Neurosurgery
Global validation of the AO Spine Upper Cervical Injury Classification
16 Mar, 2023 | 12:58h | UTCGlobal Validation of the AO Spine Upper Cervical Injury Classification – Spine
Consensus Recommendations | Spinal tumors
9 Mar, 2023 | 14:15h | UTC
SR | Spinal cord stimulation for low back pain provides no sustained clinical benefits compared to placebo
9 Mar, 2023 | 14:12h | UTCSummary: Spinal cord stimulation (SCS) is a surgical procedure used to treat persistent low back pain by sending electrical signals via implanted electrodes into the spinal cord. The review included 13 studies (randomized controlled trials and cross‐over trials) with 699 participants.
Most of the studies were focused on short-term effects (less than one month), but the review found it is uncertain whether spinal cord stimulation can improve outcomes in the immediate term compared with placebo. At six months, SCS probably does not improve back or leg pain, function, or quality of life compared with placebo, with moderate certainty of evidence. Adverse events were also reported, including infections, neurological damage, and lead migration requiring repeated surgery.
The review concluded that the data does not support the use of SCS to manage low back pain outside a clinical trial. Current evidence suggests SCS probably does not have sustained clinical benefits that would outweigh the costs and risks of this surgical intervention.
Article: Spinal cord stimulation for low back pain – Cochrane Library
Summary: Spinal cord stimulation for low back pain – Cochrane Library
Commentary from the author on Twitter
Our Cochrane review on spinal cord stimulators for #backpain out today.
Bottom line:
-Mod certainty evidence of no benefit vs placebo in medium term
-Uncertain if benefit on pain in immediate term
-Adverse events (infection, re-operation) commonhttps://t.co/lNJQeN96Zs— Adrian Traeger (@adrian_traeger) March 7, 2023
Cohort Study | Lifetime traumatic brain injury and cognitive domain deficits in late life
2 Mar, 2023 | 12:45h | UTCLifetime Traumatic Brain Injury and Cognitive Domain Deficits in Late Life: The PROTECT-TBI Cohort Study – Journal of Neurotrauma (link to abstract – you can try this link for full-text)
News Release: Three or more concussions linked with worse brain function in later life – University of Exeter
Review | Glioblastoma and other primary brain malignancies in adults
24 Feb, 2023 | 13:54h | UTCArticle: Glioblastoma and Other Primary Brain Malignancies in Adults: A Review – JAMA (free for a limited period)
Audio clinical review: Glioblastoma and Other Primary Brain Malignancies in Adults – JAMA
Commentary on Twitter
Review summarizes current evidence regarding diagnosis and treatment of primary malignant brain tumors in adults. https://t.co/pNKio61bN5
— JAMA (@JAMA_current) February 21, 2023
Consensus Paper | Early management of isolated severe traumatic brain injury in a hospital without neurosurgical capabilities
24 Feb, 2023 | 13:49h | UTC
Commentary from the author on Twitter
Great to see our consensus published. Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES).https://t.co/k9hwI82dOW pic.twitter.com/pIp5gFRnPa
— Deepak Sharma (@deepak_neuro) January 14, 2023
Guideline | Diagnosis and management of subarachnoid hemorrhage caused by a ruptured aneurysm
16 Feb, 2023 | 15:23h | UTC
SR | Preoperative medical treatments and surgical approaches for acromegaly
15 Feb, 2023 | 15:48h | UTC
Consensus Statement | Development of an Enhanced Recovery After Surgery (ERAS) surgical safety checklist
10 Feb, 2023 | 14:03h | UTC
Commentary from the author on Twitter (thread – click for more)
The @WHO Surgical Safety Checklist and the @ErasSociety guidelines come together.🔥
#ERAS teams can leverage 2 tools in 1 to improve care in critical perioperative communication moments https://t.co/EaXYyj7b56
via @JAMANetworkOpen part of @JAMANetwork pic.twitter.com/WHJMjThubO— Mary Brindle (@MaryEBrindle) February 8, 2023
INCOG 2.0 Guidelines for cognitive rehabilitation following traumatic brain injury
9 Feb, 2023 | 13:47h | UTCINCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury – The Journal of Head Trauma Rehabilitation
What’s Changed From 2014 to Now?
Methods, Overview, and Principles
Part II: Attention and Information Processing Speed
Part IV: Cognitive-Communication and Social Cognition Disorders
Spinal cord injury: the global incidence, prevalence, and disability from the Global Burden of Disease Study 2019
9 Feb, 2023 | 13:20h | UTCCommentary: Measures needed to combat growing incidence and burden of spinal cord injury – Spinal News International
Review | Cerebral multimodality monitoring in adult neurocritical care patients with acute brain injury
7 Feb, 2023 | 13:32h | UTC
M-A | Depressive symptoms in individuals with persistent postconcussion symptoms
3 Feb, 2023 | 13:48h | UTCCommentary: Significant Link Seen for Persistent Postconcussion Symptoms, Depression – HealthDay
Commentary on Twitter
Patients with persistent postconcussion symptoms are at increased risk of experiencing symptoms of depression. Post-injury support and interventions targeting mental health are necessary for optimal outcomes. https://t.co/7KiletIsf6
— JAMA Network Open (@JAMANetworkOpen) December 27, 2022
Derivation and validation of a clinical prediction rule for upper limb functional outcomes after traumatic cervical spinal cord injury
31 Jan, 2023 | 13:34h | UTC
Commentary on Twitter
This clinical prediction rule for prognosis of patients with cervical spinal cord injuries uses sub-acute neurological data to predict upper limb recovery; this may guide early treatment decisions, eg. reconstructive surgeries and acute clinical trials. https://t.co/hjE0v1EtuJ
— JAMA Network Open (@JAMANetworkOpen) December 21, 2022
RCT | Duration of prophylactic levetiracetam after surgery for brain tumor
27 Jan, 2023 | 12:06h | UTC
Commentary on Twitter
#NEULatestArticle #NEUVisualAbstract Duration of Prophylactic Levetiracetam After Surgery for Brain Tumor: A Prospective Randomized Trial https://t.co/O8wAgwK0SL by Rahman et al @UFHealth @CNS_Update @DKondziolkaCNS @IsaacYangMD #Seizures #BrainTumor pic.twitter.com/ALVEw91oiZ
— Neurosurgery Publications (@NeurosurgeryCNS) October 6, 2022
M-A | Microsurgery vs. microsurgery with preoperative embolization for brain arteriovenous malformation treatment
27 Jan, 2023 | 12:05h | UTC
Preliminary study suggests decompression surgery may improve symptoms in neurogenic thoracic outlet syndrome
26 Jan, 2023 | 12:23h | UTC
Neurogenic thoracic outlet syndrome: presentation, diagnosis, and treatment
26 Jan, 2023 | 12:22h | UTC
SR (mostly from observational studies) | Fast-track protocols for patients undergoing spine surgery
25 Jan, 2023 | 11:20h | UTCRelated:
Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
RCT | Bilateral ultrasound-guided erector spinae plane block vs. wound infiltration for postoperative analgesia in lumbar spinal fusion surgery
20 Jan, 2023 | 14:18h | UTC
SR | Interventions for preventing and ameliorating cognitive deficits in adults treated with cranial irradiation
19 Jan, 2023 | 14:09h | UTC
Cohort Study | Brain cancer after radiation exposure from CT examinations of children and young adults
18 Jan, 2023 | 14:36h | UTCBrain cancer after radiation exposure from CT examinations of children and young adults: results from the EPI-CT cohort study – The Lancet Oncology (link to abstract – $ for full-text)
Commentaries:
CT brain cancer risk quantified for children and young adults – medwire News
Review | Surgical site infection prevention
18 Jan, 2023 | 14:31h | UTCSurgical Site Infection Prevention: A Review – JAMA (free for a limited period)
Author interview: Surgical Site Infection Prevention – JAMA
Related:
Global guidelines on the prevention of surgical site infection – World Health Organization
AAOS Guideline: Prevention of surgical site infections after major extremity trauma.
M-A | Transfusion guidelines in traumatic brain injury
15 Jan, 2023 | 20:15h | UTC
Review | Management of traumatic brain injury in the non-neurosurgical intensive care unit
15 Jan, 2023 | 19:41h | UTC