Publications by authors named "R Mitha"
Article Synopsis
- Degenerative spondylolisthesis is a common cause of chronic back pain in adults, and while the standard treatment is open decompression with or without fusion, there is growing interest in the effectiveness of full endoscopic spine surgery as an alternative.
- A study involving 73 patients with low-grade degenerative spondylolisthesis revealed that after undergoing lumbar endoscopic unilateral laminectomy, 70 patients experienced significant improvement in symptoms and pain levels at various follow-up periods (3, 9, and 12 months).
- The results indicate that this endoscopic approach is a safe option for treating patients with severe stenosis due to low-grade degenerative spondylolisthesis, suggesting the
Glioblastoma multiforme (GBM) is the most common primary brain tumor in adults with a median survival of approximately 15 months, despite treatment, with most patients experiencing recurrence within 9 months of resection. The propensity of recurrence in GBM exemplifies the fatal course of the disease and remains an underlying area of study as novel instances of recurrence are encountered. The authors present a unique case of a 31-year-old male patient with a history of cerebellomedullary junction astrocytoma who later developed a supratentorial GBM followed by recurrence centered around a preexisting ventriculoperitoneal catheter and located in the hemisphere contralateral to his first GBM.
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- The study investigates the "July Effect," which suggests that the influx of inexperienced physicians in July could lead to worse patient outcomes, focusing on traumatic brain injury (TBI) cases in teaching hospitals.
- Using nationwide data, researchers compared patient outcomes based on admission month and found July admissions had a decreased likelihood of death and complications.
- The results showed no significant effect of July admissions on length of stay or routine discharge rates for TBI patients undergoing surgery.
Objective: Deficiency in patient education has been correlated with increased disease-related morbidity and decreased access to care. However, the associations between educational level, preoperative disease severity, and postoperative outcomes in patients with lumbar spondylolisthesis have yet to be explored.
Methods: The spondylolisthesis dataset of the Quality Outcomes Database (QOD)-a cohort with prospectively collected data by the SpineCORe study team of the 12 highest enrolling sites with an 81% follow-up at 5 years -was utilized and stratified for educational level.
Background: Spine surgery accounts for a large proportion of neurosurgical procedures, with approximately 313 million spine surgeries conducted annually worldwide. Considering delayed recovery and postoperative complications that are commonly reported, there has been a recent shift toward minimally invasive spine procedures conducted under local anesthesia. Despite proven success, there exists a limited body of literature on the use of awake surgery in spinal procedures.
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