Prevalence and Influence of Frailty on Hospital Outcomes after Surgical Resection of Spinal Meningiomas

脊柱脑膜瘤手术后虚弱的发生率及其对医院预后的影响

The goal of this study was to investigate the impact of frailty, assessed by HFRS, on healthcare resource utilization and outcomes in patients undergoing surgery for spinal meningiomas. Frailty may be associated with increased healthcare resource utilization in patients undergoing surgery for spinal meningiomas.

这项研究的目的是调查由HFRS评估的脆弱性对接受脊髓脑膜瘤手术的患者的医疗资源利用和预后的影响。脆弱可能与接受脊髓脑膜瘤手术的患者的医疗资源利用率增加有关。

REF: Elsamadicy AA, Koo AB, Reeves BC, et al. Prevalence and Influence of Frailty on Hospital Outcomes after Surgical Resection of Spinal Meningiomas [published online ahead of print, 2023 Feb 9]. World Neurosurg. 2023;S1878-8750(23)00158-4. doi:10.1016/j.wneu.2023.02.019 PMID: 36773810

COMPARISON OF TUBULAR APPROACH AND UNIPORTAL INTERLAMINAR FULL-ENDOSCOPIC APPROACH IN THE TREATMENT OF LUMBAR SPINAL STENOSIS: OUR THREE YEAR RESULTS

管状入路与单椎板间全内窥镜手术治疗腰椎管狭窄症的比较

To report the long-term results of patients with lumbar spinal stenosis (LSS), for whom we applied the tubular and endoscopic approaches and previously published the short-term results. The long-term results of the patients with LSS treated with tubular and endoscopic approaches were similar and very good. Bilateral decompression with minimally invasive spinal surgery methods can be completed with less tissue damage, complications, and blood loss with the unilateral approach.

为了报告腰椎管狭窄症(LSS)患者的长期结果，我们对其应用了管状和内窥镜方法，并先前公布了短期结果。管路和内窥镜手术治疗腰椎管狭窄症患者的远期疗效相似，且效果良好。采用双侧微创脊柱减压术可减少单侧入路的组织损伤、并发症和失血量。

REF: Süner HI, Castaño JP, Vargas-Jimenez A, et al. COMPARISON OF TUBULAR APPROACH AND UNIPORTAL INTERLAMINAR FULL-ENDOSCOPIC APPROACH IN THE TREATMENT OF LUMBAR SPINAL STENOSIS: OUR THREE YEAR RESULTS [published online ahead of print, 2023 Feb 10]. World Neurosurg. 2023;S1878-8750(23)00162-6. doi:10.1016/j.wneu.2023.02.022 PMID: 36775236

Surgeon-specific treatment selection bias and heterogeneous perioperative practices in an observational spine surgery study. A statistical tutorial with implications for analysis of observational studies of perioperative interventions

一项观察性脊柱外科研究中外科医生特定治疗选择的偏向和不同的围手术期操作。对围术期干预措施的观察性研究进行分析的统计学教程

This statistical tutorial explains how this result occurred and why statistical analyses of observational studies must consider the effects of individual surgeons. In observational studies in which individual surgeons determine whether their patients receive the treatment of interest, consideration must be given to inclusion of surgeon as an independent variable in all analyses. Failure to include the surgeon in an analysis of observational data carries a substantial risk of obtaining spurious results, either creating a spurious treatment effect or failing to detect a true treatment effect.

这篇统计学教程解释了这一结果是如何产生的，以及为什么观察性研究的统计分析必须考虑个别外科医生的影响。在个别外科医生确定其患者是否接受感兴趣的治疗的观察性研究中，必须考虑将外科医生作为独立变量纳入所有分析。如果不将外科医生纳入观察数据的分析，就有可能获得虚假的结果，要么产生虚假的治疗效果，要么无法检测到真正的治疗效果。

REF: Hindman BJ, Gold CJ, Ray E, et al. Surgeon-specific treatment selection bias and heterogeneous perioperative practices in an observational spine surgery study. A statistical tutorial with implications for analysis of observational studies of perioperative interventions [published online ahead of print, 2023 Feb 9]. World Neurosurg. 2023;S1878-8750(23)00164-X. doi:10.1016/j.wneu.2023.02.027 PMID: 36773808

Prognostic Factors and Treatment Impact on Overall Survival in Adult Craniopharyngioma

成人颅咽管瘤预后因素及治疗对总生存率的影响

This study aims to examine the demographics, tumor characteristics, treatments, and clinical outcomes of a large adult craniopharyngioma population. Adult craniopharyngioma patients that underwent GTR or STR with adjuvant radiotherapy had significantly improved overall survival. Endoscopic approaches had lower rates of GTR but no difference in overall survival.

本研究旨在研究一大批成人颅咽管瘤患者的人口学特征、肿瘤特征、治疗和临床结果。接受GTR或STR并辅以放射治疗的成人颅咽管瘤患者的总存活率显著提高。内窥镜手术有较低的GTR发生率，但总体存活率无差异。

REF: Awad M, Butterfield JT, Dhawan S, Tyler MA, Venteicher AS. Prognostic Factors and Treatment Impact on Overall Survival in Adult Craniopharyngioma [published online ahead of print, 2023 Feb 9]. World Neurosurg. 2023;S1878-8750(23)00159-6. doi:10.1016/j.wneu.2023.02.020 PMID: 36773809

Unsubtracted roadmap technique for preventing cement leakage during percutaneous vertebroplasty: a retrospective cohort study

未减影路线图技术预防经皮椎体成形术中骨水泥渗漏：一项回顾性队列研究

This study is to determine the effectiveness of the unsubtracted roadmap technique (USRT) for decreasing cement leakage (CL) during percutaneous vertebroplasty (PVP). USRT is an effective method for reducing CL and radiation exposure during PVP.

本研究旨在探讨未减影路线图技术(USRT)在经皮椎体成形术(PVP)中减少骨水泥渗漏(CL)的有效性。USRT是减少PVP期间化学发光和辐射暴露的有效方法。

REF: Kim SH, Lee JJ, Noh SH, Cho PG. Unsubtracted roadmap technique for preventing cement leakage during percutaneous vertebroplasty: a retrospective cohort study [published online ahead of print, 2023 Feb 10]. World Neurosurg. 2023;S1878-8750(23)00160-2. doi:10.1016/j.wneu.2023.02.021 PMID: 36775235

Concomitant, Single Burr Hole Endoscopic Third Ventriculostomy and Tumor Biopsy for Pineal Lesions: Feasibility, Safety, and Benefits

同期单孔内窥镜第三脑室造口和肿瘤活检治疗松果体病变：可行性、安全性和益处

The objective of this study was to retrospectively search the literature on concomitant, single burr hole endoscopic third ventriculostomy (ETV) and tumor biopsy (TB) for pineal region tumors and to analyze the feasibility, surgical safety, and benefits of these two combined procedures. Summing up, concomitant ETV and TB represent a valuable option for the management of non-communicating hydrocephalus and the initial assessment of pineal region tumors. The histological confirmation rate was 88.7% in the examined cohort, with only 10% of the biopsies yielding inconclusive results.

本研究的目的是对同期单孔内窥镜第三脑室吻合术(ETV)和肿瘤活检(TB)治疗松果体区肿瘤的文献进行回顾性检索，并分析这两种联合手术的可行性、手术安全性和益处。综上所述，合并ETV和TB对于非交通性脑积水的治疗和松果体区肿瘤的初步评估是一个有价值的选择。在接受检查的队列中，组织学确认率为88.7%，只有10%的活检产生了不确定的结果。

REF: Leone A, Colamaria A, Fochi NP, et al. Concomitant, Single Burr Hole Endoscopic Third Ventriculostomy and Tumor Biopsy for Pineal Lesions: Feasibility, Safety, and Benefits [published online ahead of print, 2023 Feb 8]. World Neurosurg. 2023;S1878-8750(23)00097-9. doi:10.1016/j.wneu.2023.01.082 PMID: 36764448

Frequency and Associated Factors of Postoperative Wound Dehiscence in Posterior Cervical Spine Surgery

颈椎后路手术后伤口裂开的发生率及相关因素

This investigation sought to determine the frequency of wound dehiscence following posterior cervical spine surgery and identify patient-based risk factors. The observed frequency of postoperative wound dehiscence in cervical spine surgery was 5.2%. As extended T1 fusion and dialysis may increase the risk of dehiscence after surgery, patients who display such risk factors may require additional observation and care.

这项调查试图确定颈椎后路手术后伤口裂开的频率，并确定以患者为基础的危险因素。颈椎手术后伤口裂开的发生率为5.2%。由于延长T1融合和透析可能会增加手术后裂开的风险，表现出此类危险因素的患者可能需要额外的观察和护理。

REF: Uehara M, Ikegami S, Oba H, et al. Frequency and Associated Factors of Postoperative Wound Dehiscence in Posterior Cervical Spine Surgery [published online ahead of print, 2023 Feb 9]. World Neurosurg. 2023;S1878-8750(23)00139-0. doi:10.1016/j.wneu.2023.02.001 PMID: 36764446

Analysis of Current Neurological Surgery Residents and Prior Medical Education: Do Medical School Attributes Matter?

当前神经外科住院医师和既往医学教育的分析：医学院的属性重要吗？

The aim of the present retrospective study was to explore the associations of medical school location, ranking, private school status, size, and presence of an American Association of Neurological Surgeons (AANS) chapter or neurological surgery interest group (NSIG) with the neurosurgery match outcomes. Medical students from the top 25 medical schools, private medical schools, medical schools with an AANS chapter, and medical schools with an NSIG were more likely to match into a prestigious residency program. These findings suggest that underlying biases might be present for program directors to consider in the resident selection process.

本研究旨在探讨医学院的位置、排名、私立学校的地位、规模以及美国神经外科医师协会(AANS)分会或神经外科兴趣小组(NSIG)的存在与神经外科比赛结果的关系。来自排名前25的医学院、私立医学院、设有AANS分会的医学院以及拥有NSIG的医学院的医学生更有可能参加著名的住院医生项目。这些发现表明，潜在的偏见可能存在，供项目主任在居民选择过程中考虑。

REF: Hovis GEA, Harris MH, Nguyen A, et al. Analysis of Current Neurological Surgery Residents and Prior Medical Education: Do Medical School Attributes Matter? [published online ahead of print, 2023 Feb 9]. World Neurosurg. 2023;S1878-8750(23)00142-0. doi:10.1016/j.wneu.2023.02.004 PMID: 36764450

Contemporary Treatment Outcome of Metastases to the Pituitary Gland

脑下垂体转移瘤的现代治疗效果

Metastasis to the pituitary gland is uncommon. With life expectancy after cancer diagnosis improving, we sought to understand the effects of treating pituitary metastasis in the modern era of advanced cancer treatment. In the selected population, metastasis-directed therapy was associated with improved OS. Either correct patient selection for additional therapy or surgery and/or radiation therapy directly benefited patients' OS.

转移到脑下垂体的情况并不常见。随着癌症诊断后预期寿命的提高，我们试图了解在现代晚期癌症治疗中治疗垂体转移的效果。在选定的人群中，转移导向治疗与OS的改善有关。无论是选择正确的患者进行额外治疗，还是手术和/或放射治疗，都直接使患者的OS受益。

REF: Hong S, Atkinson JL, Erickson D, et al. Contemporary Treatment Outcome of Metastases to the Pituitary Gland [published online ahead of print, 2023 Feb 9]. World Neurosurg. 2023;S1878-8750(23)00140-7. doi:10.1016/j.wneu.2023.02.002 PMID: 36764447