Operative neurosurgery (Hagerstown, Md.)最新文献_第5页

Surgical Correction of a Double Major Adolescent Idiopathic Scoliosis Using Differential Rod Contouring, Derotation, and an Ultrasonic Bone Cutting Instrument, Including Technical Nuance: 2-Dimensional Operative Video. 使用微分棒轮廓，旋转和超声骨切割仪，包括技术细节:二维手术视频，手术矫正双主要青少年特发性脊柱侧凸。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 Epub Date: 2022-09-19 DOI: 10.1227/ons.0000000000000394

Brandon Wilkinson, Michael Galgano

引用次数: 0

Suboccipital Craniectomy for an Anterior Foramen Magnum Meningioma-Optimization of Resection Using Intraoperative Augmented Reality: 2-Dimensional Operative Video. 枕下颅脑切除术治疗前枕骨大孔脑膜瘤——术中增强现实技术优化切除:二维手术视频。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 Epub Date: 2022-08-08 DOI: 10.1227/ons.0000000000000373

Stavros Matsoukas, Holly Oemke, Laura Salgado Lopez, Jeffrey Gilligan, Halima Tabani, Joshua B Bederson

{"title":"Suboccipital Craniectomy for an Anterior Foramen Magnum Meningioma-Optimization of Resection Using Intraoperative Augmented Reality: 2-Dimensional Operative Video.","authors":"Stavros Matsoukas, Holly Oemke, Laura Salgado Lopez, Jeffrey Gilligan, Halima Tabani, Joshua B Bederson","doi":"10.1227/ons.0000000000000373","DOIUrl":"https://doi.org/10.1227/ons.0000000000000373","url":null,"abstract":"Foramen magnum meningiomas represent a challenge in skull base surgery because they frequently implicate the lower cranial nerves, brainstem, and posterior cerebral circulation, including the anterior spinal arteries.1 The use of virtual reality allows for surgical rehearsal based on patient-specific anatomy, thus increasing the surgeon's confidence and assists with bone opening planning by generating navigation-integrated templates.2,3 In this 2-dimensinal operative video, the authors demonstrate the importance of augmented reality (AR) template for the resection of a large intradural anterior foramen magnum meningioma in a 68-year-old patient. Preoperative MRI and virtual reality were used to delineate and define the extent of the tumor, as well as its relationship with nearby vital structures. The lesion measured 4.5 by 2 by 3 cm in the craniocaudal, anteroposterior and transverse axes, respectively, and was causing significant mass effect on the brainstem and spinal cord. Both vertebral arteries had a very close relationship with the tumor. After performing a bilateral craniectomy with a right side far lateral extension, debulking started at the inferior and continued toward the middle portion of the tumor. The most challenging part of the operation was to identify and protect the anterior spinal arteries, for which the AR-assisted preview of the surgical microscope proved of paramount importance. Following the heads-up display of the AR, the lateral portion of the tumor, which was adherent to the ventral surface of the vertebral artery, and then the uppermost portion of the tumor were removed, achieving a gross total resection. Appropriate consent was obtained. Images at 4:10 used with permission. Left from Matsushima T,4 ©2015; Right from Dhandapani et al,5 ©2014.","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"e321"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40357303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Open and Endoscopic Endonasal Biopsies for Langerhans Cell Histiocytosis of the Hypothalamus: 2-Dimensional Operative Video. 下丘脑朗格汉斯细胞组织细胞增生症的开放和内镜鼻内活检:二维手术录像。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 Epub Date: 2022-09-19 DOI: 10.1227/ons.0000000000000386

Megan M J Bauman, Jeffrey R Janus, Jamie J Van Gompel

引用次数: 0

Three-Dimensional Modeling and Augmented and Virtual Reality Simulations of the White Matter Anatomy of the Cerebrum. 大脑白质解剖的三维建模、增强和虚拟现实模拟。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 Epub Date: 2022-09-28 DOI: 10.1227/ons.0000000000000361

Muhammet Enes Gurses, Abuzer Gungor, Elif Gökalp, Sahin Hanalioglu, Seda Yagmur Karatas Okumus, Ilkan Tatar, Mustafa Berker, Aaron A Cohen-Gadol, Uğur Türe

{"title":"Three-Dimensional Modeling and Augmented and Virtual Reality Simulations of the White Matter Anatomy of the Cerebrum.","authors":"Muhammet Enes Gurses, Abuzer Gungor, Elif Gökalp, Sahin Hanalioglu, Seda Yagmur Karatas Okumus, Ilkan Tatar, Mustafa Berker, Aaron A Cohen-Gadol, Uğur Türe","doi":"10.1227/ons.0000000000000361","DOIUrl":"https://doi.org/10.1227/ons.0000000000000361","url":null,"abstract":"Background: An understanding of the anatomy of white matter tracts and their 3-dimensional (3D) relationship with each other is important for neurosurgical practice. The fiber dissection technique contributes to this understanding because it involves removing the brain's white matter tracts to reveal their anatomic organization. Using this technique, we built freely accessible 3D models and augmented and virtual reality simulations of white matter tracts.Objective: To define the white matter tracts of cadaveric human brains through fiber dissection and to make 2-dimensional and 3D images of the white matter tracts and create 3D models and augmented and virtual reality simulations.Methods: Twenty cadaveric brain specimens were prepared in accordance with the Klingler method. Brain hemispheres were dissected step-by-step from lateral-to-medial and medial-to-lateral directions. Three-dimensional models and augmented reality and virtual reality simulations were built with photogrammetry.Results: High-resolution 3D models and augmented reality and virtual reality simulations of the white matter anatomy of the cerebrum were obtained. These models can be freely shifted and rotated on different planes, projected on any real surface, visualized from both front and back, and viewed from various angles at various magnifications.Conclusion: To our knowledge, this is the first detailed study integrating various technologies (3D modeling, augmented reality, and virtual reality) for high-resolution 3D visualization of dissected white matter fibers of the entire human cerebrum.","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"355-366"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33502879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Commentary: Traumatic Spinopelvic Dissociation With Sacral Cauda Equina Syndrome-Demonstrating Fracture Reduction, Stabilization, and Transsacral Circumferential Nerve Root Decompression: 2-Dimensional Operative Video. 评论:创伤性脊髓骨盆解离伴骶马尾综合征-证明骨折复位、稳定和经骶周神经根减压:二维手术录像。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 Epub Date: 2022-09-28 DOI: 10.1227/ons.0000000000000422

Ho Jun Yun, Travis Hamilton, Victor Chang

引用次数: 0

Complete Resection of a Recurrent Cervical Dumbbell Schwannoma After Initial Subtotal Resection and Radiotherapy: 2-Dimensional Operative Video. 复发性宫颈哑铃型神经鞘瘤经次全切除和放疗后的完全切除:二维手术影像。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 Epub Date: 2022-09-14 DOI: 10.1227/ons.0000000000000377

Manuel Fuetsch, Peter Proemmel, Christopher D Witiw

引用次数: 1

Use of Cannulated Reamers to Facilitate Thoracic Diskectomy Using a Minimally Invasive Retropleural Thoracotomy Approach-Surgical Technique. 采用微创胸膜后开胸入路，使用空心铰刀促进胸椎椎间盘切除术。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 Epub Date: 2022-09-19 DOI: 10.1227/ons.0000000000000381

Venu M Nemani, Jesse Shen, Rajiv K Sethi, Jean-Christophe Leveque

{"title":"Use of Cannulated Reamers to Facilitate Thoracic Diskectomy Using a Minimally Invasive Retropleural Thoracotomy Approach-Surgical Technique.","authors":"Venu M Nemani, Jesse Shen, Rajiv K Sethi, Jean-Christophe Leveque","doi":"10.1227/ons.0000000000000381","DOIUrl":"https://doi.org/10.1227/ons.0000000000000381","url":null,"abstract":"Background: The surgical treatment of symptomatic thoracic disk herniations is technically challenging. In the past decade, a minimally invasive retropleural thoracotomy approach has become more popular to treat this pathology. However, efficient bone removal to safely perform the diskectomy and spinal cord decompression is difficult with this technique because of the small incision size and long working distance in the thoracic cavity and the proximity of the compressed thoracic cord.Objective: To describe a novel surgical technique for performing a thoracic diskectomy using a minimally invasive lateral approach using cannulated reamers to facilitate bone removal.Methods: This technique was used in 7 consecutive patients who presented with thoracic myelopathy from a thoracic disk herniation. First, a standard lateral minimally invasive retropleural approach to the thoracic spine was performed. Partially threaded guide wires were placed in the posterior aspect of the vertebral bodies adjacent to the affected disk space, and sequential cannulated reamers were passed over the guidewires to perform partial corpectomies. The posterior annulus, posterior longitudinal ligament, and herniated disk material were then resected using Penfield dissectors and Kerrison rongeurs to complete the decompression.Results: All 7 patients who underwent thoracic diskectomy using this approach had stable or improved neurologic function postoperatively. There were no complications related to the use of the cannulated reamer technique.Conclusion: The use of cannulated reamers provides a simple and efficient method for safe bone removal to facilitate minimally invasive thoracic diskectomy using a lateral approach. This is an easily reproducible technique using commonly available equipment.","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"e313-e319"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge and Measurement, Part 1: What Can be Known and What Cannot. 知识与度量，第1部分:什么可以知道，什么不可以知道。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 DOI: 10.1227/ons.0000000000000466

Douglas Kondziolka

引用次数: 0

Technical Assessment of Microvascular Decompression for Trigeminal Neuralgia Using a 3-Dimensional Exoscope: A Case Series. 应用三维外窥镜对三叉神经痛微血管减压的技术评估:一个病例系列。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 Epub Date: 2022-08-29 DOI: 10.1227/ons.0000000000000362

Johannes Herta, Karl Rössler, Christian Dorfer

{"title":"Technical Assessment of Microvascular Decompression for Trigeminal Neuralgia Using a 3-Dimensional Exoscope: A Case Series.","authors":"Johannes Herta, Karl Rössler, Christian Dorfer","doi":"10.1227/ons.0000000000000362","DOIUrl":"https://doi.org/10.1227/ons.0000000000000362","url":null,"abstract":"Background: Detailed anatomic visualization of the root entry zone of the trigeminal nerve is crucial to successfully perform microvascular decompression surgery (MVD) in patients with trigeminal neuralgia.Objective: To determine advantages and disadvantages using a 3-dimensional (3D) exoscope for MVD surgery.Methods: A 4K 3D exoscope (ORBEYE) was used by a single surgical team for MVD in a retrospective case series of 8 patients with trigeminal neuralgia in a tertiary center. Clinical and surgical data were collected, and advantages/disadvantages of using the exoscope for MVD were recorded after each surgery. Descriptive statistics were used to summarize the data.Results: Adequate MVD of the trigeminal nerve root was possible in all patients by exclusively using the exoscope. It offered bright visualization of the cerebellopontine angle and the root entry zone of the trigeminal nerve that was comparable with a binocular operating microscope. The greatest advantages of the exoscope included good optical quality, the pronounced depth of field of the image for all observers, and its superior surgeon ergonomics. Disadvantages were revealed with overexposure at deep surgical sites and the lack of endoscope integration. In 6 patients, facial pain improved significantly after surgery (Barrow Neurological Institute pain intensity score I in 5 and III in 1 patient), whereas it did not in 2 patients (Barrow Neurological Institute score IV and V). No complications occurred.Conclusion: Utilization of a 3D exoscope for MVD is a safe and feasible procedure. Surgeons benefit from better ergonomics, excellent image quality, and an improved experience for observers.","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"374-381"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33502881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Quantitative Anatomic Comparison of the Extreme Lateral Transodontoid vs Extreme Medial Endoscopic Endonasal Approaches to the Jugular Foramen and Craniovertebral Junction. 经齿状突极外侧入路与经鼻内窥镜极内侧入路颈静脉孔及颅椎交界处的定量解剖比较。

IF 2.3

Operative neurosurgery (Hagerstown, Md.) Pub Date : 2022-11-01 Epub Date: 2022-08-29 DOI: 10.1227/ons.0000000000000350

Irakliy Abramov, Mohamed A Labib, Lena Mary Houlihan, Thanapong Loymak, Visish M Srinivasan, Mark C Preul, Michael T Lawton

{"title":"Quantitative Anatomic Comparison of the Extreme Lateral Transodontoid vs Extreme Medial Endoscopic Endonasal Approaches to the Jugular Foramen and Craniovertebral Junction.","authors":"Irakliy Abramov, Mohamed A Labib, Lena Mary Houlihan, Thanapong Loymak, Visish M Srinivasan, Mark C Preul, Michael T Lawton","doi":"10.1227/ons.0000000000000350","DOIUrl":"https://doi.org/10.1227/ons.0000000000000350","url":null,"abstract":"Background: Large, destructive intracranial and extracranial lesions at the jugular foramen (JF) and anterior craniovertebral junction (CVJ) are among the most challenging lesions to resect.Objective: To compare the extreme lateral transodontoid approach (ELTOA) with the extreme medial endoscopic endonasal approach (EMEEA) to determine the most effective surgical approach to the JF and CVJ.Methods: Seven formalin-fixed cadaveric heads were dissected. Using neuronavigation, we quantitatively measured and compared the exposure of the intracranial and extracranial neurovascular structures, the drilled area of the clivus and the C1 vertebra, and the area of exposure of the brainstem.Results: The mean total drilled area of the clivus was greater with the EMEEA than with the ELTOA (1043.5 vs 909.4 mm 2 , P = .02). The EMEEA provided a longer exposure of the extracranial cranial nerves (CNs) IX, X, and XI compared with the ELTOA (cranial nerve [CN] IX: 18.8 vs 12.0 mm, P = .01; CN X: 19.2 vs 10.4 mm, P = .003; and CN XI, 18.1 vs 11.9 mm, P = .04). The EMEEA, compared with the ELTOA, provided a significantly greater area of exposure of the contralateral ventromedial medulla (289.5 vs 80.9 mm 2 , P < .001) and pons (237.5 vs 86.2 mm 2 , P = .005) but less area of exposure of the ipsilateral dorsolateral medulla (51.5 vs 205.8 mm 2 , P = .008).Conclusion: The EMEEA and ELTOA provide optimal exposures to different aspects of the CVJ and JF. A combination of these approaches can compensate for their disadvantages and achieve significant exposure.","PeriodicalId":520730,"journal":{"name":"Operative neurosurgery (Hagerstown, Md.)","volume":" ","pages":"396-405"},"PeriodicalIF":2.3,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40358271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1