Canceling involving postoperative rehab treatments regarding Complete leg arthroplasty any scoping evaluation

This motor deficit improved with corticotherapy. After nine months the patient went back to his home country and subsequently lost to follow-up. CONCLUSIONS Giant MPNSTs of the scalp are highly aggressive lesions that should primarily be treated in a surgical fashion. Although adjuvant radiotherapy has been used routinely for local tumor control there is uncertainty about its advantages. BACKGROUND Complications of ventriculoperitoneal (VP) shunts include migration into various anatomic compartments, and even extrusion through tissue layers. CASE REPORT A 31-year-old female patient with a VP shunt presented with distal shunt tubing extruding through the skin at the level of the inguinal ligament. Shunt hardware was removed, and cultures grew Dermacoccus. The patient was treated with broad-spectrum antibiotics and underwent placement of a lumboperitoneal shunt. CONCLUSIONS Dermacoccus is a gram-positive skin organism with very rare human pathogenicity and not previously known to cause shunt infections. BACKGROUND Surgical management of high-grade spondylolisthesis remains controversial. Both reduction and in-situ fusion are available options, but it remains unclear which approach provides better outcomes. OBJECTIVE To conduct a systematic review and meta-analysis on studies reporting outcomes following reduction or in-situ fusion for adult high-grade spondylolisthesis. METHODS PubMed, Embase, Web of Science, and Cochrane databases were last searched on 06/24/2019. A total of 1236 studies were identified after excluding duplicates. After screening, 15 studies were included in the meta-analysis. Random-effects models were used to pool the effect estimates. RESULTS A total of 188 patients were analyzed. Compared to reduction, in-situ fusion had a higher mean estimated blood loss (584 mL vs 451 mL) and a clinically higher incidence of neurological (48% vs 15%), pseudarthrosis (13% vs 8%) and infectious (20% vs 10%) complications; however, these differences were statistically non-significant. Reduction, on the other hand, was associated with a clinically higher incidence of overall complications (32% vs 25%), dural tears (22% vs 7%); provided better pain relief (mean difference [MD] = 5.24 vs 4.77) and a greater change in pelvic tilt (MD = 5.33 vs 2.60); yet, these differences were not statistically significant; however, patients who underwent reduction had a significantly greater decline in ODI scores (MD = 55.7 vs 11.5; p-interaction less then 0.01) and greater change in slip angle (MD = 25.0 vs 11.4; p-interaction = 0.01) CONCLUSION In the management of adult high-grade spondylolisthesis, both approaches appear to be safe and effective. However, reduction appeared to offer better disability relief and spinopelvic parameter correction than in-situ fusion. BACKGROUND Artificial Intelligence (AI) may favorably support surgeons but may result in concern among patients and their relatives. OBJECTIVE To evaluate attitudes of patients and their relatives towards the use of AI in neurosurgery. METHODS In this two-stage cross-sectional survey, a qualitative survey was administered to a focus group of former patients to investigate their perception of AI and its role in neurosurgery. Five themes were identified and used to generate a case-based quantitative survey administered to inpatients and their relatives over a two-week period. Presented AI platforms were rated appropriate and acceptable using 5-point Likert scales. Demographic data was collected. A Chi Square test was performed to determine whether demographics influenced participants' attitudes. RESULTS In the first stage, 20 participants responded. MSC2530818 Five themes were identified interpretation of imaging (4/20; 20%), operative planning (5/20; 25%), real-time alert of potential complications (10/20; 50%), partially autonomous surgery (6/20; 30%), fully autonomous surgery (3/20; 15%). In the second stage, 107 participants responded. The majority felt appropriate and acceptable to use AI for imaging interpretation (76.7%; 66.3%), operative planning (76.7%; 75.8%), real-time alert of potential complications (82.2%; 72.9%), and partially autonomous surgery (58%; 47.7%). Conversely, most did not feel that fully autonomous surgery was appropriate (27.1%) or acceptable (17.7%). Demographics did not have a significant influence on perception. CONCLUSIONS The majority of patients and their relatives believed that AI has a role in neurosurgery and found it acceptable. Notable exceptions remain fully autonomous systems, with most wanting the neurosurgeon ultimately to remain in control. BACKGROUND The Nigerian Academy of Neurological Surgeons in 2019 resolved to standardize the practice of Neurosurgery in Nigeria. It set up Committees to standardize the various aspects of neurosurgery viz. Neurotrauma, Paediatrics, Functional, Vascular, Skull Base, Brain Tumour and Spine. The Committee on Neurotrauma convened and resolved to study most of the available protocols and guidelines in use in different parts of the world. OBJECTIVE To formulate a standard protocol for the practice of neurotrauma care within the Nigerian locality. METHODS The Committee split its membership into three Sub-Committees to cover the various aspects of the Neurotrauma Guidelines viz. Neurotrauma Curriculum, Standard Neurotrauma Management Protocols and Neurotrauma Registry. Each Sub-Committee was to research on available models and formulate a draft for Nigerian Neurotrauma. RESULTS All the three sub-committees had their reports ready on schedule. Each concurred that neurotrauma is a major public health challenge in Nigeria. They produced three different drafts on the three thematic areas of the project. The sub-committees are 1. Sub-committee on Fellowship, Training and Research Curriculum. 2. Sub-committee on Standard Protocols and Management Guidelines. 3. Sub-committee of the Nigerian Neurotrauma Registry CONCLUSION The Committee concluded that a formal protocol for neurotrauma care is long overdue in Nigeria for the standardization of all aspects of neurotrauma. It then recommended the adoption of these guidelines by all institutions offering services in Nigeria using the management protocols, opening a registry and mounting researches on the various aspects of neurotrauma.