Abstract：
BACKGROUND:Neuronavigation has become a common means of placing pedicle screws in vertebral arthrodesis, because it reduces the incidence of complications related to poor screw positioning. OBJECTIVE:The To evaluate the accuracy of pedicle screw placement during lumbar arthrodesis performed with the new ROSA Spine robot and intraoperative flat-panel computed tomography (fpCT) guidance. METHODS:We performed a descriptive, observational, retrospective, single-center study of patients having undergone transforaminal lumbar interbody fusion (TLIF) for degenerative pathologies with the ROSA Spine robot and intraoperative fpCT guidance. The primary endpoint was the presence or absence of pedicle wall breach, as assessed from the fpCT scan. Screw placement was graded according to Ravi's classification. RESULTS:Twenty-five patients were operated on between November 2014 and July 2016; 21 underwent minimally invasive TLIF, and 4 underwent open TLIF. The mean ± standard deviation operating time was 241 ± 49.8 minutes. Of the 110 screws placed, 101 (91.8%) were completely within the pedicle (Ravi grade A), 5 (4.5%) had a pedicle wall breach <2 mm (grade B), 2 (1.8%) had a pedicle wall breach of 2-4 mm (grade C), and 2 had pedicle wall breach >4 mm (grade D) (1.8%). One screw (a grade D) was replaced during surgery. None of the breaches were symptomatic. CONCLUSIONS:When coupled with fpCT, the ROSA Spine robot is a reliable, accurate means of performing lumbar pedicle screwing.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Chenin L,Capel C,Fichten A,Peltier J,Lefranc Mdoi
10.1016/j.wneu.2017.05.118subject
Has Abstractpub_date
2017-09-01 00:00:00pages
86-94eissn
1878-8750issn
1878-8769pii
S1878-8750(17)30817-3journal_volume
105pub_type
杂志文章abstract：:Vestibular schwannomas (VSs) are rare in children and, when present, are usually part of neurofibromatosis 2 and bilateral. Sporadic unilateral VSs in the pediatric age group itself are rare in medical literature and giant sporadic unilateral pediatric VSs (>4 cm) are extremely rare. Herein, we describe the largest re...
journal_title：World neurosurgery
pub_type： 杂志文章
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abstract：BACKGROUND:Although previous studies have reported the expression of JAK1, STAT3, and phosphorylated STAT3 in hypertrophied ligamentum flavum (LF), the role of the Janus kinase-signal transducer and activator of transcription (JAK/STAT) signaling pathway in hypertrophied LF has not been fully elucidated. The aim of thi...
journal_title：World neurosurgery
pub_type： 杂志文章
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abstract：BACKGROUND:Intracranial extraskeletal mesenchymal chondrosarcomas (MCSs) are rare tumors accounting for <0.16% of intracranial tumors. They are usually described as occurring in the age group of 20-30 years and are commonly found in the frontoparietal region arising from the falx and surrounding dura. We describe 3 cas...
journal_title：World neurosurgery
pub_type： 杂志文章
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abstract：:The global incidence of spinal cord injury (SCI) is 15-40 cases per million people, with the socioeconomic and healthcare costs amounting to nearly $10 billion per annum in the USA alone. Despite substantial advances in medical care and surgical technology, many patients with SCI still experience significant long-term...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
doi：10.1016/j.wneu.2013.08.004
更新日期：2014-09-01 00:00:00
abstract：BACKGROUND:Giant invasive spinal schwannomas (GISSs) comprise a rare, specific subtype of schwannomas that extend >2 spinal levels, erode vertebral bodies, and invade extraspinal tissues. Optimal surgical management of resulting spinal instability has yet to be determined, and overall there is limited published literat...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:Cervical sagittal alignment parameters are essential to plan stages of surgery. The aims of this study were to evaluate the relationship between cervical sagittal alignment parameters and surgical outcomes after anterior cervical arthrodesis; to identify parameters linked to a better outcome; to determine th...
journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:Prognostic factors of favorable and unfavorable clinical outcome after aneurysmal subarachnoid hemorrhage (SAH) are still not completely known. We retrospectively analyzed the aneurysm location as a factor for patients' outcome after aneurysmal SAH. METHODS:We retrospectively selected patients from our prosp...
journal_title：World neurosurgery
pub_type： 杂志文章
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abstract：:Language localization has been an evolving concept over the past 150 years, with the emergence of several important yet conflicting ideologies. The classical theory, starting from the phrenologic work of Gall to the identification of specific regions of language function by Broca, Wernicke, and others, proposed that d...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2021-01-01 00:00:00
abstract：BACKGROUND:The decision between conservative management and invasive treatment of juxtaorbital intracranial vascular anomalies can be challenging. Whereas arteriovenous malformations (AVMs) can lead to vision loss and are potentially life-threatening if they rupture, invasive endovascular and surgical procedures also c...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2013.01.093
更新日期：2014-07-01 00:00:00
abstract：AIM:We hypothesize that re-do craniotomy for recurrent grade IV glioblastomas improves survival while preserving outcome in selected patients. METHODS:A retrospective analysis was conducted of 141 patients, from a prospectively collected database from 2004-2014, with grade IV glioblastomas who underwent craniotomy and...
journal_title：World neurosurgery
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journal_title：World neurosurgery
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abstract：BACKGROUND:Vagal nerve stimulation (VNS) is an alternative palliative therapy for pharmacoresistant epilepsy. It has been reported to be effective for both focal and generalized epilepsy; however, most of the relevant studies have involved children or young patients. Some patients develop intractable epilepsy after str...
journal_title：World neurosurgery
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abstract：:Recent approval of unprecedented gene therapies has signaled the beginning of a new era in modern medicine. This rapidly changing landscape underscores the importance of neurosurgeons developing a fundamental understanding of gene therapy, because many neurologic disorders are caused by derangements in gene expression...
journal_title：World neurosurgery
pub_type： 杂志文章,评审
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更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Data on traumatic intraventricular hemorrhage (IVH) are currently limited, and therefore, the condition is not fully understood. The aim of this study was to determine the epidemiology of traumatic IVH and its effects on outcome in patients with blunt head trauma. METHODS AND MATERIALS:Using a nationwide tr...
journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
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更新日期：2018-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.wneu.2014.07.041
更新日期：2014-12-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2019-01-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.07.137
更新日期：2019-11-01 00:00:00
abstract：:Endoscopic endonasal transsphenoidal surgery for pituitary tumors has been the standard therapy for decades. This approach offers surgeons an effective, safe, and wide exposure to the pituitary gland, with a relatively low mortality rate and acceptable complication rates. However, severe complications, including cereb...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2015.04.043
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:There is a lack of consensus regarding diagnosis, timing, and method of intervention for progressive enhancement on surveillance imaging after stereotactic radiosurgery (SRS) treatment of brain metastases. We sought to characterize current practices among neurosurgeons in identifying and treating infield tumo...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2020.04.046
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:Obsessive-compulsive disorder (OCD) is a brain disorder with a lifetime prevalence of 2.3%, causing severe functional impairment as a result of anxiety and distress, persistent and repetitive, unwanted, intrusive thoughts (obsessions), and repetitive ritualized behavior (compulsions). Approximately 40%-60% o...
journal_title：World neurosurgery
pub_type： 杂志文章
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journal_title：World neurosurgery
pub_type： 杂志文章
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2019-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2018-07-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2016-06-01 00:00:00
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pub_type： 杂志文章
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更新日期：2019-08-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.12.014
更新日期：2018-12-20 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2016.02.012
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND:Cervical spondylitic myelopathy is a degenerative condition resulting from chronic spinal cord compression and a leading cause of nontraumatic spinal cord dysfunction. The chief surgical goal in the management of cervical spondylitic myelopathy is adequate spinal cord decompression with or without fusion to ...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2017.11.017
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE:This study sought to 1) describe the use K-wireless pedicle screw insertion among adults (age ≥18 years) undergoing a minimally invasive fusion and 2) perform a systematic review (SR) of all studies that describe a navigated, K-wireless technique with 3-dimensional fluoroscopy. METHODS:Patients undergoing a ...
journal_title：World neurosurgery
pub_type： 杂志文章
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更新日期：2020-06-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.wneu.2020.07.093
更新日期：2020-11-01 00:00:00
