Journal of neurosurgery. Case lessons最新文献_第10页

Rapid resolution of depression and epilepsy following resection of a septal region tumor: illustrative case. 中隔区肿瘤切除术后抑郁和癫痫的快速解决：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-04-14 DOI: 10.3171/CASE24733

Clara Kwon Starkweather, Leo P Sugrue, Pierre Nedelec, Andrew D Krystal, Robert C Knowlton, Edward F Chang

引用次数: 0

Reversible abducens nerve palsy following cranial vault expansion in the setting of multisutural craniosynostosis: illustrative case. 多缝颅缝闭闭后颅穹窿扩张后可逆性外展神经麻痹：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-04-14 DOI: 10.3171/CASE24762

Laurie L Ackerman, Patrick A Gerety, Charline S Boente, Kathryn M Haider, Michael W Chu, Karel-Bart Celie, Emma J Cordes, Sunil S Tholpady

{"title":"Reversible abducens nerve palsy following cranial vault expansion in the setting of multisutural craniosynostosis: illustrative case.","authors":"Laurie L Ackerman, Patrick A Gerety, Charline S Boente, Kathryn M Haider, Michael W Chu, Karel-Bart Celie, Emma J Cordes, Sunil S Tholpady","doi":"10.3171/CASE24762","DOIUrl":"https://doi.org/10.3171/CASE24762","url":null,"abstract":"Background: Posterior cranial vault distraction osteogenesis (PVDO) is a commonly used cranial expansion procedure in infants and children with syndromic craniosynostosis. To date, there have been no reports of cranial nerve (CN) palsies in patients undergoing univector PVDO.Observations: In this article, the authors describe the case of a 27-month-old female with Muenke syndrome who underwent long-distance (> 30 mm) PVDO and developed bilateral abducens nerve (CN VI) palsy after 40 mm of distraction. Following partial reversal of the distraction during the activation phase, the authors observed complete resolution of this palsy.Lessons: This report demonstrates that CN palsies are a potential complication for which the patient should be monitored, even when undergoing univector PVDO. Most notably, this report illustrates that a gradual reduction in the distraction distance can result in complete resolution of a CN VI palsy while also maintaining a significant degree of intracranial expansion. https://thejns.org/doi/10.3171/CASE24762.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diffuse glioneuronal tumor in Lynch syndrome: illustrative case. Lynch综合征的弥漫性胶质细胞肿瘤：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-04-14 DOI: 10.3171/CASE24811

Stephen Jaffee, Trent Kite, Kymberly Gyure, John Herbst, Stephen Karlovits, Rodney E Wegner, Matthew J Shepard

{"title":"Diffuse glioneuronal tumor in Lynch syndrome: illustrative case.","authors":"Stephen Jaffee, Trent Kite, Kymberly Gyure, John Herbst, Stephen Karlovits, Rodney E Wegner, Matthew J Shepard","doi":"10.3171/CASE24811","DOIUrl":"https://doi.org/10.3171/CASE24811","url":null,"abstract":"Background: Lynch syndrome (LS) is an autosomal dominant disorder caused by impaired DNA mismatch repair during the DNA replication process. The condition increases the risk of gastrointestinal and gynecological cancers as well as oligodendrogliomas and astrocytoma. Herein, the authors report the case of a patient with LS with an unusual tumor with features of both glial and neuronal differentiation.Observations: The authors present the case of a 34-year-old female who presented with headaches and was found to have a large right anterior frontal lobe mass with patchy enhancement. The patient underwent a right-sided craniotomy for tumor resection, with final pathology revealing a low-grade-appearing glioneuronal tumor. Subsequent molecular testing showed an MSH2 mutation in the tumor, and germline testing confirmed a diagnosis of LS. The patient was monitored without adjuvant treatment and subsequently had tumor progression 12 months after her index surgery. A re-resection was performed. Since tumors arising in this setting typically have an aggressive course, Ki-67 was measured, showing an increase from 2%-5% to 15%-20%. The patient has since been started on concurrent temozolomide and radiation therapy.Lessons: Although most glioneuronal tumors typically have an indolent course relative to their diffuse glial counterparts, this case suggests that those arising in the setting of LS can have a worse prognosis. https://thejns.org/doi/10.3171/CASE24811.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Novel case of pediatric basal ganglia abscess due to Streptococcus intermedius amid a rise in neuroinvasive infections during the COVID-19 pandemic: illustrative case. 在COVID-19大流行期间神经侵入性感染增加的中间链球菌引起的儿童基底神经节脓肿新病例：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-04-14 DOI: 10.3171/CASE24562

Rebecca Strafella, Shoaib A Syed, Ariel Sacknovitz, Richard Wang, Shaye Busse, Avinash Mohan

{"title":"Novel case of pediatric basal ganglia abscess due to Streptococcus intermedius amid a rise in neuroinvasive infections during the COVID-19 pandemic: illustrative case.","authors":"Rebecca Strafella, Shoaib A Syed, Ariel Sacknovitz, Richard Wang, Shaye Busse, Avinash Mohan","doi":"10.3171/CASE24562","DOIUrl":"https://doi.org/10.3171/CASE24562","url":null,"abstract":"Background: Pediatric basal ganglia abscesses are extremely rare, with only 2 other published cases in the literature. To the authors' knowledge, this is the first case of a primary bacterial abscess caused by Streptococcus intermedius in the basal ganglia of a pediatric patient.Observations: This case coincides with a rise in neuroinvasive streptococcal infections among children during the COVID-19 pandemic. Prompt MRI with diffusion and attenuation analyses allowed for abscess identification and treatment with neurosurgical drainage, leading to full recovery. Although intracranial abscesses in deep parenchymal locations are extremely rare in healthy children, the recently increased incidence of neuroinvasive infections and the devastating sequelae of delayed or missed diagnosis make early recognition and treatment essential. To this end, reporting and recognition of the varied presentations of this pathology is crucial.Lessons: Herein, the authors highlight that in light of the surge in cases in recent years, patients suspected of having an intracranial abscess should not be delayed in receiving cranial imaging and treatment, as rapid identification and management of abscesses are crucial to reduce the likelihood of long-term complications. https://thejns.org/doi/10.3171/CASE24562.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intracranial malignant melanotic nerve sheath tumor: illustrative case. 颅内恶性黑色素神经鞘瘤：一例说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-04-14 DOI: 10.3171/CASE24473

Mahendra Madesh, Sruthi Pericherla, Swapnesh Chindhalore

{"title":"Intracranial malignant melanotic nerve sheath tumor: illustrative case.","authors":"Mahendra Madesh, Sruthi Pericherla, Swapnesh Chindhalore","doi":"10.3171/CASE24473","DOIUrl":"https://doi.org/10.3171/CASE24473","url":null,"abstract":"Background: Melanotic schwannoma accounts for 1% of all nerve sheath tumors. These tumors were considered benign, but recent studies have shown their malignant propensity. They pose a diagnostic challenge given the rarity of the tumor.Observations: The authors report a case of a 42-year-old woman who presented with headaches and a history of frequent falls for the past year. Brain MRI revealed a lesion in the posterior fossa, effacing the median aperture and cisterna magna, which was hyperintense on T1-weighted imaging and isointense on T2-weighted imaging, with significant blooming on susceptibility-weighted imaging. The patient underwent a midline suboccipital craniotomy and gross-total resection of the tumor. Histopathological examination revealed a malignant melanotic nerve sheath tumor (MMNST) with psammoma bodies and necrosis, indicating a poor prognosis.Lessons: Melanotic schwannomas have a malignant propensity despite their benign morphology. Immunohistochemical analysis helps confirm the diagnosis of melanotic schwannoma. This is the 21st documented case of an intracranial MMNST, and, given the rarity of the tumor, there is scope for further research and studies on the role of radiotherapy in the management of these tumors. https://thejns.org/doi/10.3171/CASE24473.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chiari malformation type I with an associated syrinx presenting as acute central cord syndrome in a child: illustrative case. 儿童急性中枢脊髓综合征伴有伴鸣的I型Chiari畸形：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-04-14 DOI: 10.3171/CASE24829

Luis Robles, Haley Eversman, Richard V Chua

{"title":"Chiari malformation type I with an associated syrinx presenting as acute central cord syndrome in a child: illustrative case.","authors":"Luis Robles, Haley Eversman, Richard V Chua","doi":"10.3171/CASE24829","DOIUrl":"https://doi.org/10.3171/CASE24829","url":null,"abstract":"Background: Chiari malformation type I (CM-I) usually manifests with chronic symptoms. The most common symptoms observed in the pediatric population include headache, neck pain, vertigo, and ataxia. Some unusual presentations have been reported in children, including a diversity of acute neurological deficits in previously asymptomatic patients.Observations: The authors report the case of a 4-year-old previously healthy boy who presented to the emergency department with clinical findings of incomplete cervical spinal cord injury and respiratory function decline after a minor fall. The cervical spine CT scan did not show evidence of fracture. MRI revealed findings of CM-I, a complex cervicothoracic cyst syrinx, and spinal cord signal hyperintensity. The patient required urgent intubation and mechanical ventilation for airway protection and was thought to have an ascending cervical cord injury. He underwent suboccipital craniectomy, C1 and C2 partial laminectomies, and patch duraplasty. After surgery, he showed progressive improvement and was discharged to acute inpatient rehabilitation. Postoperative MRI showed near-complete resolution of the cord edema and the syrinx.Lessons: The authors describe the case of a previously healthy child presenting with acute central cord syndrome and a decline in respiratory effort as the initial presentation of CM-I with a syrinx. Although rare, clinicians should consider CM-I in the differential diagnosis of pediatric patients presenting with acute cervical spinal cord injury, especially if imaging does not show spinal fractures. https://thejns.org/doi/10.3171/CASE24829.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Optimizing outcome in radiosurgery for spheno-orbital meningioma: the critical role of planning quality. Illustrative case. 蝶眶区脑膜瘤放射手术预后优化：计划质量的关键作用。说明情况。

Journal of neurosurgery. Case lessons Pub Date : 2025-04-14 DOI: 10.3171/CASE2530

Ali Haluk Düzkalir, Yavuz Samanci, Orbay Askeroglu, Selcuk Peker

{"title":"Optimizing outcome in radiosurgery for spheno-orbital meningioma: the critical role of planning quality. Illustrative case.","authors":"Ali Haluk Düzkalir, Yavuz Samanci, Orbay Askeroglu, Selcuk Peker","doi":"10.3171/CASE2530","DOIUrl":"https://doi.org/10.3171/CASE2530","url":null,"abstract":"Background: Spheno-orbital meningiomas (SOMs) pose significant challenges due to their proximity to critical structures, such as the optic nerve. This report underscores the pivotal role of meticulous planning in achieving favorable outcomes with Gamma Knife radiosurgery (GKRS).Observations: A 54-year-old woman with a left SOM encasing the optic nerve underwent GKRS after being deemed unsuitable for surgery. The radiosurgical plan was meticulously tailored to balance effective tumor control with optic nerve sparing. A prescribed dose of 10 Gy at the 50% isodose line ensured a maximum optic nerve dose of 9.6 Gy, remaining within safe limits. Metrics such as high target coverage (0.96) and conformity (Paddick index: 0.83) highlighted the precision of the approach. A 12-year follow-up demonstrated stable tumor volume and preserved visual function without adverse effects, confirming the long-term efficacy and safety of this strategy. This case underscores the critical importance of comprehensive dose planning, particularly for perioptic lesions, where the therapeutic margin is narrow.Lessons: GKRS offers a minimally invasive alternative for SOMs ineligible for surgery, emphasizing the need for individualized treatment strategies. This case highlights how tailored radiosurgical planning can optimize outcomes, preserve function, and improve quality of life for patients with complex skull base tumors. https://thejns.org/doi/10.3171/CASE2530.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Repetitive subarachnoid hemorrhage caused by fracture of titanium mesh used in cranioplasty in the posterior cranial fossa: illustrative case. 后颅窝颅骨成形术中钛网骨折引起的重复性蛛网膜下腔出血：说明性病例。

Journal of neurosurgery. Case lessons Pub Date : 2025-04-14 DOI: 10.3171/CASE24836

Yuki Ariyoshi, Masahiro Sawada, Yu Abekura, Ryo Hamamoto, Masahiro Tanji, Takayuki Kikuchi, Yoshiki Arakawa

{"title":"Repetitive subarachnoid hemorrhage caused by fracture of titanium mesh used in cranioplasty in the posterior cranial fossa: illustrative case.","authors":"Yuki Ariyoshi, Masahiro Sawada, Yu Abekura, Ryo Hamamoto, Masahiro Tanji, Takayuki Kikuchi, Yoshiki Arakawa","doi":"10.3171/CASE24836","DOIUrl":"https://doi.org/10.3171/CASE24836","url":null,"abstract":"Background: Cranioplasty is more than cosmetic repair for cranial defects; it is vital for patient rehabilitation after neurological injury. Despite its benefits, cranioplasty is associated with significant complications and requires careful planning. This report details the first reported case of subarachnoid hemorrhage (SAH) caused by failure and migration of titanium mesh used in suboccipital cranioplasty.Observations: A 49-year-old male experienced recurrent SAH over 4 years, presenting every 2 years. Three years prior, the patient underwent suboccipital decompression craniotomy with titanium mesh implantation at another hospital. Imaging revealed mesh fracture with fragments migrating into the cervical spine at C3 and C4-5. The fractured edge of the mesh penetrated the dura and injured the cerebellar surface. A two-stage surgery removed the fractured mesh and migrated fragments successfully.Lessons: Suboccipital cranioplasty using titanium mesh and involving the posterior margin of the foramen magnum is at risk of mechanical failure. Stress on the implanted titanium mesh from cervical movement can lead to metal fatigue and injury to the brain, nerves, and blood vessels. https://thejns.org/doi/10.3171/CASE24836.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

To patch or not to patch: is that the real question? The role of hemodynamics in carotid endarterectomy. Illustrative cases. 打补丁还是不打补丁：这是真正的问题吗？血流动力学在颈动脉内膜切除术中的作用。说明情况。

Journal of neurosurgery. Case lessons Pub Date : 2025-04-07 DOI: 10.3171/CASE24840

Tatiana Abou-Mrad, Laura Stone McGuire, Laurel Morgan Miller Marsh, Juan Cebral, Fady T Charbel

{"title":"To patch or not to patch: is that the real question? The role of hemodynamics in carotid endarterectomy. Illustrative cases.","authors":"Tatiana Abou-Mrad, Laura Stone McGuire, Laurel Morgan Miller Marsh, Juan Cebral, Fady T Charbel","doi":"10.3171/CASE24840","DOIUrl":"10.3171/CASE24840","url":null,"abstract":"Background: The utilizationof patches in carotid endarterectomy (CEA) for carotid artery stenosis remains controversial, with conflicting evidence regarding postoperative outcomes. This report accentuates this discourse with two selected representative cases with divergent outcomes.Observations: Computational fluid dynamics analyses of pre- and post-CEA hemodynamics revealed distinct hemodynamic profiles between the two patients. In the nonpatched internal carotid artery (ICA), the vessel retained a cylindrical shape, exhibiting swirling blood flow and higher wall shear stress (WSS)-patterns typical of healthy vasculature. The patched ICA adopted a bulbous shape, akin to the anatomical carotid bulb, and displayed lower WSS and noncoherent disturbed blood flow, which are features associated with atherosclerosis, endothelial dysfunction, and cellular damage.Lessons: This study suggests that the question may not be \"To patch or not to patch?\" but rather \"Is the restoration of the anatomical bulb shape beneficial or deleterious?\" It sheds light on the hemodynamic implications of this procedure and provides insight into the ongoing debate surrounding CEA. Using a patch might not necessarily result in improved flow or more favorable outcomes; thus, restoration of the carotid bulb configuration postendarterectomy might not optimize the hemodynamic profile for patients, but rather, a simple tubular shape, without a patch, might offer the best solution. https://thejns.org/doi/10.3171/CASE24840.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11976021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Applications of the SpineJack device in the surgical management of type A4 lumbar burst fractures without neurological deficit: illustrative cases. SpineJack装置在无神经功能缺损的A4型腰椎爆裂性骨折手术治疗中的应用：说明性病例

Journal of neurosurgery. Case lessons Pub Date : 2025-04-07 DOI: 10.3171/CASE24821

Giorgio Cracchiolo, Stefano Ticca, Nicholas Giulio Raccagni, Emanuele Costi, Angela Dele Rampini, Luigi Alberto Andrea Lanterna, Andrea Fanti

{"title":"Applications of the SpineJack device in the surgical management of type A4 lumbar burst fractures without neurological deficit: illustrative cases.","authors":"Giorgio Cracchiolo, Stefano Ticca, Nicholas Giulio Raccagni, Emanuele Costi, Angela Dele Rampini, Luigi Alberto Andrea Lanterna, Andrea Fanti","doi":"10.3171/CASE24821","DOIUrl":"10.3171/CASE24821","url":null,"abstract":"Background: Type A4 lumbar burst fractures are severe spinal injuries typically treated with posterior pedicle screw constructs, with or without corpectomy. However, traditional approaches can be highly invasive and are often limited in their ability to reconstruct the anterior column. The SpineJack device offers a minimally invasive alternative or complement to posterior fixation.Observations: Four neurologically intact patients with lumbar type A4 fractures were treated using the SpineJack device, either alone or in combination with different posterior fixation techniques. Clinical and radiological outcomes were evaluated preoperatively, postoperatively, and at the 1-year follow-up. The procedure led to significant pain relief and rapid mobilization for all patients. Radiologically, it restored vertebral body height (VBH), increased spinal canal patency, and corrected preoperative deformities, with minimal loss of correction at follow-up.Lessons: The SpineJack device is a viable, less invasive alternative to traditional pedicle screw constructs and serves as an effective adjunct for stabilization, potentially replacing corpectomy in some cases. It restores VBH and alignment, maintains load-bearing capacity, and reduces the need for additional hardware. Further research is needed to evaluate long-term outcomes, especially in younger patients. https://thejns.org/doi/10.3171/CASE24821.","PeriodicalId":94098,"journal":{"name":"Journal of neurosurgery. Case lessons","volume":"9 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11976018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0