This study describes a new technique that provides access to the fetus that is reproducible, inexpensive, and allows the surgeon to perform a safe procedure, with the possibility of opening the uterus without cutting the uterine fibers. This novel approach provides a quick procedure like open surgery, reducing hydrocephalus rates and enabling complete closure of the defect without the need to use artificial patches, as well as reducing prematurity rates.
The authors investigated the natural history of dolichoectatic vertebrobasilar aneurysms in a multinational cohort. Dolichoectatic characteristics were reclassified, and the new classification's impact was analyzed regarding patient morbidity and mortality. The study found that patients with dolichoectatic vertebrobasilar aneurysms face high morbidity and mortality rates, closely linked to the new classification. These results can guide clinicians and patients in assessing treatment options and determining the appropriate timing of treatment.
The authors surveyed the National Football League team spine surgeon consultants to highlight practice paradigms in treating cervical spine injuries and determining return-to-play in professional football players. Five clinical vignettes were presented covering cases of radiculopathy, myelopathy, facet fracture, facet dislocation, and neck pain with ligamentous signal change. The results highlight the complexity of decision-making and the influence of patients' symptomatic improvement and radiographic evidence of healing in the decision-making process.
This study summarizes African literature on traumatic spine injury (TSI), focusing on delays in access to care, outcomes, and regional differences. Delays were due to referrals and geographic barriers. Regional variations show that road traffic accidents and cervical spine injuries were more reported in West Africa, whereas violence-related injuries and thoracic spine injuries were prevalent in Southern Africa. Mortality rates were higher in West and East Africa. Improving TSI outcomes requires a multifaceted approach with emphasis on _targeted, region-specific strategies.
The objective of this paper was to report patient outcomes with the extreme lateral transodontoid (ELTO) approach for children with large tumors in the ventral craniocervical junction. The authors found that the ELTO approach is safe and feasible in children. Gross-total resection was achieved in all the patients without significant complications or new neurological deficits due to the approach. To the best of their knowledge, this is the first such description in the pediatric population.
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Featuring presentations on selected articles published in this issue by Dr. Harry R. van Loveren, Dr. Jacques J. Morcos, and Dr. Walter C Jean. Moderated by Drs. William Couldwell (Editor-in-Chief) and Aaron Cohen-Gadol (Deputy Editor).
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