Publications by authors named "Pingchuan Xia"
Background And Objectives: The exact pathways of fluid outflow within the central canal (CC) of the spinal cord are not completely understood. The best management approach for patients with post-traumatic syringomyelia that progresses to the cranial end of the CC, also known as post-traumatic syringobulbia (PT-syringobulbia), is still a topic of debate. This study aims to introduce a new surgical indication for the foramen magnum and foramen of Magendie dredging (FMMD) procedure in patients with PT-syringobulbia and prospectively assess its surgical outcomes.
View Article and Find Full Text PDFBackground: Revision surgery for patients with persistent, recurrent, or progressive syringomyelia following Foramen Magnum Decompression for Chiari malformation with syringomyelia (CM-SM) is not uncommon and presents both strategic and technical challenges.
Methods: We conducted a retrospective study including all patients who underwent revision Cerebellar Tonsillectomy (CTL) for CM-SM between 2003 and 2023. Additionally, we performed univariate and multivariate analyses to identify possible factors contributing to failed CTL outcomes.
Objective: Surgical procedures for patients with posttraumatic syringomyelia (PTS) remain controversial. Until now, there have been no effective quantitative evaluation methods to assist in selecting appropriate surgical plans before surgery.
Methods: We consecutively enrolled PTS patients (arachnoid lysis group, n = 42; shunting group, n = 14) from 2003 to 2023.
Article Synopsis
- The study is a cohort analysis aimed at understanding the link between blood-spinal cord barrier (BSCB) markers and negative outcomes in patients with post-traumatic syringomyelia (PTS) who underwent intradural adhesion lysis (IAL).
- It involved 46 PTS patients and 19 control subjects, measuring various blood and spinal fluid markers before and after surgery to assess their correlation with recovery outcomes.
- Findings indicate that higher levels of certain proteins in the spinal fluid are significantly associated with worse recovery from surgery, with a specific threshold identified for predicting adverse outcomes.