Neurocirugia最新文献

{"title":"El momento en que se realiza la cementación vertebral en fracturas aplastamiento toracolumbares importa: impacto en alivio del dolor, fuga de cemento y progresión del aplastamiento","authors":"Raquel Gutiérrez-González ,&nbsp;Teresa Kalantari ,&nbsp;Xavier Santander ,&nbsp;Álvaro Zamarrón ,&nbsp;Ana Royuela","doi":"10.1016/j.neucir.2025.500744","DOIUrl":"10.1016/j.neucir.2025.500744","url":null,"abstract":"<div><h3>Background and aim</h3><div>There is no consensus regarding the best timing of vertebral augmentation (VA) procedures for the treatment of osteoporotic thoracolumbar fractures. This study aims to determine if early VA (performed during the first 2 weeks of evolution) show an advantage over delayed surgery in terms of efficacy and safety outcomes, and to evaluate the role of different modifiable therapeutic variables on the same outcomes.</div></div><div><h3>Material and methods</h3><div>Single-center retrospective study including all patients aged &gt;50 years who underwent VA for thoracolumbar osteoporotic fracture from 2010 to 2023. Patients with two events in less than 3 months or incomplete follow-up were excluded. Pain relief, fracture progression and cement extravasation were assessed with regression analyses.</div></div><div><h3>Results</h3><div>One hundred fifty-four procedures were analyzed, with no significant difference in pain relief according to the timing of surgery. Early VA (1–14 days after symptoms onset) was associated with higher risk of fracture progression compared to intermediate (15–60 days; OR 15.2, <em>p</em> <!-->=<!--> <!-->0.001) and delayed (&gt;60 days; OR 16.2, <em>p</em> <!-->=<!--> <!-->0.013) procedures; higher risk of cement leakage into the disc or vascular space (OR 3.2, <em>p</em> <!-->=<!--> <!-->0.025); but lower risk of spinal canal cement leakage (OR 0.16, <em>p</em> <!-->=<!--> <!-->0.027). No differences were observed between vertebroplasty and kyphoplasty.</div></div><div><h3>Discussion and conclusion</h3><div>Early VA showed equivalent but earlier effect on pain relief and reduced risk of spinal canal leakage when compared with delayed procedures, despite a non-clinically significant increased risk of fracture progression and cement leakage into the disc or drainage vessels. Thus, it was identified as the most effective strategy for balancing analgesic efficacy and procedural safety.</div></div>","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 3","pages":"Article 500744"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147827985","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":"O-07 - CORRELACIÓN ANATOMO-QUIRÚRGICA DE LA REGIÓN PETROCLIVAL","authors":"M. Quirós Martí,&nbsp;J. Broseta Blasco,&nbsp;P. Molés Pérez,&nbsp;P. Capilla Guasch,&nbsp;V. Quilis Quesada","doi":"10.1016/S1130-1473(26)00038-2","DOIUrl":"10.1016/S1130-1473(26)00038-2","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115057"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230839","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":"OC-19 - RESULTADO CLÍNICO DEL TLIF SOBRE EL DOLOR Y EL CONSUMO ANALGÉSICO: EVALUACIÓN CLÍNICA EN UNA SERIE DE PACIENTES","authors":"M.C. Correa Blandon,&nbsp;A.D. Miranda Zambrano,&nbsp;M. Jaramillo Pimienta,&nbsp;A. Brownrigg-Gleeson Martínez,&nbsp;R. Rinnhofer,&nbsp;A. Moreno Flores,&nbsp;M. Ortega Martínez,&nbsp;L.C. Cuenca,&nbsp;J.C. Lobatón Poma","doi":"10.1016/S1130-1473(26)00102-8","DOIUrl":"10.1016/S1130-1473(26)00102-8","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115121"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148231071","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":"OC-22 - MANEJO DE LA LESIÓN IATROGÉNICA DE LA ARTERIA VERTEBRAL EN ARTRODESIS C1-C2 POSTERIOR: REVISIÓN DE LA LITERATURA Y PROPUESTA DE PROTOCOLO","authors":"C. Toledano Alcalde,&nbsp;L. Pujals Pont,&nbsp;G. Tresserras Gine,&nbsp;M. Romero Rosich,&nbsp;M. Buxeda Rodríguez,&nbsp;M.D. Sánchez Casas,&nbsp;C. Alarcón Alba","doi":"10.1016/S1130-1473(26)00105-3","DOIUrl":"10.1016/S1130-1473(26)00105-3","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115124"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148231163","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":"OC-17 - FUSIÓN INTERSOMÁTICA LUMBAR ENDOSCÓPICA (ELIF) PARA ESPONDILOLISTESIS LUMBAR: A PROPÓSITO DE UN CASO","authors":"M. Codes Méndez,&nbsp;J. González Sánchez,&nbsp;J. Torales González,&nbsp;A. Ferres Pijoan,&nbsp;J. Poblete Carrizo,&nbsp;J. Enseñat Nora","doi":"10.1016/S1130-1473(26)00100-4","DOIUrl":"10.1016/S1130-1473(26)00100-4","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115119"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148231255","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":"OC-09 - VALOR PRONÓSTICO DEL ÍNDICE DE PROLIFERACIÓN KI-67 EN LA RESECCIÓN TOTAL DE ADENOMAS HIPOFISARIOS: ANÁLISIS DE UNA SERIE CONTEMPORÁNEA (2021-2024)","authors":"D. Volcinschi Moros,&nbsp;M. Martín Risco,&nbsp;M. Claramonte de la Viuda,&nbsp;C. del Río López,&nbsp;E. Mejía Urbáez,&nbsp;J.B. Calatayud Pérez","doi":"10.1016/S1130-1473(26)00052-7","DOIUrl":"10.1016/S1130-1473(26)00052-7","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115071"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148231461","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":"O-03 - ABORDAJE TRANSORBITARIO: ANÁLISIS BIBLIOMÉTRICO DE 1948 A 2024","authors":"A. Di Somma,&nbsp;H.D. Vargas Moreno,&nbsp;M. Codes Méndez,&nbsp;A. Apolinar,&nbsp;J. Enseñat Nora","doi":"10.1016/S1130-1473(26)00034-5","DOIUrl":"10.1016/S1130-1473(26)00034-5","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115053"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230843","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":"OC-39 - IMPACTO DEL ABORDAJE Y LA TÉCNICA EN LAS COMPLICACIONES DE LA CIRUGÍA DE TUMORES INTRADURALES RAQUIMEDULARES","authors":"E. Cortina García,&nbsp;K. Monsior,&nbsp;J.A. Gutiérrez,&nbsp;L. Ley","doi":"10.1016/S1130-1473(26)00122-3","DOIUrl":"10.1016/S1130-1473(26)00122-3","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115141"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148230601","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":"O-21 - INTEGRACIÓN DE CIRUGÍA RADIOGUIADA Y MOLECULAR EN TUMORES COMPLEJOS DE COLUMNA: PRIMERA EXPERIENCIA CLÍNICA EN UN CENTRO DE REFERENCIA","authors":"F. Verdú López,&nbsp;J. Orozco Cortés,&nbsp;A. Martín Benlloch,&nbsp;R. Aguirre García,&nbsp;D. Valverde Belda,&nbsp;A.M. Morales Codina,&nbsp;G. Bonino,&nbsp;E. Lonjedo Vicent,&nbsp;R.A. Amat Pérez,&nbsp;P. Soriano Sarrio,&nbsp;M. Vega Martínez,&nbsp;F.J. Cavagna Matti,&nbsp;J. Quirante Cascales,&nbsp;J.M. Jaén Martínez,&nbsp;R. Dolz Gaiton,&nbsp;J.R. Arbat,&nbsp;E. Caballero Calabuig","doi":"10.1016/S1130-1473(26)00095-3","DOIUrl":"10.1016/S1130-1473(26)00095-3","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115114"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148235524","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":"OC-34 - REPERCUSIÓN FUNCIONAL, LABORAL Y SANITARIA DE LA CIRUGÍA DE RAQUIS EN LA POBLACIÓN DEL ÁREA DE SANTIAGO DE COMPOSTELA","authors":"E. Vázquez Suárez,&nbsp;A.J. Prieto González,&nbsp;B.A. Rodríguez Botana,&nbsp;I. Pena,&nbsp;G. Mañes,&nbsp;F. Ordóñez","doi":"10.1016/S1130-1473(26)00117-X","DOIUrl":"10.1016/S1130-1473(26)00117-X","url":null,"abstract":"","PeriodicalId":51145,"journal":{"name":"Neurocirugia","volume":"37 ","pages":"Article 115136"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148235770","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}