Turkish neurosurgery最新文献

{"title":"Associations of Blood Pressure and Serum Lactate Levels Upon Admission with One-week Mortality in Patients with Severe Traumatic Brain Injury: A Multi-Center Retrospective Study.","authors":"Haixiao Jiang, Wei Zeng, Xiaoli Zhang, Lun Dong, Yunlong Pei, Aijun Peng","doi":"10.5137/1019-5149.JTN.47272-24.1","DOIUrl":"10.5137/1019-5149.JTN.47272-24.1","url":null,"abstract":"<p><strong>Aim: </strong>To explore interrelationships between serum lactate (Lac) levels and other hemodynamic parameters, including diastolic blood pressure (DBP) and mean arterial pressure (MAP) and acute-phase mortality in severe traumatic brain injury (sTBI).</p><p><strong>Material and methods: </strong>Clinical data for sTBI patients (Glasgow Coma Scale (GCS) score ?8 on admission) were collected from different hospitals from 2013 to 2024. One-week mortality was the endpoint. The associations of all blood pressure (BP) indices and Lac levels with one-week mortality were investigated using mixed effects logistic regression models, and the diagnostic value of mortality analysis based on the Lac levels was evaluated via receiver operating characteristic (ROC) curves and areas under the curve (AUCs). In addition, the relationships between the BP indices and Lac levels were assessed by linear regression analysis.</p><p><strong>Results: </strong>A total of 1270 sTBI patients were analyzed in this study. Bivariate analysis revealed smooth U-shaped associations of different BP indices upon admission with one-week mortality, and extreme values of the BP indices were found to be associated with increased mortality, with no obvious threshold effect revealed. After adjustments were made for confounding factors, the likelihood of death clearly increased with a SBP < 100 mmHg, a DBP < 70 mmHg, a MAP < 80 mmHg and a Lac > 4.5. Furthermore, all three BP indices were significantly negatively correlated with Lac levels. Moreover, MAP has the strongest ability to predict oneweek mortality in sTBI patients, and it also has the strongest negative correlation with Lac levels.</p><p><strong>Conclusion: </strong>In the development of guidelines for managing sTBI patients, the definition of hypotension should be reconsidered, and all three BP indices and serum Lac levels should be used as references instead of a single hypotension index of SBP < 90 mmHg to improve the survival rate.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":"35 3","pages":"492-502"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153042","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}

{"title":"Spontaneous Bilateral Disappearance of Choroid Plexus Cysts in the Trigone of the Lateral Ventricles: A Case Report.","authors":"Ki Seong Eom","doi":"10.5137/1019-5149.JTN.47228-24.1","DOIUrl":"10.5137/1019-5149.JTN.47228-24.1","url":null,"abstract":"<p><p>Non-neoplastic intracranial cysts (NICCs) are usually stable and typically do not cause symptoms throughout life. Among the various NICCs, rare spontaneous disappearances of arachnoid cysts, colloid cysts, and Rathke?s cleft cysts in various locations have been reported. To our knowledge, no reports to date have described spontaneous disappearance of choroid plexus cysts (CPCs). We here report the first case of spontaneous bilateral disappearance of CPCs. Although the exact pathogenic mechanisms remain unclear, we believe that a sudden transient change in intracranial pressure or cerebrospinal fluid circulation plays an important role in the bilateral disappearance of CPCs. Further research is warranted to clarify this rare phenomenon.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":"35 3","pages":"523-525"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153167","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}

{"title":"Proactive External Lumbar Drainage Use in Pediatric Idiopathic Intracranial Hypertension and Proposal of a New Treatment Algorithm.","authors":"Bahattin Tanrikulu, Muruvvet Ayten Tuzunalp, Ugur Isik, M Memet Ozek","doi":"10.5137/1019-5149.JTN.47309-24.3","DOIUrl":"10.5137/1019-5149.JTN.47309-24.3","url":null,"abstract":"<p><strong>Aim: </strong>To determine if the concurrent use of external lumbar drainage (ELD) and oral medication will hasten the decrease in intracranial pressure (ICP) and resolution of papilledema in pediatric idiopathic intracranial hypertension (IIH).</p><p><strong>Material and methods: </strong>In this retrospective study, we evaluated the outcome of pediatric patients with IIH who underwent ELD as an adjunct treatment to standard oral medications. All patients underwent ophthalmological examination, optic coherence tomography, retinal nerve fiber layer thickness assessment, and ICP measurements before and after ELD. The outcome was evaluated via serial ophthalmological examinations, optical coherence tomography to measure retinal nerve fiber layer thickness, and lumbar puncture to measure ICP.</p><p><strong>Results: </strong>Eleven pediatric patients (7 females, 4 males) were enrolled in the study. The mean age of the patients was 10.9 ± 4.4 years (range, 5.6?17.7 years). The mean cerebrospinal fluid opening pressure was 447 ± 112.5 mm H2O before ELD. The mean post- ELD ICP was 263.1 ± 92.4 mm H2O. The retinal nerve fiber layer thickness at the time of diagnosis was 200.9 ± 113.7 ?m and 212.6 ± 123.3 ?m in the right and left eyes, respectively. After ELD, the thickness was 149.4 ± 45 ?m and 151.4 ± 51.3 ?m in the right and left eyes, respectively. The mean duration of ELD was 8.7 ± 1.4 days (range, 7?10 days). The post-ELD cerebrospinal fluid opening pressure and retinal nerve fiber layer thickness were significantly lower than pre-ELD values. Four patients required lumboperitoneal shunt surgery during follow-up.</p><p><strong>Conclusion: </strong>Proactive ELD is an effective method to achieve a rapid decrease in ICP and retinal nerve fiber layer thickness without major complications.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"618-626"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513030","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}

{"title":"Comparison of Pre-Operative and Post-Operative Mean Transit Time Delay in Ipsilateral and Contralateral Hemispheres in Moyamoya Disease Using DSC Perfusion.","authors":"Nishtha Yadav, Hima Pendharkar, Arun Kumar Gupta, Chandrajit Prasad, Dhaval Shukla, K Thennarasu, Sonia Bansal","doi":"10.5137/1019-5149.JTN.46902-24.2","DOIUrl":"10.5137/1019-5149.JTN.46902-24.2","url":null,"abstract":"<p><strong>Aim: </strong>To perform comparison of preoperative and postoperative mean transit time (MTT) delay in ipsilateral, and contralateral hemispheres in Moyamoya disease using dynamic susceptibility contrast (DSC) perfusion.</p><p><strong>Material and methods: </strong>Preoperative images were obtained within 1 week before surgery and postoperative images were taken 3 months after surgery. Cerebral perfusion was assessed in bilateral middle cerebral artery territories with 3 Region Of Interest (ROI) on each side (ipsilateral and contralateral to surgery side). Two ROI were also drawn in bilateral cerebellar hemisphere. MTT delay at each middle cerebral artery (MCA) region was calculated by subtracting MCA territory ROI MTT value from ipsilateral cerebellar ROI MTT value. Non-normally distributed measurement data are expressed as the median [interquartile range (IQR)] and compared using Wilcoxon?s rank-sum test. p < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Median ipsilateral MTT delay values (in seconds) before surgery were 2.4, Interquartile Range (IQR) 4.95; and after surgery was 1, IQR 2.1 We noted a significant decrease in postoperative MTT delay values on ipsilateral side compared with preoperative values (p=0.008). Contralateral MTT delay values did not show this trend. Median contralateral MTT delay values (in seconds) before surgery were 0.6, IQR 3.7; and after surgery was 1.6, IQR 3.65 We noted no significant difference in preoperative and postoperative MTT delay values on contralateral side (p=0.12).</p><p><strong>Conclusion: </strong>DSC perfusion analysis of MTT delay in follow up imaging after revascularization surgery can be helpful in deciding success of surgery. Evaluation of contralateral hemisphere perfusion can be helpful to guide regarding need of contralateral side surgery. Future studies to evaluate contralateral perfusion characteristics are necessary to understand the complex hemodynamic changes which occur post revascularization surgery.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"546-552"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512941","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}

{"title":"Is C1 Asymmetric Laminectomy Safer? A Cadaver Study.","authors":"Yahya Guvenc, Ural Verimli","doi":"10.5137/1019-5149.JTN.47807-24.2","DOIUrl":"10.5137/1019-5149.JTN.47807-24.2","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the difference in the length of C1 laminectomy between the right and left sides and to determine the importance of considering the dominant vertebral artery in reducing complication risks.</p><p><strong>Material and methods: </strong>Five caucasian male cadavers were studied. The distance of the C1 posterior tubercle to the vertebral groove (A), the length of the vertebral groove (B), and the diameter of the vertebral artery were measured and statistically investigated. Computed tomography scans were also obtained from all cadaver specimens.</p><p><strong>Results: </strong>The mean distance of the C1 posterior tubercle to the vertebral groove (A) on the right side was 20.20 ± 2.16 mm and on the left side was 16.40 ± 2.88 mm. The mean distance of the vertebral groove (B) on the right side was 13.80 ± 0.83 mm and on the left side was 17.60 ± 0.89 mm. The mean diameter of the vertebral artery on the right side was 3.58 ± 0.83 mm and on the left side was 3.70 ± 0.10 mm.</p><p><strong>Conclusion: </strong>The vertebral groove was longer on the dominant artery side. Therefore, the dominant and nondominant sides have different lengths of safe C1 laminectomy areas. The length of the laminectomy area to be performed on the dominant artery side is shorter than that on the nondominant side. In cases in which the C1 posterior arcus must be removed for decompression, asymmetric decompression should be performed to reduce the risk of vertebral artery injury.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"778-783"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994919","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}

{"title":"Factors Affecting the Development of Hydrocephalus in Patients with Spinal Neural Tube Defects.","authors":"Baris Erdogan, Yasin Bocu, Halil Arslan, Bahri Unal, Mehmet Kilic","doi":"10.5137/1019-5149.JTN.46704-24.5","DOIUrl":"10.5137/1019-5149.JTN.46704-24.5","url":null,"abstract":"<p><strong>Aim: </strong>To identify the factors that could prevent the formation of spina bifida, and to determine the causes of hydrocephalus.</p><p><strong>Material and methods: </strong>We retrospectively evaluated the data of 51 patients with neural tube defects (NTDs) who were surgically treated at Sanliurfa Training and Research Hospital between December 2021 and October 2022.</p><p><strong>Results: </strong>The mean maternal folate level was 7.02 ± 3.66 ?g/L. Of the 51 mothers, 14 (27.5%) had low folate levels and 37 (72.5%) had normal folate levels. The mean maternal vitamin B12 level was 287.29 ± 91.64 ng/L. Of the 51 mothers, 9 (17.6%) had low vitamin B12 levels and 42 (82.4%) had normal vitamin B12 levels. Ventriculoperitoneal shunt (VPS) surgery was performed in 19 (37.3%) of 51 patients. The area of NTD was significantly higher in infants who underwent VPS surgery due to hydrocephalus than in infants without hydrocephalus. The risk of developing hydrocephalus increased as the severity of NTD type increased. Furthermore, the risk of developing hydrocephalus increased in patients with NTDs at higher anatomical levels.</p><p><strong>Conclusion: </strong>Although the optimum blood folate level for preventing MMC remains uncertain, the upper limit of the normal reference should be targeted. Hydrocephalus is an important cause of morbidity and mortality in patients with SB and its incidence is higher in patients with an anatomical higher NTD, a more severe type of NTD, and a large defect diameter. Furthermore, hydrocephalus is more common in patients with SM and female patients.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"684-693"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994958","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}

{"title":"Investigation of the Effects of Dexpanthenol on Brain Tissue in Experimental Global Cerebral Ischemia-Reperfusion Injury.","authors":"Sarp Sahin, Recai Engin, Durmus Emre Karatoprak, Ismail Iclek, Selami Cagatay Onal","doi":"10.5137/1019-5149.JTN.47677-24.2","DOIUrl":"10.5137/1019-5149.JTN.47677-24.2","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the protective and therapeutic effects of dexpanthenol in experimental global cerebral ischemia-reperfusion injury.</p><p><strong>Material and methods: </strong>Thirty-two female Wistar-Albino rats were used, and the rats were divided into four groups (sham, sschaemia reperfusion [IR], IR+dexpantol [IR+DXP] and DXP+IR), with eight animals in each group. At the end of 72 hours of reperfusion, the rats were decapitated after performing the rotarod and accelerrod tests, their brain tissues were removed and histopathologically examined, and superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), glutathione (GSH), and malonyldialdehyde (MDA) levels were evaluated.</p><p><strong>Results: </strong>In this study, motor skill functions deteriorated in the ischemia-reperfusion (IR) group compared to the sham group, while significant improvements were observed in both the IR+DXP and DXP+IR groups (p < 0.05). There were no notable differences in CAT, SOD, and GPx enzyme levels among the groups (p > 0.05); however, malondialdehyde (MDA) levels increased in the IR group and decreased significantly in the IR+DXP group (p < 0.05). Similarly, glutathione (GSH) levels were lower in the IR group but higher in the IR+DXP group (p < 0.05). Neuronal degeneration also significantly increased in the IR group but decreased in the IR+DXP group (p < 0.05).</p><p><strong>Conclusion: </strong>Overall, these findings suggest that dexpanthenol has a neuroprotective effect, particularly when administered during reperfusion, effectively improving motor skills and reducing neuronal damage.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"756-764"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994963","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}

{"title":"Morphometry of Latissimus Dorsi in Fetal Cadavers for Prenatal Spina Bifida Surgery.","authors":"Berfu Ozdemir, Ahmet Dursun, Yadigar Kastamoni, Mehtap Ayazoglu, Onur Can Sanli, Soner Albay","doi":"10.5137/1019-5149.JTN.44547-23.4","DOIUrl":"10.5137/1019-5149.JTN.44547-23.4","url":null,"abstract":"<p><strong>Aim: </strong>To investigate latissimus dorsi morphometry, innervation, vascularization, and variational situations in fetuses.</p><p><strong>Material and methods: </strong>Forty-nine fetuses, aged between 15 and 40 weeks of gestation, were examined for the morphological development of the latissimus dorsi. The horizontal lengths of the thoracolumbar fascia, the dimensions of the latissimus dorsi and its tendon were measured. Additionally, the attachments of the latissimus dorsi and the branching pattern of the thoracodorsal nerve were evaluated. The development of all measured parameters during gestational age (trimester) and their interrelationships were assessed. Data were compared across sides (right and left) and genders.</p><p><strong>Results: </strong>The study found that the increase in all parameters was proportional to gestational age. No significant differences were observed between sides or genders. The latissimus dorsi was directly attached (via muscle fiber) to the iliac crest in 60.2% of cases. An 88.5% attachment rate to the inferior angle of the scapula was noted, with 4.1% of these attachments being muscular. Additionally, 9.8% of latissimus dorsi tendons were found to adhere to the teres major tendon. The thoracodorsal nerve was observed to divide into 2 to 8 branches before entering the latissimus dorsi.</p><p><strong>Conclusion: </strong>We believe this study will provide valuable insights into the development of intrauterine invasive fetal procedures for tendon, muscle, and nerve transfer repair and assist in determining the most appropriate timing for intervention.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"76-89"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019326","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}

{"title":"Bilateral Thalamic Edema Caused by Tentorial Galenic Dural Arteriovenous Fistula and Sinus Thrombosis: Successful Endovascular Therapy.","authors":"Xiaolong Liang, Li Wang, Yumin Yang, Aiguo Li, Yangyun Han, Jian Yang, Xiaodong Long, Chaohua Wang, Jie Liu","doi":"10.5137/1019-5149.JTN.47423-24.1","DOIUrl":"10.5137/1019-5149.JTN.47423-24.1","url":null,"abstract":"<p><p>Bilateral thalamic edema is commonly caused by vascular, toxic/metabolic, neoplastic, and infectious factors. However, dural arteriovenous fistulas (DAVFs) are a relatively rare and often overlooked cause, with an incidence rate of about 8%. Tentorial dural arteriovenous fistulas (TDAVFs) represent a rare subtype. Cerebral angiography often shows TDAVFs with reflux into cortical or subarachnoid veins and retrograde deep drainage through the vein of Galen, which is associated with a high risk of hemorrhage?97% of cases involve hemorrhage and exhibit aggressive neurological behavior. Venous sinus thrombosis, high-flow arteriovenous malformations, or a combination of both can result in venous hypertension, leading to bilateral thalamic dysfunction. The arterial supply to TDAVFs is complex, involving meningeal arteries from the vertebral and internal carotid arteries, which are difficult to cannulate, increasing the risk of complications due to retrograde embolic flow compared to external carotid artery (ECA) feeders. Transvenous navigation to deep lesions around the tentorium is also challenging. Additionally, TDAVFs often drain into subarachnoid or cortical veins rather than their associated sinus (Borden Type ?), making transvenous embolization impossible. The middle meningeal artery, which supplies more than two-thirds of the cranial dura, is the primary dural feeder. In this article, we presented a unique case of symptomatic bilateral thalamic edema caused by both a tentorial galenic DAVF and straight sinus thrombosis of the cerebral deep venous system, and we detailed our treatment approach and experience.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"667-671"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512939","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}

{"title":"Assessment of the Prevalence of Paediatric Spondylolysis.","authors":"Alper Olgun, Asli Aydin Taskoparan, Ilker Gulec, Burak Eren, Nuri Serdar Bas, Feyza Karagoz Guzey","doi":"10.5137/1019-5149.JTN.47300-24.3","DOIUrl":"10.5137/1019-5149.JTN.47300-24.3","url":null,"abstract":"<p><strong>Aim: </strong>To determine the frequency of spondylolysis (SLi) in children examined due to trauma, which has not been reported before in Turkey, and to discuss the demographic features of these cases together with accompanying secondary pathologies.</p><p><strong>Material and methods: </strong>Between January 2013 and June 2023, lumbar computed tomography (CT) scans performed due to trauma for children aged between 0 and 18 years were evaluated. Demographic data of the patients, the unilateral or bilateral occurrence of SLi, and additional findings detected on CT scans were recorded. Differences between Turkish citizens and Syrian immigrants were also assessed.</p><p><strong>Results: </strong>From lumbar CT scans performed for children aged 0-18 years, the prevalence of SLi was found to be 5.8%. The prevalence was significantly higher in boys and it increased with age, with significantly higher rates in the age group of 11-18 years compared to younger children. Although the difference between Turkish and Syrian children was not statistically significant, Syrian children showed a numerically higher incidence of SLi. Among SLi cases, the rate of spondylolisthesis was 33.3%, and it was significantly more prevalent in cases of bilateral SLi than cases of unilateral SLi. Spina bifida was significantly more common among patients with SLi than those without.</p><p><strong>Conclusion: </strong>The prevalence of SLi in children is affected by some demographic characteristics. However, the rate did not differ between Turkish and Syrian children. Spondylolisthesis and spina bifida were significantly more common in patients with SLi than in the normal paediatric population.</p>","PeriodicalId":94381,"journal":{"name":"Turkish neurosurgery","volume":" ","pages":"715-720"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994951","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}