in Journal of Neurosurgery: Spine
In Brief
In patients undergoing adult spinal deformity surgery, the authors evaluated the impact of preoperative/postoperative L4-S1 lordosis on postoperative outcomes. Preoperative L4-S1 hyperlordosis (> 45°) independently increased the risk of mechanical complications compared with hypolordotic and normal alignment groups. Most hyperlordotic patients lost lordosis postoperatively, predisposing them to higher mechanical complication rates. Patients with high preoperative L4-S1 lordosis should be evaluated closely to mitigate inadvertent loss of L4-S1 lordosis and maintain a harmonious distribution of spinal lordosis.
in Journal of Neurosurgery: Spine
In Brief
Researchers used functional MRI to investigate how spinal cord injury alters functional connections between the hypothalamus and motor brain regions and how functional connections predict motor impairment and recovery; in addition, researchers used combined transcriptome association analysis to identify synapse-related mechanisms, a novel approach for prognosis.
in Journal of Neurosurgery
In Brief
Researchers used Klingler's technique and diffusion tensor imaging to investigate the structural organization of occipitotemporal connections and resolve long-standing debates about brain wiring. The study demonstrated the dual organization of the inferior longitudinal fasciculus, identifying the fusiform and cuneolingual components as the core elements of the fascicle. This refined anatomical framework provides a more accurate foundation for future research on how these pathways support human vision and cognition.
in Journal of Neurosurgery: Pediatrics
in Journal of Neurosurgery: Pediatrics
In Brief
This study aimed to evaluate how safe and effective ventriculosubgaleal shunt placement, a temporary brain fluid drainage method, is in children who develop hydrocephalus after infections. Most children eventually needed permanent treatment, but the temporary method controlled pressure with relatively low rates of serious complications. This study summarizes scattered evidence to clarify when this temporary treatment is useful and what risks families and doctors can realistically expect.
in Journal of Neurosurgery
In Brief
This article traces the evolution of centromedian nucleus of the thalamus targeting, from Velasco's pioneering 1980s deep brain stimulation work to that recommended in the NAUTILUS trial of responsive neurostimulation for idiopathic generalized epilepsy. The authors demonstrate how targeting has evolved from indirect electrophysiological mapping to direct visualization using appropriate MRI sequences and atlas-based planning. This standardized approach lays a foundation for further optimization of thalamic targeting in the surgical treatment of drug-resistant idiopathic generalized epilepsy.
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Minimally invasive, robot-assisted reduction of grade 2 isthmic spondylolisthesis through posterior approach
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JNSPG Journal Club
July 2025 - Artificial intelligence applications to improve patient care in neurosurgery
Featuring presentations on selected articles published in this issue by Dr. Andreas Raabe, Dr. Syed R. H. Peeran, and Mr. Shrinit Babel. Moderated by Dr. Ben S. Hopkins with Drs. William Couldwell (Editor-in-Chief) and Aaron Cohen-Gadol (Deputy Editor).
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