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Appropriate classification of thoracolumbar spinal injuries is crucial for appropriate management of patients and communication between healthcare professionals. The thoracolumbar injury and classification score (TLICS) was designed in 2005 to stratify spinal injuries based on their morphology, neurological sequelae and the integrity of the posterior ligamentous complex. Eleven years later, authors of the above article suggest a modified approach to TLICS, which they report shows greater correlation to outcomes in their series. Both are summarised below.

 

 

 

 

READ THE ARTICLE

(DOI: 10.1177/0284185115580487)

 

 

 

 

 

AUTHOR:

Curtis A. Dickman, Michael G. Fehlings, Ziya L. Gokaslan

 

EDITOR:
Thieme

 

PUBLICATION DATE:

March 2006

 

DESCRIPTION:

Spinal column and spinal cord tumors are relatively rare (approximately 3 to 4 times less common than intracranial tumors) with a variable incidence of 0.9 to 2.9 cases per 100,000 inhabitants each year. Despite the relatively low impact from an epidemiological point of view, they are certainly an important chapter in the field of neurosurgery both for diagnosis and for the management of patients.

Spinal Cord and Spinal Column Tumors: Principles and Practice is a text that fully addresses all aspects of tumours in this region, providing a detailed analysis of the anatomy, pathology, evaluation, diagnosis, and management techniques of spinal column and cord tumors.

From a therapeutic point of view, both neurosurgical and non-surgical treatments such as systemic and intrathecal chemotherapy, embolization techniques, external beam radiation
therapy, brachytherapy and stereotactic radiosurgery are addressed.

This book is a comprehensive text, lending insight into current techniques in managing these for all neurosurgeons and residents.

 

GO TO THE BOOK

Wednesday, 13 September 2017 09:42

Eurospine 2017 - October 11 - 13, 2017

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The aims of EUROSPINE are to stimulate the exchange of knowledge and ideas in the field of research, prevention and treatment of spine diseases. There is also a strong drive to improve the collaboration between European spinal surgery centres. This year’s meeting promises to be of a high calibre, with presentations by world-renowned experts, discussions on the latest scientific developments, and opportunities to meet with colleagues and friends. It will be an event from which you can learn a great deal and enjoy yourself, finally taking something back home that you can put it in practice.

 

CLICK HERE TO SEE THE OFFICIAL WEBSITE

Intramedullary spinal cord tumours have an estimated incidence of 1.1 cases in 100,000. Previously, the plane of dissection when surgically excising these lesions has been the key indicator for gauging extent of resection. Other articles have called into question the influence of histopathological characteristics on the definition of tumour boundary. The authors of this article report the results of a retrospective analysis determining the influence of tumour histology on resectability and neurological outcomes in cases of intramedullary spinal cord tumours. The 2016 WHO CNS classification emphasised the importance of genetic findings. This should be borne in mind when approaching results presented in articles in which this is not accounted for.

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Monday, 28 August 2017 13:32

Real Brain Book

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Brainbook is a group of healthcare professional (neurosurgeons, trainees and nurses) working at The Royal London Hospital. An important feature distinguishing Brainbook from other similar groups is the aim to ease tension in patient’s families explaining what happens in a neurosurgical theatre. Furthermore, Brainbook hopes to make neurosurgical education accessible to all: contents are indeed totally free and concerning different topics. In this regard it is directed at medical students, residents, nurses and other healthcare professionals, as well has patients and their families.

VISIT THE WEBSITE

Monday, 28 August 2017 13:14

Spinal Cord Tumors

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Spinal cord tumors present a significant treatment dilemma. This video summarizes clinical and surgical approaches to patients with intra- and extramedullary lesions.

Prof. Sciubba’s main area of interest is complex spine surgery, especially tumors and deformities. In his presentation he briefly explains the classification, differential diagnosis, management algorithm for intradural spinal cord tumors, as well as surgical outcomes, risks of postsurgical spinal deformities and need of instrumentation.

Metastases make up the most significant group of tumours in the central nervous system in terms of incidence. Surgical resection of these lesions is often complicated by significant blood loss. Although allogenic blood product replacement is most frequently used to address this, the application of intraoperative cell salvage (IOCS) has been researched. Although the authors conclude that there is insufficient evidence to establish resolutely if IOCS is generally safe in cancer surgery, they did establish that the technique does not significantly increase the risk of tumour dissemination (a major concern in the use of IOCS). Critically, no studies on the use of IOCS in cases of spinal metastasis were included. However, the findings of the authors still provides valid justification for further investigation.

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Currently neurosurgery capacity in low- and middle-income countries is far from adequate due to staffing shortages, limited resources and poor bed space. There are about 33,000 neurosurgeons around the world, but more 91,000 will be needed to manage the 14 million additional patients who need neurosurgical treatment every day. This paper describes an ongoing collaboration between the Mulago Hospital Department of Neurosurgery (Kampala, Uganda) and Duke University Medical Center (Durham, NC, USA) as a replicable model to meet the needs of developing and developed countries.

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Tuesday, 22 August 2017 17:02

WFNS XVI World Congress of Neurosurgery

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The World Federation of Neurosurgical Societies (WFNS) is a professional, scientific, non-governmental organization comprising  5 Continental Associations, 115 National Neurosurgical Societies, and represents some 30,000 neurosurgeons worldwide.

The World Federation of Neurosurgical Societies aspires to promote global improvement in neurosurgical care. The mission of the WFNS is to work together with member societies to improve worldwide neurosurgical care, training and research to benefit the patients.

The goals of the WFNS are deliberated and pursued through scientific, standing and ad-hoc committees and during the International Congress of Neurosurgery which takes place every four years.

The WFNS works to increase visibility and credibility of its activities among neurosurgeons, researchers, other health professionals, international professional organizations and the general public. This is accomplished through publications, surveys, campaigns, a website and cooperation with other medical and lay organization.

Resembling Istanbul’s harmonic blend of cultures, this year’s hosts aim to make “WFNS XVI. World Congress of Neurosurgery” a great opportunity to gather neurosurgeons from all around the world.

Explore the event

WHO statistics demonstrate that TBI (traumatic brain injury) incidence is higher in low-middle income nations than those with a high income. Furthermore, TBI treatment is in the hands of many specialists and the patient passes through different clinical evaluations threatening to break the “chain of care” that is crucial for successful management. In some hospitals there are major violations or omissions of different protocols. A way to improve the acute care of patients suffering from TBI is to develop new protocols and strengthen those that already exist. However,  the lack of resources is a problem that must be resolved to provide an environment encouraging more appropriate patient management.

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