Neurochirurgie最新文献

{"title":"Translation and interrater reliability of the structured interview for the extended glasgow outcome scale among Moroccan patients with traumatic brain injury","authors":"Younes Iderdar,&nbsp;Soumia Marzouk,&nbsp;Nadia Al Wachami,&nbsp;Maryem Arraji,&nbsp;Karima Boumendil,&nbsp;Yassmine Mourajid,&nbsp;Amina Aquil,&nbsp;Elmadani Saad,&nbsp;Mohamed Chahboune","doi":"10.1016/j.neuchi.2025.101658","DOIUrl":"10.1016/j.neuchi.2025.101658","url":null,"abstract":"<div><h3>Objective</h3><div>The Extended Glasgow Outcome Scale (GOSE) is a commonly used assessment tool to evaluate the outcome following traumatic brain injury (TBI). This study aims to evaluate the applicability of the GOSE structured interview in the Moroccan context and to examine its reliability.</div></div><div><h3>Methods</h3><div>In this prospective validation study, we assessed the inter-rater reliability of GOSE scoring for 123 TBI patients who attended Avicenna University Hospital's outpatient unit. Interrater agreement of the GOSE was assessed, with Cohen's weighted κ, between the rater with the structured interview and the rater without the structured interview and between the rater specialized in TBI and the non-specialized rater.</div></div><div><h3>Results</h3><div>The findings demonstrated a high level of agreement (weighted kappa = 0.96) between the rater specialized in TBI and the non-specialized rater with (p &lt; 0.001) and a high level of agreement (weighted kappa = 0.85) between the rater with the structured interview and the neurosurgeon without the structured interview. The Moroccan version is capable of assessing the GOSE Score at a level similar to the original version.</div></div><div><h3>Conclusion</h3><div>The use of this version has the potential to expedite the process of evaluating outcomes in patients with TBI in both clinical practice and research settings.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 3","pages":"Article 101658"},"PeriodicalIF":1.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532192","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":"Performance of the necker cranial injury scale as a predictor of prognosis in children with severe traumatic brain injury: A retrospective cohort study","authors":"José Roberto Tude Melo ,&nbsp;Isadora Araújo Santos Lobo ,&nbsp;Luíza Malheiros Montagna ,&nbsp;Sophia Totaro ,&nbsp;Valentina Ponchio Vasques ,&nbsp;Luciana Andrea Digieri Chicuto ,&nbsp;Jean Gonçalves de Oliveira ,&nbsp;José Carlos Esteves Veiga","doi":"10.1016/j.neuchi.2025.101657","DOIUrl":"10.1016/j.neuchi.2025.101657","url":null,"abstract":"<div><h3>Background and objective</h3><div>The management of children with severe traumatic brain injury (TBI) is a challenge for the health team, and the use of scales and algorithms in clinical practice help in making certain decisions. The aim of this study is to evaluate the performance of the Necker Cranial Injury Scale (NCIS) in pediatric patients with severe TBI.</div></div><div><h3>Methods</h3><div>Retrospective cohort study with review of medical records of pediatric patients &lt;17 years with severe TBI treated between January 2016 and December 2023 at a Brazilian reference trauma center. The analysis of the area under the curve (AUC) of the Receiver operating characteristic (ROC) was performed to check the performance of the NCIS and the Glasgow coma scale (GCS) as mortality predictive scales.</div></div><div><h3>Results</h3><div>We identified 45 pediatric patients with severe TBI, with a median age of 9 years (IQR 5–14), and a predominance of males (71%). There was a predominance of accidents on public roads (22 of 45, 49%) followed by home accidents (21 of 45, 47%). With a median score of 6 (IQR 5–8) on the GCS, the performance of the NCIS (AUC 0.92) was superior to the performance of the GCS (AUC 0.86). The NCIS 3 cutoff point showed a specificity of 89%, negative predictive value of 97%, and accuracy of 89%.</div></div><div><h3>Conclusions</h3><div>With excellent performance and high negative predictive value, the NCIS is efficient for use in clinical practice in children with severe TBI.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 3","pages":"Article 101657"},"PeriodicalIF":1.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520613","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":"Addendum to “Synergistic effects of laser interstitial thermal therapy (LITT) and immunotherapy for brain tumor recurrence: A systematic review and meta-analysis” [Neurochir. 71 (2025), 101629] https://doi.org/10.1016/j.neuchi.2025.101629","authors":"Eshita Sharma ,&nbsp;Oguz Kagan Sahin ,&nbsp;Paweł Łajczak ,&nbsp;Numa Rajab ,&nbsp;Aisha Rizwan Ahmed ,&nbsp;Yasmin Picanço Silva ,&nbsp;Ayesha Bakhsh ,&nbsp;Anoushka Chatterjee ,&nbsp;Mohammed Raake ,&nbsp;Walter Fagundes","doi":"10.1016/j.neuchi.2025.101648","DOIUrl":"10.1016/j.neuchi.2025.101648","url":null,"abstract":"","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 2","pages":"Article 101648"},"PeriodicalIF":1.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143478998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive factors of surgical adjacent segment disease in the cervical spine: A nested case-control study","authors":"Henri-Arthur Leroy ,&nbsp;Pierre De Buck ,&nbsp;Tuong Lu ,&nbsp;Amélie Toubol ,&nbsp;Boulos Ghannam ,&nbsp;Pierre Haettel ,&nbsp;Richard Assaker","doi":"10.1016/j.neuchi.2025.101651","DOIUrl":"10.1016/j.neuchi.2025.101651","url":null,"abstract":"<div><h3>Study design</h3><div>Nested case-control study.</div></div><div><h3>Objective</h3><div>Radiological adjacent segment degeneration is reported in a significant proportion of patients operated on following ACDF. Only a part of them will experience clinical symptoms, ultimately requiring a second cervical spine surgery (_SASD). Our retrospective observational study, with prospective data collection, aims at considering the potential influence of cervical sagittal balance on post-ACDF second surgery based on postoperative imaging follow-up. Four key potential predictive factors were evaluated between cases and controls.</div></div><div><h3>Methods</h3><div>Between January 1st, 2014, to January 1st, 2020, 1078 patients were operated on for ACDF in the Spine Department of Lille University Hospital. We identified 19 cases and 76 matched controls. Cases were defined as follow: &gt;18 y/o, operated on for a second ACDF related to a _SASD. Controls patients did not undergo a second cervical surgery during the study period.</div></div><div><h3>Results</h3><div>The prevalence of _SASD was 1.76%. Neither the cervical sagittal axis (p = 0.12), nor the cervical lordosis (p = 0.40) were related to _SASD. However, we reported a strong tendency for the numbers of levels operated on and the postoperative local kyphosis to be risk factors of _SASD (respectively p = 0.056 and p = 0.06).</div></div><div><h3>Conclusion</h3><div>We did not report a clear impact of the cervical spine balance parameters such as cervical lordosis or cSVA on the risk of second cervical surgery at 2 years. Though, we highlighted the potential correlation between the initial number of cervical spine levels operated on and the occurrence of sASD and the presence of early local kyphosis.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 3","pages":"Article 101651"},"PeriodicalIF":1.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525093","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":"Step by step teaching anatomy for anterior approach of the lumbar spine: A cadaveric study","authors":"Romain Quéhan ,&nbsp;Hodabalo Essosolim Bakondé ,&nbsp;Ariane Weyl ,&nbsp;Antonio Francisco ,&nbsp;Marina Poinsignon ,&nbsp;Lubin Klotz ,&nbsp;Patrick Chaynes ,&nbsp;Amaury De Barros","doi":"10.1016/j.neuchi.2025.101650","DOIUrl":"10.1016/j.neuchi.2025.101650","url":null,"abstract":"<div><h3>Purpose</h3><div>The authors described detailed relevant anatomy for anterior approach of the lumbosacral spine emphasizing all critical structures at risk for surgical injuries.</div></div><div><h3>Methods</h3><div>Two fresh adult male cadavers were dissected at the Toulouse anatomy department. For each specimen, a step-by-step surgical approach followed by broader anatomical dissection was performed.</div></div><div><h3>Results</h3><div>Results were divided into three compartments: anterior abdominal wall, latero/retroperitoneal space, lumbosacral prevertebral space. Each compartment was analyzed and visually described according to surgical and wider anatomical approach. Each region has critical anatomical structures that need to be well managed during surgery avoiding surgical complications. In the lumbosacral prevertebral space, the vascular anatomy is the most critical point to know to avoid potentially fatal surgical complications for patients. Ureter embedded into the posterior part of the peritoneum is also a critical structure to manage correctly during lumbosacral anterior approach. Different neural structures are also encountered with potential painful complications in case of injury.</div></div><div><h3>Conclusions</h3><div>In reference to anterior lumbosacral approach, critical structures to manage are peritoneum, ureter, prevertebral venous structures and hypogastric plexus. Their surgical anatomy has to be known and well recognized during surgery. Our surgical then broader anatomical dissections provide pragmatic pictural pedagogic content for teaching surgeons practicing anterior lumbosacral approach.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 2","pages":"Article 101650"},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463571","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":"New 3D printed simulator for training of endoscopic transsphenoidal surgery used in a dedicated pituitary course: A French cross-sectional study","authors":"Bertrand Baussart ,&nbsp;Juliette Prebot ,&nbsp;Guillaume Assie ,&nbsp;Vincent Reina ,&nbsp;Delphine Leclercq ,&nbsp;Chiara Villa ,&nbsp;Stephan Gaillard","doi":"10.1016/j.neuchi.2025.101652","DOIUrl":"10.1016/j.neuchi.2025.101652","url":null,"abstract":"<div><h3>Context</h3><div>The objective was to evaluate the feasibility and usefulness of a new 3D printed simulator for endoscopic pituitary surgery. This simulator was used at the Pituitary Workshop, a French theoretical and practical course designed to teach the basics of pituitary tumour management.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study. The pituitary workshop had two components: (i) hands-on skills lab on the simulator, and (ii) lecture-based learning. The simulator was assessed by scoring its realism (face validity, score out of 80), its effectiveness in improving participants’ surgical technique (content validity, score out of 60), and its ability to differentiate levels of skill competence using performance metrics (construct validity, score out of 12). In a subgroup of 9 participants, the impact of the theoretical component of the course was also assessed (score out of 33), using a knowledge questionnaire before and after the course.</div></div><div><h3>Results</h3><div>Participants were neurosurgery residents (n = 24) and board-certified neurosurgeons (n = 6), supervised by expert neurosurgeons (n = 3). Face and content validity scores were high, reaching 63.3 ± 8.4 and 55.7 ± 4.6 respectively. Performance scores were higher in the group of experts and board-certified neurosurgeons than in the group of residents (12 ± 0 and 11.3 ± 1.2 vs. 9.2 ± 2.3, P = 0.019). The knowledge score improved significantly after the workshop (25.5 ± 4.8 vs. 10.9 ± 5.8, P = 7.1e-05).</div></div><div><h3>Conclusions</h3><div>Based on the face, content and construct validity scores, simulation training using the new model can be considered feasible and useful for neurosurgery residents. The pituitary workshop has a positive practical and theoretical impact on the majority of participants.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 3","pages":"Article 101652"},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484673","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":"Percutaneous screw instrumentation in the treatment of thoracic and lumbar fractures in children","authors":"Mélodie-Anne Karnoub,&nbsp;Matthieu Vinchon,&nbsp;Malick Sagenly,&nbsp;Richard Assaker","doi":"10.1016/j.neuchi.2025.101649","DOIUrl":"10.1016/j.neuchi.2025.101649","url":null,"abstract":"<div><h3>Purpose</h3><div>Managing thoracolumbar fractures implies stabilization of the level involved and restoration of global sagittal balance. These objectives are especially challenging in children’s growing spine, even more as they occur very rarely.</div></div><div><h3>Methods</h3><div>We reviewed all cases of children aged under 18, operated in Lille University Hospital from 2005 to 2021. We included all children treated by percutaneous screw fixation for thoracic or lumbar vertebral fracture. Clinical data before and after surgery, surgical early and late course, sagittal balance were key elements to our study.</div></div><div><h3>Results</h3><div>21 patients were included, mean age was 16 (13–18), 52% were male. In Aospine classification, our cohort was composed by A4 fractures (9 patients), A3 fractures (4 patients), A2 fractures (3 patients), B1 fracture (3 patients), B2 fractures (1 patient) and B3 fractures (1 patient). 14 patients had short-segment fixations. Surgical length was average 86 min, blood loss was meaningless (average 50 mL), hospital stay was average 9 days, because of association with other traumatic pathologies. No complication was recorded. VA score was always diminished after surgery and no chronic pain was recorded. For all patients, an improvement of vertebral kyphosis and sagittal balance was demonstrated. One year follow-up revealed no case of pseudoarthrosis, no late kyphosis, even after material removal.</div></div><div><h3>Conclusion</h3><div>Percutaneous screw fixation is a rapid, safe and relevant technique, that should always be considered first, while discussing surgery in children or adolescents for non neurologic thoracolumbar fracture.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 2","pages":"Article 101649"},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474796","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":"Meaningful work, organizational commitment and administrative burden among attending neurosurgeons","authors":"Charles E. Mackel ,&nbsp;Brian F. Saway ,&nbsp;Ron L. Alterman ,&nbsp;Alejandro M. Spiotta ,&nbsp;Jennifer A. Sweet ,&nbsp;Roger B. Davis ,&nbsp;Theresa Williamson ,&nbsp;Martina Stippler","doi":"10.1016/j.neuchi.2025.101645","DOIUrl":"10.1016/j.neuchi.2025.101645","url":null,"abstract":"<div><h3>Objective</h3><div>Neurosurgery is regarded as a meaningful career. However, there is no assessment of how many neurosurgeons hold this belief, factors that affect it, or the consequences that follow when neurosurgeons cannot practice in ways they find meaningful. We sought to quantify the neurosurgical experience of meaningful work, evaluate the impact of administrative burden, and relate meaningful work to physician attrition.</div></div><div><h3>Methods</h3><div>An online survey investigating meaningful work, administrative burden, organizational commitment, and practice patterns was emailed to attending neurosurgeon members of the Congress of Neurological Surgeons.</div></div><div><h3>Results</h3><div>308 neurosurgeons completed the survey. 85.1% of neurosurgeons reported that they found their career to be meaningful; however, most also reported their administrative burden as excessive (59.4%). Over the past 10 years, 17.2% of neurosurgeons left a position due to excessive administrative burden. On multivariable analysis, increased burnout score correlated with increases in administrative hours outside of work (p = 0.0042), perception of excessive administrative burden (p = 0.0267), and willingness to leave a current position of employment (p = 0.0006). Rising administrative burden trended towards reduced experience of meaningful work (p = 0.062). A positive working relationship with their neurosurgical department enhanced meaningful work (p &lt; 0.0017) and willingness to remain at place of employment (p = 0.0027).</div></div><div><h3>Conclusion</h3><div>The majority of neurosurgeons find neurosurgery to be a meaningful career. Critical to meaningful work is maintaining a good departmental working relationship and reducing administrative tasks. When neurosurgeons cannot practice their work meaningfully, they risk burnout. Organizations that do not invest in reducing their neurosurgical administrative burdens are at high risk for neurosurgeon attrition.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 2","pages":"Article 101645"},"PeriodicalIF":1.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403677","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":"Highly cited scores, scoring systems, grading systems, and classifications of daily use in cranial neurosurgery: A must-have during residency training! A mini-review","authors":"Nathan Beucler","doi":"10.1016/j.neuchi.2025.101646","DOIUrl":"10.1016/j.neuchi.2025.101646","url":null,"abstract":"<div><h3>Context</h3><div>Neurosurgery has much evolved since the time of Kocher and Cushing. Thanks to operative microscope, radiation therapy, progress of neuroresuscitation care, and data from evidence-based neurosurgical research, neurosurgery patients’ prognostic has improved. Now more than ever, we need simple, reliable, and reproducible scores, grades, and classifications to assist us in the surgical decision making, to assess patients’ clinical evolution, and to conduct proper neurosurgical research.</div></div><div><h3>Materials and methods</h3><div>We conducted a three stage scoping review: (1) identification of sections of interest: brain trauma, tumor, vascular, infection, stroke, functional outcome (2) identification of the most common diseases within each section, (3) we retained every score, scale, classification that is internationally recognized and/or highly cited and/or used daily in clinical practice or research setting and/or that is currently used by the author.</div></div><div><h3>Results</h3><div>23 scores were retained. Brain trauma section: Glasgow coma scale (1974), Glasgow Liège scale (1982), SHE score (2019), RASH score (2022). Tumor section: Karnofsky Performance status (1948), Graded Prognostic Assessment (2008), Simpson grade (1957), Sindou grade (2006), House and Brackmann (1983), Koos grade (1993), Knosp scale (1993). Vascular section: PHASES score (2014), UIATS score (2015), Hunt and Hess scale (1968), Fisher scale (1980), WFNS scale (1988), Spetzler Martin scale (1986), Borden scale (1995), Cognard scale (1995), Zabramski scale (1995). Stroke section: ICH score (2001), NIHSS (1989). Functional outcome section: Rankin scale (1957).</div></div><div><h3>Conclusion</h3><div>We provide a non-exhaustive list of 23 reference scales, scores, and classifications that can be safely used for cranial neurosurgery clinical practice and research.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 3","pages":"Article 101646"},"PeriodicalIF":1.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387973","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 cervical alignment parameters can predict postoperative disability scores and myelopathy outcomes","authors":"Murat Baloglu ,&nbsp;Hakan Millet ,&nbsp;Erdal Yayla ,&nbsp;Serdar Ercan","doi":"10.1016/j.neuchi.2025.101642","DOIUrl":"10.1016/j.neuchi.2025.101642","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to investigate the relationship between preoperative cervical spine alignment and changes in postoperative myelopathy after surgery in patients with cervical myelopathy who underwent anterior cervical corpectomy and fusion (ACCF) surgery as treatment.</div></div><div><h3>Methods</h3><div>Patients who underwent anterior cervical corpectomy and fusion surgery for the treatment of cervical myelopathy were included in the study. We evaluated various cervical alignment parameters such as T1 sagittal angle, T1 slope, and C2–7 sagittal vertical axis (SVA) before surgery. Postoperative myelopathy outcomes were assessed using the Modified Japanese Orthopedic Association score (mJOA), Neck Disability Index (NDI), and Visual Analog Scale (VAS). Statistical analysis was performed using Pearson correlation coefficient and multiple linear regression to determine the relationship between preoperative radiological parameters and postoperative clinical outcomes.</div></div><div><h3>Results</h3><div>There were no significant differences in age, gender, or BMI between the single-level and multilevel corpectomy groups. Significant differences were observed in postoperative C2–7 Cobb angle, operative time, and blood loss. Patients with higher C2–7 SVA had worse operative outcomes.</div></div><div><h3>Conclusion</h3><div>Preoperative cervical alignment measurements such as T1 slope and C2–7 SVA may be helpful in predicting myelopathy outcomes after ACCF surgery. Predicting the clinical outcomes of the patient after surgery is important for preparing postoperative care and adjusting treatment.</div></div>","PeriodicalId":51141,"journal":{"name":"Neurochirurgie","volume":"71 2","pages":"Article 101642"},"PeriodicalIF":1.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081963","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}