Journal of neurological surgery. Part A, Central European neurosurgery最新文献

{"title":"Opioid Use after Transforaminal Lumbar Interbody Fusion: A Comparison between Open and Minimally Invasive Surgery.","authors":"Juan Felipe Abaunza-Camacho, Sara Gomez-Niebles, Humberto Madrinan-Navia, Rafael Aponte-Caballero, William Mauricio Riveros, Leonardo Laverde-Frade","doi":"10.1055/s-0044-1792141","DOIUrl":"10.1055/s-0044-1792141","url":null,"abstract":"<p><strong>Background: </strong> Opioids are medications frequently used in patients with moderate and severe chronic pain. Their pharmacologic profile allows their use in acute severe postoperative pain. However, due to their highly addictive profile, opioid misuse is considered a public health issue. Vertebral spine fusion, decompression, and instrumentation are often associated with acute, severe postoperative pain. The present study aims to compare postoperative opioid consumption in a group of patients who underwent open transforaminal lumbar interbody fusion (OTLIF) against a similar group of patients who underwent minimally invasive transforaminal lumbar interbody fusion (MTLIF).</p><p><strong>Methods: </strong> We present a quantitative, observational, analytical, and historical cohort study. After convenience sampling, we identified 45 patients, 34 of whom underwent OTLIF and 11 underwent MTLIF. The analysis was made after measuring the following variables: demographics, type of surgery, length of stay, pain control, opioid type, and opioid dose. Statistical methods were implemented according to the origin and behavior of the variable.</p><p><strong>Results: </strong> We found a difference between significant and nonsignificant pain among the groups with less opioid consumption in the MTILF group. This difference was seen in the frequency and dosage during all observation periods. However, in the postoperative observation, the frequencies and dosages were equal between groups. According to linear regression, the type of surgery, radiculopathy, and radiculitis explain the significant postoperative pain in up to 50% of cases.</p><p><strong>Conclusion: </strong> Our study reveals a significant difference in opioid consumption between patients undergoing different surgical techniques. While these findings are valid for the studied population, the limitation in sample size highlights the need for further research. The implications of our findings on postoperative pain management and opioid use in spinal surgeries are significant and warrant continued investigation.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":"361-368"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676045","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}

{"title":"Intimal Hemorrhage of Basilar Artery Induced by Severe Vasospasm Following Subarachnoid Hemorrhage: The Experimental Analysis.","authors":"Ahmet Gökyar, Mehmet Hakan Şahin, Mehmet Kürşat Karadağ, Sinan Bahadır, Mete Zeynal, Sare Altas Sipal, Mehmet D Aydin","doi":"10.1055/a-2273-5418","DOIUrl":"10.1055/a-2273-5418","url":null,"abstract":"<p><strong>Background: </strong> Cerebral vasospasm, a serious complication of subarachnoid hemorrhage (SAH), has been extensively studied for its neurochemical and pathophysiologic mechanisms. However, the contribution of inner elastic membrane dissection and subintimal hemorrhage to basilar artery occlusion remains underexplored. This study investigates inner elastic membrane-related changes in the basilar artery after SAH.</p><p><strong>Methods: </strong> Twenty-four hybrid rabbits were divided into control, sham, and SAH groups, with SAH induced by autologous blood injection. After 2 weeks, basilar artery changes, vasospasm indexes (VSIs), and dissections were evaluated.</p><p><strong>Results: </strong> The SAH group showed significantly higher VSI, with vascular wall thickening, luminal narrowing, convoluted smooth muscle cells, intimal elastic membrane disruption, endothelial cell desquamation, and apoptosis. Some SAH animals exhibited subintimal hemorrhage, inner elastic membrane dissection, and ruptures. Basilar arteries with subintimal hemorrhage had notably higher VSI.</p><p><strong>Conclusions: </strong> These findings highlight the role of subintimal hemorrhage and inner elastic membrane dissection in basilar artery occlusion post-SAH, offering valuable insights into vasospasm pathophysiology.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":"369-376"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139931549","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}

{"title":"Preoperative and Postoperative Midline Index Ratio and Pre- and Postoperative Variation of the Hematoma Thickness Accurately Predict Surgical Recurrence of Chronic Subdural Hematomas.","authors":"Federica Novegno, Giulia Fiorucci, Andrea Iaquinandi, Maurizio Salvati, Alessandro Pesce","doi":"10.1055/s-0044-1792142","DOIUrl":"10.1055/s-0044-1792142","url":null,"abstract":"<p><strong>Background: </strong> Chronic subdural hematoma (cSDH) is a common pathology in daily practice of neurosurgery. Surgical management usually offers a significant clinical recovery. However, the recurrence rate is still high. Several studies have suggested various factors associated with hematoma recurrence with no univocal results. The aim of this study was to determine the prognostic value of early postoperative computed tomography (CT) examination to predict the need for reoperation.</p><p><strong>Methods: </strong> A retrospective review of 115 cSDH patients was performed. Clinical findings and pre- and early postoperative CT scan data were recorded. Univariable and bivariable analyses were performed to determine which of the studied factors were associated with an increased risk of reoperation. Their prognostic abilities were assessed using receiver operating characteristic curves.</p><p><strong>Results: </strong> Overall, 21 of 115 patients required a surgical revision. Among the comorbidities, diabetes mellitus represented the only factor related with hematoma recurrence (66.76 vs. 23.40%, <i>p</i> = 0.001). Preoperative hematoma density and postoperative residual hyperdensity on early CT scan emerged as significant predictors of cSDH recurrence (recurrence: 18/21, 85.7% vs. nonrecurrence: 17/94, 18.1%, <i>p</i> = 0.001). The ratios of post- and preoperative hematoma thickness (<i>P</i>) and post- and preoperative midline shift (<i>Q</i>) and their sum (<i>K</i>) were statistically higher in the recurrence group with cutoff values of 0.745, 0.555, and 1.135, respectively.</p><p><strong>Conclusions: </strong> Systematic early postoperative CT scan after cSDH evacuation may predict hematoma recurrence. In the present study, we found postoperative hyperdensity on CT scan and degree of hematoma variation after surgical evacuation to be the strongest predictors of the need for reoperation.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":"353-360"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909710","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}

{"title":"Early-Onset Adjacent Vertebral Fractures after Balloon Kyphoplasty and SpineJack Kyphoplasty for the Management of Single-Level Thoracolumbar Vertebral Compression Fractures.","authors":"Ming-Hsuan Chung, Yun-Ju Yang, Yi-Chieh Wu, Guann-Juh Chen, Da-Tong Ju, Kuan-Nien Chou","doi":"10.1055/a-2418-7705","DOIUrl":"10.1055/a-2418-7705","url":null,"abstract":"<p><strong>Background: </strong> The aim of this study was to evaluate the risk factors contributing to early-onset adjacent level fractures (ALFs) occurring within 1 month following either balloon kyphoplasty (BKP) or SpineJack kyphoplasty (SJ) for the treatment of thoracolumbar vertebral compression fractures (TLVCFs).</p><p><strong>Methods: </strong> This retrospective analysis enrolled patients with single-level TLVCFs (T11-L2) who underwent either BKP or SJ between July 2013 and June 2019. We recorded the ALF occurrences within 1 month. Age, osteoporosis, severity and shape of TLVCFs, and surgical type were compared between patients with and without early-onset ALFs.</p><p><strong>Results: </strong> Altogether, 106 TLVCF patients were enrolled, comprising 64 BKP and 42 SJ cases. We observed 19 early-onset ALFs, with 9 and 10 cases in the BKP and SJ, respectively. Patients with early-onset ALFs have significantly more severe TLCVFs (severe vs. mild, 25 vs. 0%, <i>p</i> = 0.055), and wedge-shaped TLVCFs (26.47 vs. 2.63%, <i>p</i> = 0.002), older age (81.05 vs. 73.34 years, <i>p</i> < 0.001), and kyphoplasty performed within 1 month are risk factors for early-onset ALFs (26.92 vs. 9.26%, <i>p</i> = 0.018). Univariable analysis showed that kyphoplasty timing within 1 month (odds ratio [OR]: 0.193; <i>p</i> = 0.008), wedge-shaped TLVCFs (OR: 5.358; <i>p</i> = 0.036), and advanced age (OR: 1.119; <i>p</i> = 0.001) are significant risk factors for early-onset ALFs.</p><p><strong>Conclusions: </strong> The occurrence rate of early-onset ALFs between BKP or SJ techniques in treating TLVCFs does not differ. Preoperative wedge-shaped TLVCFs, advanced age, and early treatment within 1 month are the risk factors for early-onset ALFs following kyphoplasty for TLVCFs.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":"335-341"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289480","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}

{"title":"A New Management Strategy for Hemimasticatory Spasm.","authors":"Zhongding Zhang, Datan Lu, Tingting Ying, Shiting Li, Hua Zhao","doi":"10.1055/a-2479-5625","DOIUrl":"10.1055/a-2479-5625","url":null,"abstract":"<p><strong>Background: </strong> Hemimasticatory spasm (HMS) is an uncommon movement disorder of the trigeminal motor rootlet characterized by unilateral, involuntary, and paroxysmal contractions of the muscles of mastication. The mechanisms for HMS are still unclear, and an efficient treatment strategy still needs to be developed. This study aims to investigate the clinical features and surgical treatment of HMS.</p><p><strong>Methods: </strong> Twelve patients with HMS were included in our study. The patient data regarding clinical characteristics, neuroimaging presentations, intraoperative findings, and treatment outcomes were analyzed retrospectively. Highly selective trigeminal motor root rhizotomy (HSTR) combined with microvascular compression was performed in nine cases with neurovascular conflict, whereas three patients without vascular compression underwent HSTR only.</p><p><strong>Results: </strong> Intraoperative findings showed that there were two patients with six branches, two patients with five branches, and the remaining patients with three to four branches of the trigeminal motor roots. Seven patients had two motor branches severed, three patients had one motor branch severed, and two patients each had three motor branches severed. Nine patients recovered uneventfully and showed no signs of spasms, and the remaining two patients experienced complete disappearance of symptoms within 3 months after surgery. In one patient, the symptoms disappeared immediately after surgery but recurred 2 years later.</p><p><strong>Conclusion: </strong> The surgical procedures of HSTR can significantly alleviate the clinical symptoms of patients with HMS without serious complications.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":"377-382"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682048","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}

{"title":"Diagnostic Value of Enhanced Computed Tomography and Magnetic Resonance Imaging in Intracranial Infections after Craniocerebral Surgery.","authors":"Wen Su, Honghui Luo, Lieyin Xu, Ge Cheng, Xiaotian Li, Bin Lin, Zhipeng Zhou","doi":"10.1055/a-2558-5497","DOIUrl":"https://doi.org/10.1055/a-2558-5497","url":null,"abstract":"<p><p>This study investigated the diagnostic value of enhanced computed tomography (CT) and magnetic resonance imaging (MRI) in postoperative intracranial infections in patients undergoing craniocerebral surgery.A total of 130 patients suspected of developing intracranial infection after cranial surgery were included in the study. All patients underwent MRI and CT examinations. The results of cerebrospinal fluid (CSF) culture were observed. The diagnostic efficacy of CT and MRI for intracranial infections was compared. In addition, univariate and multivariate logistic regression analyses were conducted to identify the factors influencing intracranial infections after surgery.By CSF culture, 45 intracranial infections were finally diagnosed in 130 patients with suspected intracranial infections, including 20 cases of <i>Staphylococcus aureus</i> infections (44.44%), 14 cases of <i>Staphylococcus haemolyticus</i> infections (31.11%), and 11 cases of <i>Staphylococcus epidermidis</i> infections (24.44%). The sensitivity, specificity, and accuracy of CT in diagnosing intracranial infections were 51.11, 89.41, and 76.15%, respectively. In comparison, MRI demonstrated a sensitivity of 77.78%, specificity of 92.94%, and accuracy of 87.69% in diagnosing intracranial infections. Logistic multifactorial regression analysis showed that surgical approach, surgical time, CSF leakage, and ventricular drainage were independent risk factors of postoperative intracranial infections (odds ratio > 1, <i>p</i> < 0.05).MRI has a higher diagnostic accuracy for intracranial infections compared with CT. Various factors contribute to the development of intracranial infections following cranial surgery, which warrants careful attention and timely targeted interventions to reduce the risk of such infections.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512054","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}

{"title":"Neurosurgery Residency Training and beyond in Turkey: A National Survey Study.","authors":"Taha Şükrü Korkmaz, Semih Can Çetintaş, Süleyman Akkaya, Süreyya Toklu","doi":"10.1055/a-2558-5909","DOIUrl":"10.1055/a-2558-5909","url":null,"abstract":"<p><p>Training neurosurgery specialists is a challenging and demanding process. This national survey study was conducted to evaluate the infrastructure of neurosurgery residency programs and training clinics in Turkey and to assess how these factors impact specialist practice.A national survey consisting of 32 questions was distributed to neurosurgeons who had been practicing as specialists for at least two years. The survey was divided into four sections: demographic information, residency training process, hospital where they currently work as specialists, and microsurgical experience. Statistical analyses, including chi-square and logistic regression, were conducted to examine factors influencing surgical performance in specialist practice.Regression analyses indicated that performing skin-to-skin surgeries during residency significantly and most effectively increased the likelihood of performing these procedures as a specialist. Additionally, working in anatomy laboratories, attending hands-on cadaver courses, and increased years of practice were all positively associated with surgical performance. It was also found that participants who graduated within the last 5 years were statistically significantly less likely to have attended hands-on courses or visited another clinic for observerships/fellowships compared with those who graduated more than 5 years ago.Findings suggest that neurosurgical training in Turkey is affected by disparities in clinical infrastructure and hands-on experience. Standardizing residency experiences and ensuring access to necessary equipment and training resources could enhance neurosurgical competency and consistency in specialist practice.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657552","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}

{"title":"Effect of Kyphoplasty on Pain Control and Vertebral Restoration.","authors":"Mustafa C Kilinc, Baran C Alpergin, Omer M Ozpiskin, Eray S Aktan, Ihsan Dogan","doi":"10.1055/a-2479-5392","DOIUrl":"10.1055/a-2479-5392","url":null,"abstract":"<p><strong>Background and aim: </strong> Numerous studies have been conducted regarding vertebral restoration, development of kyphotic deformity, and pain control following balloon kyphoplasty. However, there is no consensus regarding the ideal time to perform kyphoplasty. Herein, we aimed to compare the results of treatment of different vertebral levels following early or late kyphoplasty.</p><p><strong>Patients and methods: </strong> Between 2017 and 2022, 283 patients with single-level osteoporotic vertebral fractures were retrospectively reviewed. Patients in whom visual analog scale (VAS) values were recorded, and osteoporosis tests performed were included in the study. Traumatic single-level fractures in patients with osteoporosis who were aged > 60 years were included. Patients with a history of malignancy, previous spinal surgery, or neurological deficits were excluded. A total of 100 patients met the inclusion criteria. A total of 50 patients underwent kyphoplasty within 3 days of sustaining the fracture (Group 1), and 50 patients underwent kyphoplasty more than 3 days after sustaining the fracture (Group 2). Groups A, B, and C included fractures at the T7-T11 levels, T12-L1 levels (thoracolumbar junction), and L2-L5 levels, respectively. These groups were compared among themselves. Bilateral balloon kyphoplasty was performed under sedation in the prone position. Preoperative and postoperative VAS scores, anterior vertebral heights, and kyphotic angles (KAs) were measured and recorded. The vertebral segments that underwent early and late kyphoplasty were also compared among themselves.</p><p><strong>Results: </strong> In all the patients who underwent early or late kyphoplasty, there was a significant decrease in the KA and a significant increase in vertebral heights during the early postoperative period (<i>p</i> < 0.001). There was no significant change in the vertebral heights and KA between the early and late postoperative periods (<i>p</i> = 0.780). Early kyphoplasty demonstrated better pain control with a greater improvement in VAS score (<i>p</i> < 0.001) than late kyphoplasty.</p><p><strong>Conclusion: </strong> Kyphoplasty plays an important role in reducing pain and ensuring early mobilization in older patients. In our study, the improvements in both symptoms and radiological features are concrete evidence in favor of performing early kyphoplasty.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142687154","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}

{"title":"Clinical Outcomes of Additional Posterior Lumbar Interbody Fusion for Adjacent Segment Disease after Posterior Lumbar Interbody Fusion Assessed with the Zurich Claudication Questionnaire.","authors":"Hironobu Sakaura, Takahito Fujimori, Tsuyoshi Sugiura, Shutaro Yamada, Sadaaki Kanayama, Daisuke Ikegami","doi":"10.1055/s-0044-1791975","DOIUrl":"https://doi.org/10.1055/s-0044-1791975","url":null,"abstract":"<p><strong>Study design: </strong> A retrospective analysis of prospectively collected data.</p><p><strong>Background: </strong> The Zurich Claudication Questionnaire (ZCQ) has been recently reported to be the most responsive assessment tool for lumbar spinal stenosis among the ZCQ, the Oswestry Disability Index, the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire, the visual analog scale, the 8-Item Short Form Health Survey, and the EuroQol 5 dimensions 5 level. There has been no study comparing surgical outcomes of additional posterior lumbar interbody fusion (PLIF) for adjacent segment disease (ASD) after previous PLIF with those of primary PLIF.</p><p><strong>Objective: </strong> We compared the clinical outcomes of additional PLIF for unstable ASD after previous PLIF with those of primary PLIF assessed with the ZCQ to examine whether surgical outcomes of additional PLIF for ASD following previous PLIF are inferior to those of primary PLIF.</p><p><strong>Methods: </strong> Thirteen consecutive patients undergoing additional single-level PLIF for unstable ASD after previous PLIF (A group) and 61 consecutive patients undergoing primary single-level PLIF (P group) were included in the study. Clinical outcomes were assessed with the ZCQ before PLIF surgery and at 2 years postoperatively. Achievement rates of the minimum clinically important difference (MCID) of each domain (symptom severity [SS] and physical function [PF]) on the ZCQ were evaluated in each group.</p><p><strong>Results: </strong> In the A group, the mean SS and PF before additional PLIF were 3.615 and 3.1, respectively, which significantly improved to 2.231 and 2.0, respectively, at 2 years after surgery. In the P group, the mean SS and PF before primary PLIF were 3.438 and 2.5, respectively, which also significantly improved to 2.194 and 1.6, respectively, at 2 years postoperatively. PF before additional PLIF in the A group was significantly inferior to that in the P group, but SS both before and after PLIF and PF at 2 years postoperatively showed no significant differences between the two groups. The achievement rates of the MCID of SS and PF were 92.3 and 76.9%, respectively, in the A group and 59.0 and 59.0%, respectively, in the P group. The MCID achievement rates of SS was significantly higher in the A group than in the P group.</p><p><strong>Conclusion: </strong> Assessed with the ZCQ at 2 years after surgery, the clinical outcomes of additional single-level PLIF for unstable ASD after previous PLIF were equivalent to those of primary single-level PLIF.</p>","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258289","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}

{"title":"Obituary for Prof. Dr. med. habil. Winfried Burkert.","authors":"Volkmar Heidecke, Nikolai G Rainov","doi":"10.1055/a-2563-3606","DOIUrl":"https://doi.org/10.1055/a-2563-3606","url":null,"abstract":"","PeriodicalId":16544,"journal":{"name":"Journal of neurological surgery. Part A, Central European neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127907","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}