World neurosurgery最新文献_第7页

Delivering Bad News 传递坏消息

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-09 DOI: 10.1016/j.wneu.2025.124168

Ed Benzel

引用次数: 0

Randomized Clinical Trials in Cerebrovascular Neurosurgery: Analysis of Discontinuation and Nonpublication Prevalence and Trends 脑血管神经外科随机临床试验：中断和未发表的患病率和趋势分析。

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-07 DOI: 10.1016/j.wneu.2025.124159

Molly Butler , Lydia Kaoutzani , Scott Rahimi

{"title":"Randomized Clinical Trials in Cerebrovascular Neurosurgery: Analysis of Discontinuation and Nonpublication Prevalence and Trends","authors":"Molly Butler , Lydia Kaoutzani , Scott Rahimi","doi":"10.1016/j.wneu.2025.124159","DOIUrl":"10.1016/j.wneu.2025.124159","url":null,"abstract":"<div><h3>Objective</h3><div>Premature randomized clinical trial (RCT) discontinuation and nonpublication have been shown to frequently compromise advancements in medicine. However, the extent to which these problems exist in RCTs of cerebrovascular disease is not well understood. This study aims to investigate the prevalence of discontinuation and nonpublication among cerebrovascular clinical trials and explore characteristics associated with each.</div></div><div><h3>Methods</h3><div>We searched <span><span>Clinicaltrials.gov</span><svg><path></path></svg></span> using selected keywords to identify relevant RCTs. Trials generated in our search were screened to exclude unrelated trials, active trials, and trials completed within the previous three years. We analyzed included RCTs to identify the publication status or reason for discontinuation.</div></div><div><h3>Results</h3><div>Of the 421 included RCTs, 245 (58.2%) were completed and 176 (41.8%) were discontinued. Trials investigating medical devices and government-funded trials had the lowest rates of discontinuation. Participant accrual difficulty was the most common reason for discontinuation identified (12.5%), though 52.8% of the discontinued trials did not provide a reason for discontinuation. There were 226 published trials (53.7%) and 195 unpublished trials (46.3%). Unpublished trials included 135 of the 176 discontinued trials (76.7%) and 60 of 245 completed trials (24.5%). Trial discontinuation was significantly associated with nonpublication. Trials funded by the National Institutes of Health were less likely to be unpublished.</div></div><div><h3>Conclusions</h3><div>Premature discontinuation was common among cerebrovascular trials in neurosurgery and frequently attributed to difficulties with patient enrollment. Nonpublication was especially common among discontinued trials. Our findings may highlight opportunities to improve research efficiency and potentially improve outcomes for patients with cerebrovascular diseases.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124159"},"PeriodicalIF":1.9,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259043","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

In Reply to the Letter to the Editor Regarding “Burnout Among Neurosurgeons and Residents in Neurosurgery: A Systematic Review and Meta-Analysis of the Literature” 致编辑的回复：神经外科医生和住院医生的职业倦怠：文献的系统回顾和荟萃分析。

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-07 DOI: 10.1016/j.wneu.2025.124170

Ismail Zaed , Salvatore Chibbaro

引用次数: 0

Letter to the Editor Regarding “Penetrating Brain Injury: Bridging Global Disparities in Care and Advancing Management Strategies” 致编辑关于“穿透性脑损伤：弥合全球护理差异和推进管理策略”的信。

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-06 DOI: 10.1016/j.wneu.2025.124165

Yalcin Golcuk

引用次数: 0

Letter to the Editor Regarding “Predictive Factors for Postoperative Cerebrospinal Fluid Drainage in Neurosurgical Management of Intracranial Aneurysms” 致编辑关于颅内动脉瘤神经外科治疗中术后脑脊液引流的预测因素的信。

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-06 DOI: 10.1016/j.wneu.2025.124160

Yuliia Solodovnikova, Ksenia Yarova, Anatoliy Son

引用次数: 0

Correlation Between Calcification of Facet Joint Capsule and Dynamic Instability in Lumbar Degenerative Spondylolisthesis 腰椎退行性滑脱中关节突关节囊钙化与动力不稳定的关系。

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-06 DOI: 10.1016/j.wneu.2025.124163

Byung-Jou Lee , Hae-Won Koo , Seonghoon Jeong , Kwang Hyeon Kim

{"title":"Correlation Between Calcification of Facet Joint Capsule and Dynamic Instability in Lumbar Degenerative Spondylolisthesis","authors":"Byung-Jou Lee , Hae-Won Koo , Seonghoon Jeong , Kwang Hyeon Kim","doi":"10.1016/j.wneu.2025.124163","DOIUrl":"10.1016/j.wneu.2025.124163","url":null,"abstract":"<div><h3>Background</h3><div>To evaluate the association between facet joint capsule calcification (FCC) on computed tomography and dynamic instability on weight-bearing flexion-extension lateral X-ray in patients with degenerative spondylolisthesis at L4-5.</div></div><div><h3>Methods</h3><div>Clinical and radiologic data from 388 patients with degenerative spondylolisthesis who underwent lumbar magnetic resonance imaging, computed tomography, and dynamic X-ray within a 1-month interval from January 2012 to December 2021 were reviewed in this study. Radiologic factors associated with dynamic instability were evaluated: FCC, facet degeneration grade, facet joint fluid, facet tropism, disc degeneration grade, traction spur, and vacuum phenomenon. We evaluated the association between FCC and dynamic instability and determined the best cutoff value of cross-sectional area (CSA) of FCC for predicting dynamic instability.</div></div><div><h3>Results</h3><div>The FCC, facet joint degeneration, disc degeneration grade, and traction spur were significantly correlated with dynamic instability. The optimal cutoff point of the average CSA of FCC was measured at 14.46 mm2 with 82.3% and 96.0% sensitivity and specificity, respectively, with an area under the curve of 0.950. In the distribution in CSA of FCC according to grade of facet joint degeneration, the best cutoff value of CSA of FCC related to dynamic instability, 14.46 mm<sup>2</sup>, is almost the same as the mean value of CSA of FCC for grade 2 of facet joint degeneration.</div></div><div><h3>Conclusions</h3><div>FCC is significantly correlated with dynamic instability in degenerative spondylolisthesis at L4-5. FCC is a radiologic finding that can be helpful in detecting dynamic instability together with dynamic X-ray.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124163"},"PeriodicalIF":1.9,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249878","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

A Novel, Straightforward and Affordable Suction-Irrigation Device for Microneurosurgery: A Technical Note 一种用于微神经外科的新型直接且价格合理的吸灌装置：技术说明。

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-06 DOI: 10.1016/j.wneu.2025.124161

Cheng Qian, Tommi K. Korhonen, Mikael von und zu Fraunberg

{"title":"A Novel, Straightforward and Affordable Suction-Irrigation Device for Microneurosurgery: A Technical Note","authors":"Cheng Qian, Tommi K. Korhonen, Mikael von und zu Fraunberg","doi":"10.1016/j.wneu.2025.124161","DOIUrl":"10.1016/j.wneu.2025.124161","url":null,"abstract":"<div><h3>Background</h3><div>Irrigation and suction devices are essential tools in microneurosurgery, allowing the maintenance of a clear operative field and meticulous dissection of critical neurovascular structures. Currently available suction-irrigation devices are in limited use due to their high price and difficulty of use in real-life situations. We present a novel suction-irrigation apparatus that is easy to utilize in every microneurosurgical operation and can be assembled with tools available in most neurosurgical centers.</div></div><div><h3>Methods</h3><div>The irrigation device of a Medtronic irrigating drill is attached to a Fukushima suction tip with a small silicone band. Suction power is controlled by the surgeon's fingertip using a malleable suction tip, and irrigation is controlled using the drill's foot pedal. Narrated videos exemplifying the assembly and use of the suction-irrigation device were recorded.</div></div><div><h3>Results</h3><div>We have used the suction-irrigation device in 107 surgeries to date since its first application and have found it to enhance the operative experience as it provides optimal surgical visibility with reduced effort compared to traditional means. Adjuvant drugs such as nimodipine may be added to the irrigation fluid. The use of the suction-irrigation apparatus reduces the requirement of bipolar coagulation and improves operating comfort compared to a traditional stand-alone suction device and an assistant irrigating.</div></div><div><h3>Conclusions</h3><div>We present the application of a cost-effective suction-irrigation technique that can be easily assembled from widely used traditional neurosurgical tools. The novel device enables minimally traumatic neurovascular microdissection even in the setting of subarachnoid hemorrhage and highly vascular tumors.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"200 ","pages":"Article 124161"},"PeriodicalIF":1.9,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249907","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

Global Research Trends in Anterior Cervical Fusion Surgery: A 25-Year Bibliometric Analysis 全球颈椎前路融合手术研究趋势：25年文献计量学分析。

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-04 DOI: 10.1016/j.wneu.2025.124145

Yufei He , Hong Wang , He Liu , Chao Wu , Yuhan Guo , Fan Bai

{"title":"Global Research Trends in Anterior Cervical Fusion Surgery: A 25-Year Bibliometric Analysis","authors":"Yufei He , Hong Wang , He Liu , Chao Wu , Yuhan Guo , Fan Bai","doi":"10.1016/j.wneu.2025.124145","DOIUrl":"10.1016/j.wneu.2025.124145","url":null,"abstract":"<div><h3>Background</h3><div>Anterior cervical fusion surgery (ACFS) is a well-established surgical intervention for cervical degenerative disease. To delineate current research trends and forecast future directions and emerging hotspots, this study conducted a bibliometric analysis of ACFS over the past 25 years.</div></div><div><h3>Methods</h3><div>We conducted a search in the Web of Science Core Collection database to identify articles and reviews on ACFS from 2000 to 2024. Bibliometric analysis was performed using CiteSpace 6.3.R3 and Bibliometrix (R package).</div></div><div><h3>Results</h3><div>A total of 4002 articles and reviews were analyzed. This study revealed consistent growth in publications over time. China and the United States were the leading contributors in publications, authors, and institutional output, with Rush University ranking first among institutions (226 papers). <em>Spine</em> ranked first in both publication volume (n = 487) and total citations (n = 24,881), highlighting its pivotal role in the field. Among authors, Liu H published the most papers (n = 104), while Riew KD received the highest citations (n = 2399). The most frequently used keywords were “diskectomy” (948), “spine” (826), and “fusion” (733), with “interbody fusion” being the earliest (2000) and most impactful keyword (burst strength: 45.66).</div></div><div><h3>Conclusions</h3><div>This study provides a comprehensive overview of ACFS research over the past 25 years through bibliometric analysis. The findings enhance understanding of current research landscapes and aid in anticipating future developments in this field.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124145"},"PeriodicalIF":1.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249880","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

Risk factors for Delayed Facial Palsy following Microvascular Decompression in Hemifacial Spasm: a systematic review and meta-analysis. 面肌痉挛微血管减压后迟发性面瘫的危险因素：系统回顾和荟萃分析。

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-04 DOI: 10.1016/j.wneu.2025.124144

Xueliang Liu, Xuehan Li, Zhi Hou, Yanyan Ke, Xiaofeng Zhang, Xiuli Zhang, Lin Yang, Yalan Zhang, Ping Pu, Chunqing Zhang

{"title":"Risk factors for Delayed Facial Palsy following Microvascular Decompression in Hemifacial Spasm: a systematic review and meta-analysis.","authors":"Xueliang Liu, Xuehan Li, Zhi Hou, Yanyan Ke, Xiaofeng Zhang, Xiuli Zhang, Lin Yang, Yalan Zhang, Ping Pu, Chunqing Zhang","doi":"10.1016/j.wneu.2025.124144","DOIUrl":"https://doi.org/10.1016/j.wneu.2025.124144","url":null,"abstract":"<p><strong>Background: </strong>Delayed facial palsy (DFP) remains a significant postoperative complication following microvascular decompression (MVD) for hemifacial spasm (HFS). However, the underlying mechanisms of DFP remain unclear. This study aimed to determine the incidence, duration, and latency of DFP onset following MVD. A secondary objective was to identify risk factors associated with DFP in this context.</p><p><strong>Methods: </strong>We conducted a systematic review and meta-analysis by searching PubMed, Embase, Web of Science, Cochrane Library, WanFang, and CNKI from inception through November 24, 2024, with data retrieval completed on January 10, 2025. Eligible studies were quantitative and original, reporting potential risk factors for DFP after MVD in patients with HFS. A single-arm meta-analysis evaluated the incidence, duration, and latency of DFP. Meanwhile, a multivariate meta-analysis identified independent risk factors.</p><p><strong>Results: </strong>Fifteen observational studies comprising 5,262 MVD cases and 494 DFP events met inclusion criteria. The pooled incidence of DFP was 9% (95% CI: 7-10). The average duration of DFP was 84.8 days (95% CI: 23.4-146.2), and the mean latency from surgery to onset was 10.9 days (95% CI: 4.7-17.1). Multivariate meta-analysis of nine studies using adjusted data identified facial nerve indentation (OR = 12.78, 95% CI: 3.66-41.74), multiple offending vessels (OR = 6.95, 95% CI: 1.41-34.22), and longer disease duration (OR = 1.71, 95% CI: 1.01-2.89) as significant risk factors for DFP (p < 0.05).</p><p><strong>Conclusion: </strong>DFP is a relatively common complication after MVD, and facial nerve indentation, prolonged disease duration, and the presence of multiple offending vessels significantly increase DFP risk.</p>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":" ","pages":"124144"},"PeriodicalIF":1.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249884","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

Easy Navigator: A Novel 3D Slicer-Based Neuronavigation System for Precise Brain Tumor Localization and Resection EASY Navigator：一种新颖的基于3D切片机的神经导航系统，用于精确的脑肿瘤定位和切除。

IF 1.9 4区医学

World neurosurgery Pub Date : 2025-06-04 DOI: 10.1016/j.wneu.2025.124143

Moneer K. Faraj

{"title":"Easy Navigator: A Novel 3D Slicer-Based Neuronavigation System for Precise Brain Tumor Localization and Resection","authors":"Moneer K. Faraj","doi":"10.1016/j.wneu.2025.124143","DOIUrl":"10.1016/j.wneu.2025.124143","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluates the accuracy, efficiency, and clinical outcomes of a novel neuronavigation method that integrates open-source 3D Slicer software with a gyroscope-equipped pen mouse for precise resection of deep-seated brain lesions.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on 30 patients at Dr. Saad Al-Witry Neuroscience Hospital from 2020 onwards. Preoperatively, magnetic resonance imaging scans were processed into three-dimensional brain models using 3D Slicer software. Real-time intraoperative alignment was achieved by registering the virtual model with the patient's actual position with the help of a pen mouse with gyroscope guidance. System accuracy was verified with phantom models, comparative analysis with traditional neuronavigation, and direct clinical applications.</div></div><div><h3>Results</h3><div>The average surgical duration was 140.07 minutes, with a consistent navigation setup time of 10 minutes. Measurement discrepancies between the Enhanced Accuracy System for Yaw-Based Navigation Navigator and actual intraoperative distances ranged from −2 mm to +2 mm, indicating high accuracy. Complete tumor resection was achieved in 73.3% of cases, with postoperative functional outcomes favorable (73.3% with modified Rankin scale score of 1; 26.7% scoring 2).</div></div><div><h3>Conclusions</h3><div>Enhanced Accuracy System for Yaw-based Navigation Navigator is used as a reliable, effective, and cost-effective neuronavigation tool. Its simplicity of use, easy installation, and precision indicate broad applicability, especially for high-precision localizations and for environments with limited resources.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124143"},"PeriodicalIF":1.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249879","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