambatesa, Chiara B Rui, Giovanni Carone, Claudia Fanizzi, Francesca M Lombardo, Tommaso F Galbiati, Donatella Sgubin, Hagit Silberberg, Paolo Cappabianca, Torstein R Meling, Francesco DI Meco","doi":"10.23736/S0390-5616.22.05516-3","DOIUrl":"10.23736/S0390-5616.22.05516-3","url":null,"abstract":"<p><strong>Background: </strong>Neurosurgical 3D visualizers and simulators are innovative devices capable of defining a surgical strategy in advance and possibly making neurosurgery safer by rehearsing the phases of the operation beforehand. The aim of this study is to evaluate Surgical Theater™ (Surgical Theater LLC, Mayfield, OH, USA), a new 3D neurosurgical planning, simulation, and navigation system, and qualitatively assess its use in the operating room.</p><p><strong>Methods: </strong>Clinical data were collected from 30 patients harboring various types of brain tumors; Surgical Theater™ was used for the preoperative planning and intraoperative 3D navigation. Preoperative and postoperative questionnaires were completed by first and second operators to get qualitative feedback on the system's functionality. Furthermore, we measured and compared the impact of this technology on surgery duration.</p><p><strong>Results: </strong>Neurosurgeons were overall satisfied when using this rehearsal and navigation tool and found it efficient and easy to use; interestingly, residents considered this device more useful as compared to their more senior colleagues (with significantly higher scores, P<0.05), possibly because of their limited anatomical experience and spatial/surgical rehearsal ability. The length of the surgical procedure was not affected by this technology (P>0.05).</p><p><strong>Conclusions: </strong>Surgical Theater™ system was found to be clinically useful in improving anatomical understanding, surgical planning, and intraoperative navigation, especially for younger and less experienced neurosurgeons.</p>","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48442951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Characterization of neurosurgery fellowship directors: strengths and room for improvement. 神经外科研究金主任的特点:优势和改进空间。
IF 1.9 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-01 Epub Date: 2022-04-05 DOI: 10.23736/S0390-5616.21.05621-6
Parth P Parikh, Muhammad A Elahi, Namrata Arya, Keldon K Lin, M Lane Moore, Naresh P Patel
{"title":"Characterization of neurosurgery fellowship directors: strengths and room for improvement.","authors":"Parth P Parikh, Muhammad A Elahi, Namrata Arya, Keldon K Lin, M Lane Moore, Naresh P Patel","doi":"10.23736/S0390-5616.21.05621-6","DOIUrl":"10.23736/S0390-5616.21.05621-6","url":null,"abstract":"<p><strong>Background: </strong>While many current and aspiring neurosurgeons are looking to supplement their clinical practices with leadership positions, there has not been research characterizing current leadership positions such as fellowship directors (FDs) in neurosurgery to provide insight into objective qualities that distinguish these individuals from the rest of the workforce. This study aims to outline the current characterization of spine, endovascular, pediatric, and stereotactic and functional neurosurgery fellowship directors.</p><p><strong>Methods: </strong>A list of accredited neurosurgical fellowship programs located within the US and their respective directors was acquired through the AANS Neurosurgical Fellowship Training Program Directory. This study obtained educational, demographic, institutional, research, and professional background variables through curriculum vitae, institutional profiles, personal websites, emails, and the Scopus database.</p><p><strong>Results: </strong>Of the 152 FDs analyzed, 143 (94%) were male, 9 (6%) were female, and the mean age was 52.2±8.5 years. The mean Scopus H-index and mean total citations for all FDs was 27±15.7 and 3782.1±4526.7, respectively. Furthermore, the majority of FDs were Caucasian (69.1%), followed by Asian (20.4%), Black or African American (5.3%), and Hispanic or Latino (5.3%). The mean number of years as FD was 8.9±7.2.</p><p><strong>Conclusions: </strong>This analysis showed neurosurgery fellowship directors are primarily Caucasian males. Neurosurgery training pedigree seems to play a role in FD attainment. In addition, these directors are largely distinguished by their research productivity. This analysis serves as an insight into the current climate for students aspiring to serve as academic leaders in the field of neurosurgery.</p>","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47208263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Applicability and efficacy of ultrasound elastography in neurosurgery: a systematic review of the literature. 超声弹性成像在神经外科中的适用性和有效性:文献系统综述。
IF 1.3 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-01 Epub Date: 2022-10-14 DOI: 10.23736/S0390-5616.22.05866-0
Ismail Zaed, Giuseppe M Della Pepa, Delia Cannizzaro, Grazia Menna, Andrea Cardia
{"title":"Applicability and efficacy of ultrasound elastography in neurosurgery: a systematic review of the literature.","authors":"Ismail Zaed, Giuseppe M Della Pepa, Delia Cannizzaro, Grazia Menna, Andrea Cardia","doi":"10.23736/S0390-5616.22.05866-0","DOIUrl":"10.23736/S0390-5616.22.05866-0","url":null,"abstract":"<p><strong>Introduction: </strong>Neurosurgery is one of the fields in which intraoperative imaging is paramount. One of these main imaging tools that have been acquiring the interest of the neurosurgical community is Ultrasound elastography (USE), which is an imaging technology sensitive to tissue stiffness. Here we present a systematic review of the use of USE in neurosurgery.</p><p><strong>Evidence acquisition: </strong>A systematic review of the literature has been performed, according to the PRISMA guideline, for the last 30 years on 3 different databases (MEDLINE, Scopus, and Cochrane), to gather all the studies on the use of ultrasound elastography for neurosurgical pathologies, including both clinical and laboratory studies.</p><p><strong>Evidence synthesis: </strong>A total of 15 articles met the inclusion criteria. USE has widely and safely been used especially for oncological lesions (meningiomas and gliomas) and focal cortical dysplasia. However, there are also encouraging laboratory studies about its application for the management of traumatic brain injury, and ischemic stroke.</p><p><strong>Conclusions: </strong>This systematic review showed that, despite the lack of strong evidence, USE is a valid intraoperative tool, especially in oncological neurosurgery.</p>","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33511036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary intradural extramedullary lesions: a longitudinal study of 212 patients and analysis of predictors of functional outcome. 原发性硬膜内髓外病变:一项212例患者的纵向研究和功能预后预测因素分析。
IF 1.9 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-01 Epub Date: 2020-12-09 DOI: 10.23736/S0390-5616.20.05147-4
Manoharan D Sudhan, Guru D Satyarthee, Leve Joseph, Aanchal Kakkar, Mehar C Sharma
{"title":"Primary intradural extramedullary lesions: a longitudinal study of 212 patients and analysis of predictors of functional outcome.","authors":"Manoharan D Sudhan, Guru D Satyarthee, Leve Joseph, Aanchal Kakkar, Mehar C Sharma","doi":"10.23736/S0390-5616.20.05147-4","DOIUrl":"10.23736/S0390-5616.20.05147-4","url":null,"abstract":"<p><strong>Background: </strong>Primary intradural extramedullary (IDEM) lesions are rare, with an incidence of about 1/100,000 person-years. The aim of this study was to investigate their demographic, clinical, imaging, management, histopathological and outcome parameters. Another objective was to evaluate the various predicting factors leading to long-term favorable outcomes, thereby answering the controversial question: when to operate?</p><p><strong>Methods: </strong>This study observed 212 patients of primary IDEM lesions and followed-up for a mean of 53.80 months. The patient's outcome using McCormick grade at follow-up was correlated with age, sex, duration of symptoms, preoperative McCormick grade, tumor location and extent, extradural spread, extent of excision, vascularity, WHO grade and histopathological tumor type.</p><p><strong>Results: </strong>Benign nerve sheath tumors were the commonest lesions (47.17% schwannoma, 4.72% Neurofibroma), followed in incidence by meningioma (19.34%). There was predominance of males (57.08%), except in meningiomas (male: female ratio 1:2.15). Pain was the commonest initial symptom (51.88%). Limb weakness was the most common presenting complaint (88.68%). Gross total excision was achieved in 81.60% of cases and 70.75% of patients improved following surgery. The significant factors predicting favorable outcome included preoperative McCormick grade (P=0.001), the vertical extent of the tumor (P=0.027), histopathological tumor type (P=0.023) and WHO grading (P=0.015); and extent of excision had an odds ratio of 1: 2.5.</p><p><strong>Conclusions: </strong>Significant predictors of functional outcome following surgery in IDEM lesions included preoperative McCormick grade, extent of the tumor, tumor type, WHO grading and extent of resection. The authors recommend surgery with the intent of complete tumor excision, before the onset of substantial symptoms, for better outcome.</p>","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38691544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Improving neurosurgical research through a trainee-led research community. 通过实习生领导的研究社区改善神经外科研究。
IF 1.9 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-01 Epub Date: 2023-06-12 DOI: 10.23736/S0390-5616.23.06078-2
Ismail Zaed, Francesco Marchi, Delia Cannizzaro, Andrea Cardia
{"title":"Improving neurosurgical research through a trainee-led research community.","authors":"Ismail Zaed, Francesco Marchi, Delia Cannizzaro, Andrea Cardia","doi":"10.23736/S0390-5616.23.06078-2","DOIUrl":"10.23736/S0390-5616.23.06078-2","url":null,"abstract":"","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9615159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantitative gait analysis of patients with severe sacroiliac joint dysfunction: a prospective clinical study. 重度骶髂关节功能障碍患者的定量步态分析:一项前瞻性临床研究。
IF 1.9 4区 医学
Journal of neurosurgical sciences Pub Date : 2023-12-01 Epub Date: 2021-08-03 DOI: 10.23736/S0390-5616.21.05448-5
Jan Lodin, Marek Jelínek, Jan Procházka, Martin Sameš, Petr Vachata
{"title":"Quantitative gait analysis of patients with severe sacroiliac joint dysfunction: a prospective clinical study.","authors":"Jan Lodin, Marek Jelínek, Jan Procházka, Martin Sameš, Petr Vachata","doi":"10.23736/S0390-5616.21.05448-5","DOIUrl":"10.23736/S0390-5616.21.05448-5","url":null,"abstract":"<p><strong>Background: </strong>Sacroiliac joint (SIJ) dysfunction is a chronic painful condition responsible for up to 30% of back pain. Treatment modalities include physiotherapy, intraarticular analgesic injections, ablation techniques or SIJ fusion. The severity of SIJ dysfunction is commonly assessed via subjective pain or disability scales. Quantitative gait analysis offers an objective means of evaluating patients with SIJ dysfunction prior to its surgical treatment.</p><p><strong>Methods: </strong>Ten patients diagnosed with severe SIJ dysfunction were matched with 10 healthy controls. All individuals underwent quantitative 3D gait analysis using the Qualisys program and statistical analysis was performed to identify significant differences in gait parameters between the two groups.</p><p><strong>Results: </strong>Two groups of data were obtained; angular parameters described by the Gait Profile Score (GPS) and spatiotemporal parameters described in standard SI units. Statistically significant differences were found between the patient and control group for parameters: overall GPS (P=0.049), hip abduction/adduction (P=0.017) and ankle plantar/dorsal flexion (P=0.003), stride length (P=0.002), step length (P=0.001), swing time (P=0.03) and initial double limb support (P=0.02).</p><p><strong>Conclusions: </strong>This paper is the first to perform complex quantitative gait analysis of patients with SIJ dysfunction and to compare it with healthy individuals. These results can provide clinicians with baseline gait values for these patients to objectively quantify the extent of their disease.</p>","PeriodicalId":16504,"journal":{"name":"Journal of neurosurgical sciences","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39272050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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