Neurosurgery Watch

Stay up to date with the latest clinical findings in Neurosurgery Watch. Each month, our panel identifies and summarizes key points of selected significant papers from over 50 journals. We emphasize the most significant findings that potentially change clinical management or treatment of neurological diseases.

Please contact us with any suggestions or comments.

John S. Kuo, MD PhD FACS
Austin, Texas
Co-Editor
Robert Starke, MD MSc
Miami, Florida 
Co-Editor
Search Neurosurgery Watch
SP

Seventy Percent Reduction in Transcranial Motor Evoked Potential Is Most Valid Measure of Neurological Worsening During Complex Spine Surgery

January 2, 2014
Spine
By: 
S. R. Manoharan, MBBS
H. Francis Farhadi, MD PhD
Source: 
Journal of Neurosurgery

The Japanese Society for Spine Surgery and Related Research published a prospective multicenter spinal intraoperative monitoring (IOM) study conducted across 18 institutions with 959 patients undergoing surgery for deformity correction, ossification of the posterior longitudinal ligament, or tumor resection between...

SP

Predictive Factors of Clinically Relevant Improvement After Anterior Cervical Decompression and Fusion: 10- to 13-Year Follow-Up

December 1, 2013
Spine
By: 
John H. Shin, MD
Source: 
Journal of Neurosurgery

Hermansen et al. report long-term results of a prospective, randomized study evaluating ACDF outcomes. Clinically relevant improvement (CRI) was defined as ≥ 30-mm improvement on a visual analog scale and ≥ 20% improvement in the neck disability index from preoperative...

SP

Comparison of Contiguous 2-Level Cervical Arthroplasty Versus Anterior Discectomy and Fusion

December 1, 2013
Spine
By: 
S. R. Manoharan, MBBS
H. Francis Farhadi, MD PhD
Source: 
Journal of Neurosurgery

Results were reported from a prospective multicenter randomized controlled IDE non-inferiority trial comparing 2-level cervical total disc replacement (TDR) using the Mobi-C artificial disc (LDR Medical) with fusion for symptomatic two-level radiculopathy or myeloradiculopathy. This is the first 2-level FDA-regulated...

PA

Evidence-Based Guideline Update: Vagus Nerve Stimulation for the Treatment of Epilepsy

November 1, 2013
Pain
By: 
Jason M. Schwalb, MD
Source: 
PubMed

In the October 2013 issue of Neurology, Morris and colleagues authored an AAN and AES-supported guideline regarding vagal nerve stimulation. There was only one paper, the initial pivotal trial, that was felt to be better than Class III evidence. All...

Predictive Factors of Outcome in Primary Cervical Dystonia Following Pallidal Deep Brain Stimulation

November 1, 2013
By: 
Jason M. Schwalb, MD
Source: 
PubMed

Witt et al. report the UCSF and Toronto Western Hospital experiences with GPi DBS for cervical dystonia. Patients with cranial involvement or mild upper extremity dystonia were not excluded. With 28 patients, this is the largest retrospective cohort in the...

Pages