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Traumatic Vertebral Artery Injury After Subaxial Cervical Spine Injuries: Incidence, Risk Factors, and Long-Term Outcomes: A Population-Based Cohort Study.
Neurosurgery
September 2024
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Background And Objectives: Vertebral artery injury (VAI) because of traumatic subaxial cervical spine injury is a rare but potentially devastating condition as it could lead to stroke. The aim of this study was to examine the incidence, risk factors, outcomes, and radiographic predictors of VAI in patients surgically treated for subaxial cervical spine injuries at a tertiary care trauma center.
Methods: This is a retrospective population-based cohort study, including all patients surgically treated for traumatic subaxial cervical spine injuries at the study center between 2006 and 2018.
Correlation Between Grade of Clinical Response to Neoadjuvant Therapy for Rectal Cancer and Oncologic Outcomes in the Era of Watch-and-Wait.
Dis Colon Rectum
November 2024
Department of Colon and Rectal Surgery, Memorial Sloan Kettering Cancer Center, New York.
Background: The watch-and-wait strategy provides an opportunity to pursue non-operative management in rectal cancer patients with clinical complete response after neoadjuvant therapy. The management of those with near complete response remains controversial.
Objective: We assessed the oncologic outcomes of patients managed by watch-and-wait versus total mesorectal excision according to clinical response to neoadjuvant therapy.
Machine learning models for predicting dysphonia following anterior cervical discectomy and fusion: a Swedish Registry Study.
Spine J
November 2024
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; Capio Spine Center Stockholm, Löwenströmska Hospital, Upplands-Väsby, Sweden; Department of Medical Sciences, Örebro University, Örebro, Sweden. Electronic address:
Background: Dysphonia is one of the more common complications following anterior cervical discectomy and fusion (ACDF). ACDF is the gold standard for treating degenerative cervical spine disorders, and identifying high-risk patients is therefore crucial.
Purpose: This study aimed to evaluate different machine learning models to predict persistent dysphonia after ACDF.
Safety of anterior cervical corpectomy and fusion (ACCF) for the treatment of subaxial cervical spine injuries, a single center comparative matched analysis.
Acta Neurochir (Wien)
July 2024
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Article Synopsis
- Anterior Cervical Corpectomy and Fusion (ACCF) may offer better decompression results than Anterior Cervical Discectomy and Fusion (ACDF), but ACCF comes with higher surgical risks; this study focuses on their safety in treating cervical spine injuries.
- The study matched 60 patients who underwent either ACCF or ACDF for injuries affecting multiple disc spaces, finding that ACCF patients had more vertebral body injuries, while ACDF patients had more traumatic disc ruptures.
- Both surgical methods showed similar rates of complications, revision surgeries, mortality, and long-term outcomes, suggesting that ACCF is a safe alternative for patients with significant anterior column injuries.
Health-Related Quality of Life and Return to Work after Surgery for Spinal Schwannoma: A Population-Based Cohort Study.
Cancers (Basel)
May 2024
Department of Clinical Neuroscience, Karolinska Institute, 171 76 Stockholm, Sweden.
Spinal schwannomas are the second most common primary intradural spinal tumor. This study aimed to assess health-related quality of life (HRQoL) and the frequency of return to work after the surgical treatment of spinal schwannomas. HRQoL was compared to a sample of the general population.
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