This site usescookies, tags, and tracking settings to store information that help give you the very best browsing experience. Dismiss this warning

Filter

Refine by Publication

Refine by Date
—

Refine by Access

  • Print
  • Save

Search Results

You are looking at1-3of3items for

  • Author or Editor: Luis Daniel Diaz-Aguilarx
  • Refine by Access: allx
Clear All Modify Search
Open access

Prone-lateral access to the lumbar spine: single-level corpectomy with approach discussion

劳伦·e·斯通,路易斯•丹尼尔Diaz-Aguilar大卫·Rafael Santiago-Dieppa, William R. Taylor, and Andrew D. Nguyen

The lateral lumbar interbody fusion has evolved as newly envisioned access corridors become feasible with technological advances. Prone lateral access has evolved as a single-access approach to combine the benefits of minimally invasive surgery with direct and indirect decompression of the neural elements with synergistic anterior and posterior column correction. In this video, the authors discuss the pearls, pitfalls, and adjuvant technologies they use in a high-volume prone lateral center via case demonstration of a prone lateral corpectomy.

The video can be found here:https://stream.cadmore.media/r10.3171/2022.3.FOCVID2216

InNeurosurgical Focus: Video Volume 7: Issue 1 (Jul 2022): Lateral Access Spine Surgery

Restricted access

Robot-assisted percutaneous pedicle screw placement accuracy compared with alternative guidance in lateral single-position surgery: a systematic review and meta-analysis

Neal A. Patel, Cathleen C. Kuo, Zach Pennington, Nolan J. Brown, Julian Gendreau, Rohin Singh, Shane Shahrestani, Candler Boyett, Luis Daniel Diaz-Aguilar, and Martin H. Pham

OBJECTIVE

While single-position surgery (SPS) eliminates the need for patient repositioning, the placement of screws in the unconventional lateral position poses unique challenges related to asymmetry relative to the surgical table. Use of robotic guidance or intraoperative navigation can help to overcome this. The aim of this study was to compare the relative accuracies offered by these various navigation modalities for pedicle screws placed in lateral SPS.

开云体育世界杯赔率

According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the PubMed/Medline, Embase, and Cochrane Library databases were queried for studies reporting pedicle screw placement accuracy using fluoroscopic, CT-navigated, O-arm, or robotic guidance in lateral SPS, and a systematic review and meta-analysis was performed. Included studies all compared evaluated screw placement accuracy in lateral SPS using a single navigation method. Quality assessment was performed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system; risk of bias was assessed using the Newcastle-Ottawa Scale and the Joanna Briggs Institute checklist. The primary outcome, rate of pedicle screw breach, was analyzed using random-effects meta-analysis.

RESULTS

11研究包括疼痛。病人就医时最多由548主诉ts who underwent the placement of instrumentation with 2488 screws. For the fluoroscopic, CT-navigated, O-arm, and robotic guidance cohorts, there were 3, 2, 3, and 3 studies, respectively. Breach rates by modality were as follows: fluoroscopic guidance (6.6%), CT navigation (4.7%), O-arm (3.9%), and robotic guidance (3.9%). Random-effects meta-analysis showed a significant difference between studies, with an overall breach rate of 4.9% (95% CI 3.1%–7.5%; p < 0.001); however, testing for subgroup differences failed to show a significant difference between guidance modalities (QM= 0.69, df = 3; p = 0.88). Heterogeneity between studies was significant (I2= 79.0%, τ2= 0.41,χ2= 47.65, df = 10; p < 0.001).

CONCLUSIONS

Robotic guidance of screws is noninferior to alternative guidance modalities in lateral SPS; however, additional prospective studies directly comparing different guidance types are merited.

InJournal of Neurosurgery: Spine Publish Before Print

Free access

Pregnancy and parental leave among neurosurgeons and neurosurgical trainees

Mihir Gupta, Allison Reichl, Luis Daniel Diaz-Aguilar, Pate J. Duddleston, Jamie S. Ullman, Karin M. Muraszko, Shelly D. Timmons, Isabelle M. Germano, Aviva Abosch, Jennifer A. Sweet, Susan C. Pannullo, Deborah L. Benzil, and Sharona Ben-Haim

OBJECTIVE

Despite recently heightened advocacy efforts relating to pregnancy and family leave policies in multiple surgical specialties, no studies to date have described female neurosurgeons’ experiences with childbearing. The AANS/CNS Section of Women in Neurosurgery created the Women and Pregnancy Task Force to ascertain female neurosurgeons’ experiences with and attitudes toward pregnancy and the role of family leave policies.

开云体育世界杯赔率

A voluntary online 28-question survey examined the pregnancy experiences of female neurosurgeons and perceived barriers to childbearing. The survey was developed and electronically distributed to all members of the American Association of Neurological Surgeons and Congress of Neurological Surgeons who self-identified as female in February 2016. Responses from female resident physicians, fellows, and current or retired practicing neurosurgeons were analyzed.

RESULTS

A total of 126 women (20.3%) responded to the survey; 57 participants (49%) already had children, and 39 (33%) planned to do so. Participants overwhelmingly had or planned to have children during the early practice and senior residency years. The most frequent obstacles experienced or anticipated included insufficient time to care for newborns (47% of women with children, 92% of women planning to have children), discrimination by coworkers (31% and 77%, respectively), and inadequate time for completion of board requirements (18% and 51%, respectively). There was substantial variability in family leave policies, and a minority of participants (35%) endorsed the presence of any formal policy at their institution. Respondents described myriad unique challenges associated with pregnancy and family leave.

CONCLUSIONS

Pregnancy and family leave pose significant challenges to the recruitment, retention, and advancement of women in neurosurgery. It is thus imperative to promote clear family leave policies for trainees and practitioners, address discrimination surrounding these topics, and encourage forethought and flexibility to tackle obstacles inherent in pregnancy and the early stages of child rearing.

InJournal of Neurosurgery Volume 134: Issue null (Apr 2021)

Baidu
map