Scholars@Duke
Brandon Wayne Smith

Brandon Wayne Smith

Adjunct Assistant Professor in the Department of Neurosurgery
Neurosurgery
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Selected Publications

Core outcomes in nerve surgery: development of a core outcome set for brachial plexus and upper extremity nerve injuries.

Journal Article J Neurosurg · August 1, 2024 OBJECTIVE: When considering traumatic brachial plexus and upper extremity nerve injuries, iatrogenic nerve injuries, and nontraumatic nerve injuries, brachial plexus and upper extremity nerve injuries are commonly encountered in clinical practice. Despite ... Full text Link to item Cite

Core outcomes in nerve surgery: development of a core outcome set for ulnar neuropathy at the elbow.

Journal Article J Neurosurg · February 1, 2024 OBJECTIVE: Ulnar neuropathy at the elbow (UNE) is common, affecting 1%-6% of the population. Despite this, there remains a lack of consensus regarding optimal treatment. This is primarily due to the difficulty one encounters when trying to assess the liter ... Full text Link to item Cite

Early referral to multidisciplinary specialty centers to optimize outcomes in children with neonatal brachial plexus palsy.

Journal Article Dev Med Child Neurol · January 2024 AIM: To demonstrate the trajectory of long-term recovery of upper-extremity movement and determine optimal timing of evaluation at multidisciplinary specialty centers in children with neonatal brachial plexus palsy (NBPP). METHOD: All children with conserv ... Full text Link to item Cite

Recovery of Shoulder, Elbow, and Forearm Movement After Nerve Reconstruction for Neonatal Brachial Plexus Palsy.

Journal Article Neurosurgery · January 1, 2024 BACKGROUND AND OBJECTIVES: There is a relative dearth of published data with respect to recovery of upper extremity movement after nerve reconstruction for neonatal brachial plexus palsy (NBPP). This study aimed to demonstrate long-term recovery of active ... Full text Link to item Cite

Impact of Timing of Primary Nerve Surgery on Shoulder, Forearm, and Elbow Recovery in Neonatal Brachial Plexus Palsy.

Journal Article Neurosurgery · December 18, 2023 BACKGROUND AND OBJECTIVES: Neonatal brachial plexus palsy (NBPP) almost universally affects movement at the shoulder, elbow, and forearm. Timing of nerve reconstruction surgery to optimize long-term outcomes remains unknown. This study aimed to determine i ... Full text Link to item Cite

What is new in intraneural perineurioma?

Journal Article Acta Neurochir (Wien) · November 2023 Since the initial description of intraneural (IN) perineurioma in 1964, advances in the understanding of the clinical presentation, diagnostic imaging, pathologic features, and genetic underpinnings have changed how this pathology is managed. IN perineurio ... Full text Link to item Cite

Defining postoperative C5 palsy and recovery: a systematic review.

Journal Article J Neurosurg Spine · April 1, 2023 OBJECTIVE: Postoperative C5 palsy (C5P) is a well-recognized and often-delayed complication of cervical spine surgery. Most patients recover within 6 months of onset, but the prognosis of severe cases is poor. The clinical significance and natural history ... Full text Link to item Cite

Acute Flaccid Myelitis: Review of Clinical Features, Diagnosis, and Management with Nerve Transfers.

Journal Article Plast Reconstr Surg · January 1, 2023 BACKGROUND: Acute flaccid myelitis (AFM) is a devastating neurologic condition in children, manifesting as acute limb weakness and/or paralysis. Despite increased awareness of AFM following initiation of U.S. surveillance in 2014, no treatment consensus ex ... Full text Link to item Cite

Supraclavicular approach for neonatal brachial plexus palsy.

Journal Article Neurosurg Focus Video · January 2023 Neonatal brachial plexus palsy describes injury to the brachial plexus in the perinatal period, resulting in motor and sensory deficits of the upper arm. Nerve reconstruction, including graft repair and nerve transfers, can be used to restore function in p ... Full text Link to item Cite

Regaining function via peripheral nerve surgery

Journal Article Neurosurgical Focus: Video · January 1, 2023 Full text Cite

Retroperitoneal dermoid cyst presenting with radiculopathy symptoms: a case report.

Journal Article J Surg Case Rep · December 2022 Dermoid cysts rarely present in the retroperitoneal space or during adulthood. In this case report, we describe the clinical presentation, operative and post-operative course of a 31-year old with a retroperitoneal dermoid cyst. The patient presented with ... Full text Open Access Link to item Cite

The spectrum of brachial plexopathy from perineural spread of breast cancer.

Journal Article J Neurosurg · November 1, 2022 OBJECTIVE: Perineural spread of breast cancer to the brachial plexus can lead to pain, sensory alterations, and upper-extremity weakness. Although rare, perineural spread is an often-misdiagnosed long-term complication following breast cancer diagnosis. Th ... Full text Link to item Cite

Optimal timing of referral for nerve transfer surgery for postoperative C5 palsy.

Journal Article J Neurosurg Spine · October 1, 2022 OBJECTIVE: Cervical nerve 5 palsy can occur following surgery for cervical spine pathology. The prognosis of C5 palsy is generally favorable, and most patients recover useful function. However, some patients do not recover useful strength. Nerve transfers ... Full text Link to item Cite

Quantifying long-term upper-limb activity using wearable motion sensors after nerve reconstruction for neonatal brachial plexus palsy.

Journal Article J Neurosurg Pediatr · June 1, 2022 OBJECTIVE: Standard, physician-elicited clinical assessment tools for the evaluation of function after nerve reconstruction for neonatal brachial plexus palsy (NBPP) do not accurately reflect real-world arm function. Wearable activity monitors allow for th ... Full text Link to item Cite

Research reporting in cubital tunnel syndrome studies: an analysis of the literature.

Journal Article Acta Neurochir (Wien) · May 2022 PURPOSE: There is a strong need for a set of consensus outcomes to be utilized for future studies on cubital tunnel syndrome. The goal was to assess the outcome measures utilized in the cubital tunnel syndrome literature as a way of measuring popularity/ac ... Full text Link to item Cite

Neurosurgery for the Neurologist: Peripheral Nerve Injury and Compression (What can be Fixed?).

Journal Article Neurol Clin · May 2022 This chapter will review the current management of patients with peripheral nerve injuries and nerve compression syndromes that result in favorable surgical outcomes when appropriately evaluated and referred in a timely fashion. Given the fact that neurolo ... Full text Link to item Cite

Superficial abdominal reflex in syringomyelia: Associations with Chiari I malformation.

Journal Article J Clin Neurosci · April 2022 An abnormal or absent superficial abdominal reflex (SAR) may be associated with an underlying spinal cord syrinx. The sensitivity of an abnormal or absent SAR and the relationship to Chiari malformation type I (CM-I) or syrinx morphology has not been studi ... Full text Link to item Cite

Machine learning approach to differentiation of peripheral schwannomas and neurofibromas: A multi-center study.

Journal Article Neuro Oncol · April 1, 2022 BACKGROUND: Non-invasive differentiation between schwannomas and neurofibromas is important for appropriate management, preoperative counseling, and surgical planning, but has proven difficult using conventional imaging. The objective of this study was to ... Full text Link to item Cite

Nonoperative and Operative Management of Sports-Related Peripheral Nerve Injury

Chapter · January 1, 2022 Injuries to the peripheral nervous system can occur during both recreational and competitive sports. The management of sports-related peripheral nerve injuries follows our understanding and treatment of other traumatic peripheral nerve injury. Nonoperative ... Full text Cite

Core outcomes in nerve surgery: development of a core outcome set for brachial plexus and upper extremity nerve injuries.

Journal Article J Neurosurg · August 1, 2024 OBJECTIVE: When considering traumatic brachial plexus and upper extremity nerve injuries, iatrogenic nerve injuries, and nontraumatic nerve injuries, brachial plexus and upper extremity nerve injuries are commonly encountered in clinical practice. Despite ... Full text Link to item Cite

Core outcomes in nerve surgery: development of a core outcome set for ulnar neuropathy at the elbow.

Journal Article J Neurosurg · February 1, 2024 OBJECTIVE: Ulnar neuropathy at the elbow (UNE) is common, affecting 1%-6% of the population. Despite this, there remains a lack of consensus regarding optimal treatment. This is primarily due to the difficulty one encounters when trying to assess the liter ... Full text Link to item Cite

Early referral to multidisciplinary specialty centers to optimize outcomes in children with neonatal brachial plexus palsy.

Journal Article Dev Med Child Neurol · January 2024 AIM: To demonstrate the trajectory of long-term recovery of upper-extremity movement and determine optimal timing of evaluation at multidisciplinary specialty centers in children with neonatal brachial plexus palsy (NBPP). METHOD: All children with conserv ... Full text Link to item Cite

Recovery of Shoulder, Elbow, and Forearm Movement After Nerve Reconstruction for Neonatal Brachial Plexus Palsy.

Journal Article Neurosurgery · January 1, 2024 BACKGROUND AND OBJECTIVES: There is a relative dearth of published data with respect to recovery of upper extremity movement after nerve reconstruction for neonatal brachial plexus palsy (NBPP). This study aimed to demonstrate long-term recovery of active ... Full text Link to item Cite

Impact of Timing of Primary Nerve Surgery on Shoulder, Forearm, and Elbow Recovery in Neonatal Brachial Plexus Palsy.

Journal Article Neurosurgery · December 18, 2023 BACKGROUND AND OBJECTIVES: Neonatal brachial plexus palsy (NBPP) almost universally affects movement at the shoulder, elbow, and forearm. Timing of nerve reconstruction surgery to optimize long-term outcomes remains unknown. This study aimed to determine i ... Full text Link to item Cite

What is new in intraneural perineurioma?

Journal Article Acta Neurochir (Wien) · November 2023 Since the initial description of intraneural (IN) perineurioma in 1964, advances in the understanding of the clinical presentation, diagnostic imaging, pathologic features, and genetic underpinnings have changed how this pathology is managed. IN perineurio ... Full text Link to item Cite

Defining postoperative C5 palsy and recovery: a systematic review.

Journal Article J Neurosurg Spine · April 1, 2023 OBJECTIVE: Postoperative C5 palsy (C5P) is a well-recognized and often-delayed complication of cervical spine surgery. Most patients recover within 6 months of onset, but the prognosis of severe cases is poor. The clinical significance and natural history ... Full text Link to item Cite

Acute Flaccid Myelitis: Review of Clinical Features, Diagnosis, and Management with Nerve Transfers.

Journal Article Plast Reconstr Surg · January 1, 2023 BACKGROUND: Acute flaccid myelitis (AFM) is a devastating neurologic condition in children, manifesting as acute limb weakness and/or paralysis. Despite increased awareness of AFM following initiation of U.S. surveillance in 2014, no treatment consensus ex ... Full text Link to item Cite

Supraclavicular approach for neonatal brachial plexus palsy.

Journal Article Neurosurg Focus Video · January 2023 Neonatal brachial plexus palsy describes injury to the brachial plexus in the perinatal period, resulting in motor and sensory deficits of the upper arm. Nerve reconstruction, including graft repair and nerve transfers, can be used to restore function in p ... Full text Link to item Cite

Regaining function via peripheral nerve surgery

Journal Article Neurosurgical Focus: Video · January 1, 2023 Full text Cite

Retroperitoneal dermoid cyst presenting with radiculopathy symptoms: a case report.

Journal Article J Surg Case Rep · December 2022 Dermoid cysts rarely present in the retroperitoneal space or during adulthood. In this case report, we describe the clinical presentation, operative and post-operative course of a 31-year old with a retroperitoneal dermoid cyst. The patient presented with ... Full text Open Access Link to item Cite

The spectrum of brachial plexopathy from perineural spread of breast cancer.

Journal Article J Neurosurg · November 1, 2022 OBJECTIVE: Perineural spread of breast cancer to the brachial plexus can lead to pain, sensory alterations, and upper-extremity weakness. Although rare, perineural spread is an often-misdiagnosed long-term complication following breast cancer diagnosis. Th ... Full text Link to item Cite

Optimal timing of referral for nerve transfer surgery for postoperative C5 palsy.

Journal Article J Neurosurg Spine · October 1, 2022 OBJECTIVE: Cervical nerve 5 palsy can occur following surgery for cervical spine pathology. The prognosis of C5 palsy is generally favorable, and most patients recover useful function. However, some patients do not recover useful strength. Nerve transfers ... Full text Link to item Cite

Quantifying long-term upper-limb activity using wearable motion sensors after nerve reconstruction for neonatal brachial plexus palsy.

Journal Article J Neurosurg Pediatr · June 1, 2022 OBJECTIVE: Standard, physician-elicited clinical assessment tools for the evaluation of function after nerve reconstruction for neonatal brachial plexus palsy (NBPP) do not accurately reflect real-world arm function. Wearable activity monitors allow for th ... Full text Link to item Cite

Research reporting in cubital tunnel syndrome studies: an analysis of the literature.

Journal Article Acta Neurochir (Wien) · May 2022 PURPOSE: There is a strong need for a set of consensus outcomes to be utilized for future studies on cubital tunnel syndrome. The goal was to assess the outcome measures utilized in the cubital tunnel syndrome literature as a way of measuring popularity/ac ... Full text Link to item Cite

Neurosurgery for the Neurologist: Peripheral Nerve Injury and Compression (What can be Fixed?).

Journal Article Neurol Clin · May 2022 This chapter will review the current management of patients with peripheral nerve injuries and nerve compression syndromes that result in favorable surgical outcomes when appropriately evaluated and referred in a timely fashion. Given the fact that neurolo ... Full text Link to item Cite

Superficial abdominal reflex in syringomyelia: Associations with Chiari I malformation.

Journal Article J Clin Neurosci · April 2022 An abnormal or absent superficial abdominal reflex (SAR) may be associated with an underlying spinal cord syrinx. The sensitivity of an abnormal or absent SAR and the relationship to Chiari malformation type I (CM-I) or syrinx morphology has not been studi ... Full text Link to item Cite

Machine learning approach to differentiation of peripheral schwannomas and neurofibromas: A multi-center study.

Journal Article Neuro Oncol · April 1, 2022 BACKGROUND: Non-invasive differentiation between schwannomas and neurofibromas is important for appropriate management, preoperative counseling, and surgical planning, but has proven difficult using conventional imaging. The objective of this study was to ... Full text Link to item Cite

Nonoperative and Operative Management of Sports-Related Peripheral Nerve Injury

Chapter · January 1, 2022 Injuries to the peripheral nervous system can occur during both recreational and competitive sports. The management of sports-related peripheral nerve injuries follows our understanding and treatment of other traumatic peripheral nerve injury. Nonoperative ... Full text Cite

Knowledge of neonatal brachial plexus palsy among medical professionals in North America.

Journal Article Childs Nerv Syst · December 2021 PURPOSE: Early referral of neonatal brachial plexus palsy (NBPP) patients to multidisciplinary clinics is critical for timely diagnosis, treatment, and improved functional outcomes. In Saudi Arabia, inadequate knowledge regarding NBPP is a reason for delay ... Full text Link to item Cite

Amyloid light-chain deposition in a schwannoma

Journal Article Interdisciplinary Neurosurgery: Advanced Techniques and Case Management · December 1, 2021 Systemic amyloid light-chain amyloidosis is a protein misfolding disorder characterized by extracellular deposition of amyloid fibrils derived from abnormal clonal immunoglobulin light chains in various organ systems. While amyloid light-chain amyloidosis ... Full text Cite

Pneumocephalus from brachial plexus avulsion: A case report

Journal Article Interdisciplinary Neurosurgery: Advanced Techniques and Case Management · December 1, 2021 Brachial plexus injury and pneumocephalus are both commonly encountered by neurosurgeons when consulted on victims of polytrauma. Historically there was no direct connection between these two conditions, however, the patient in this report demonstrates a p ... Full text Cite

Longitudinal scoliosis behavior in Chiari malformation with and without syringomyelia.

Journal Article J Neurosurg Pediatr · November 1, 2021 OBJECTIVE: The objective of this study was to understand the natural history of scoliosis in patients with Chiari malformation type I (CM-I) with and without syringomyelia. METHODS: A retrospective review of data was conducted. Patients with CM-I were iden ... Full text Link to item Cite

A significant association between C5 nerve sheath tumors and new postoperative weakness.

Journal Article J Neurosurg Spine · November 1, 2021 OBJECTIVE: The objective of this study was to determine if patients with nerve sheath tumors affecting the C5 spinal nerve are at greater risk for postoperative weakness than those with similar tumors affecting other spinal nerves contributing to the brach ... Full text Link to item Cite

Machine-Learning Approach to Differentiation of Benign and Malignant Peripheral Nerve Sheath Tumors: A Multicenter Study.

Journal Article Neurosurgery · August 16, 2021 BACKGROUND: Clinicoradiologic differentiation between benign and malignant peripheral nerve sheath tumors (PNSTs) has important management implications. OBJECTIVE: To develop and evaluate machine-learning approaches to differentiate benign from malignant P ... Full text Link to item Cite

Assessment of variability in motor grading and patient-reported outcome reporting: a multi-specialty, multi-national survey.

Journal Article Acta Neurochir (Wien) · July 2021 BACKGROUND: The goal of this survey-based study was to evaluate the current practice patterns of clinicians who assess patients with peripheral nerve pathologies and to assess variance in motor grading on the Medical Research Council (MRC) scale using exam ... Full text Link to item Cite

MRI evaluation of nerve root avulsion in neonatal brachial plexus palsy: understanding the presence of isolated dorsal/ventral rootlet disruption.

Journal Article J Neurosurg Pediatr · May 1, 2021 OBJECTIVE: The evaluation, treatment, and prognosis of neonatal brachial plexus palsy (NBPP) continues to have many areas of debate, including the use of ancillary testing. Given the continued improvement in imaging, it is important to revisit its utility. ... Full text Link to item Cite

Sporadic Malignant Perineurioma: A Rare Diagnosis Among Malignant Peripheral Nerve Sheath Tumors.

Journal Article World Neurosurg · May 2021 BACKGROUND: Malignant perineurioma is a rare subset of malignant peripheral nerve sheath tumors (MPNSTs) with ultrastructural and immunohistochemical features of perineurial differentiation, distinguishing it from other MPNSTs, which typically demonstrate ... Full text Link to item Cite

Spinal arthrodesis via lumbar interbody fusion without direct decompression as a treatment for recurrent radicular pain due to epidural fibrosis: patient series

Journal Article Journal of Neurosurgery: Case Lessons · May 1, 2021 BACKGROUND Lumbar radiculopathy is the most common indication for lumbar discectomy, but residual postoperative radicular symptoms are common. Postoperative lumbar radiculopathy secondary to scar formation is notoriously difficult to manage, with the mains ... Full text Cite

High-resolution MRI of a peroneal intraneural ganglion cyst arising from the knee joint: illustrative case

Journal Article Journal of Neurosurgery: Case Lessons · May 1, 2021 BACKGROUND The advancement of high-resolution imaging and increased clinical experience have led to an increased understanding of the formation and treatment of intraneural ganglion cysts. Nearly all intraneural ganglion cysts in the common peroneal nerve ... Full text Cite

Nerve graft versus nerve transfer for neonatal brachial plexus: shoulder outcomes.

Journal Article J Neurosurg Pediatr · January 1, 2021 OBJECTIVE: The decision-making in neonatal brachial plexus palsy (NBPP) treatment continues to have many areas in need of clarification. Graft repair was the gold standard until the introduction of nerve transfer strategies. Currently, there is conflicting ... Full text Link to item Cite

Associated Concomitant Injuries

Chapter · January 1, 2021 Infants that develop a neonatal brachial plexus palsy are subject to more than just a focal nerve injury. In this chapter we discuss injuries that both occur simultaneously with the NBPP and also develop along with the nerve injury over time. In order to a ... Full text Cite

Three-Dimensional Navigated Lateral Lumbar Interbody Fusion: 2-Dimensional Operative Video.

Journal Article Oper Neurosurg (Hagerstown) · December 15, 2020 Spondylolisthesis is a common cause of lower back and leg pain in adults. The initial treatment for patients is typically nonoperative in nature. However, when patients fail conservative management and their back and/or leg pain is recalcitrant, surgical i ... Full text Link to item Cite

Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video.

Journal Article Oper Neurosurg (Hagerstown) · September 15, 2020 Lateral recess stenosis is a common cause of lumbar radiculopathy in adults. A lumbar nerve root travels in the lateral recess prior to exiting the spinal canal via the neural foramen. In the lateral recess, the traversing nerve root is susceptible to comp ... Full text Link to item Cite

The impact of age on approach-related complications with navigated lateral lumbar interbody fusion.

Journal Article Neurosurg Focus · September 2020 OBJECTIVE: Age is known to be a risk factor for increased complications due to surgery. However, elderly patients can gain significant quality-of-life benefits from surgery. Lateral lumbar interbody fusion (LLIF) is a minimally invasive procedure that is c ... Full text Link to item Cite

The Presence and Persistence of Unrealistic Expectations in Patients Undergoing Nerve Surgery.

Journal Article Neurosurgery · June 1, 2020 BACKGROUND: Unrealistic expectations of the outcomes of peripheral nerve surgery reduce patient satisfaction. Most clinicians can recall patients with unrealistic expectations despite verbal preoperative education. OBJECTIVE: To assess patients' baseline l ... Full text Link to item Cite

CSF flow jet: novel CT myelogram finding of CSF leak through dural tear in traumatic pseudomeningocele.

Journal Article Clin Imaging · May 2020 Determining the exact location of dural violation after traumatic pre-ganglionic (avulsion) injury of the brachial plexus with associated progressively enlarging pseudomeningocele is critical for treatment, but current imaging by MR and CT myelogram remain ... Full text Link to item Cite

Technique for Open Posterior Cervical Foraminotomy: 2-Dimensional Operative Video.

Journal Article Oper Neurosurg (Hagerstown) · April 1, 2020 Foraminal stenosis is an important cause of cervical radiculopathy, which can be treated with an anterior or posterior approach, depending on a number of factors. These include the etiology of the foraminal stenosis, individual patient risk factors, and su ... Full text Link to item Cite

Smartphone Use and Interest in a Spine Surgery Recovery Mobile Application Among Patients in a US Academic Neurosurgery Practice.

Journal Article Oper Neurosurg (Hagerstown) · January 1, 2020 BACKGROUND: Mobile applications (apps) are serving an increasingly important role in healthcare for patients and providers alike. In addition to streamlining active communication of patient-reported outcomes regarding quality of life, pain, and opioid cons ... Full text Link to item Cite

Correlation between the Oswestry Disability Index and the 4-item short forms for physical function and pain interference from PROMIS.

Journal Article J Neurosurg Spine · November 1, 2019 OBJECTIVE: The Oswestry Disability Index (ODI) is one of the most commonly used patient-reported outcome instruments, but completion of this 10-question survey can be cumbersome. Tools from the Patient-Reported Outcomes Measurement Information System (PROM ... Full text Link to item Cite

Transthoracic Discectomy for Symptomatic Thoracic Disc Herniation: 2-Dimensional Operative Video.

Journal Article Oper Neurosurg (Hagerstown) · October 1, 2019 Thoracic disc herniations are an infrequent occurrence, but can be a cause of significant myelopathy. Diagnosis typically requires a high clinical suspicion that is confirmed with appropriate imaging. Classically, the transthoracic approach for discectomy ... Full text Link to item Cite

Repair of Thoracic Spinal Cord Herniation: 2-Dimensional Operative Video.

Journal Article Oper Neurosurg (Hagerstown) · October 1, 2019 Spinal cord herniation is an uncommon surgically treatable cause of thoracic myelopathy and progressive paraplegia. The thoracic spinal cord focally protrudes through a defect in the dura, resulting in progressive weakness, numbness, and spasticity affecti ... Full text Link to item Cite

Analysis of Outcomes Between Traditional Open versus Mini-Open Approach in Surgical Treatment of Spinal Metastasis.

Journal Article World Neurosurg · October 2019 OBJECTIVE: The treatment of spinal metastasis carries significant surgical morbidity, and decompression and stabilization are often necessary. Less invasive techniques may reduce risks and postoperative pain. This study describes the differences between a ... Full text Link to item Cite

Quantifying Real-World Upper-Limb Activity Via Patient-Initiated Movement After Nerve Reconstruction for Upper Brachial Plexus Injury.

Journal Article Neurosurgery · September 1, 2019 BACKGROUND: A critical concept in brachial plexus reconstruction is the accurate assessment of functional outcomes. The current standard for motor outcome assessment is clinician-elicited, outpatient clinic-based, serial evaluation of range of motion and m ... Full text Link to item Cite

Posterior Cervical Decompression and Instrumented Fusion for Cervical Spondylotic Myelopathy: 2-Dimensional Operative Video.

Journal Article Oper Neurosurg (Hagerstown) · July 1, 2019 Cervical spondylotic myelopathy is a common cause of progressive quadriparesis in adults. It is characterized by compression of the cervical spinal cord due to degenerative changes including intervertebral disc protrusion, ligamentum flavum hypertrophy, an ... Full text Link to item Cite

Comparison of Segmental Lordosis and Global Spinopelvic Alignment After Single-Level Lateral Lumbar Interbody Fusion or Transforaminal Lumbar Interbody Fusion.

Journal Article World Neurosurg · June 2019 BACKGROUND: Lateral lumbar interbody fusion (LLIF) has steadily increased in popularity. Compared with the traditional transforaminal lumbar interbody fusion (TLIF), LLIF is thought to allow for greater improvement in lordosis. However, there are limited d ... Full text Link to item Cite

An update on the management of adult traumatic nerve injuries-replacing old paradigms: A review.

Journal Article J Trauma Acute Care Surg · February 2019 Acute nerve injuries are routinely encountered in multisystem trauma patients. Advances in surgical treatment of nerve injuries now mean that good outcomes can be achieved. Despite this, old mantras associated with management of nerve injuries, including " ... Full text Link to item Cite

Imaging appearance following surgical decompression of the ulnar nerve.

Journal Article Br J Radiol · February 2019 Ulnar neuropathy at the elbow is the second most common entrapment neuropathy of the upper extremity. Yet, there is a paucity of literature focusing on the imaging appearance following surgical decompression of the ulnar nerve at the elbow. Diagnostic imag ... Full text Link to item Cite

Thoracolumbar Fusion in Extreme Obesity: Complications and Patient-Reported Outcomes.

Journal Article Int J Spine Surg · January 2019 BACKGROUND: Extreme obesity (class III) is defined by the Centers for Disease Control as a body mass index (BMI) value ≥40. Recent studies suggest that obese patients have poor outcomes after thoracolumbar spinal fusions. The objective of this study was to ... Full text Link to item Cite

Comparative accuracies of electrodiagnostic and imaging studies in neonatal brachial plexus palsy.

Journal Article J Neurosurg Pediatr · January 1, 2019 OBJECTIVEThe incorporation of ancillary testing in the preoperative setting for patients with neonatal brachial plexus palsy (NBPP) remains controversial, but the recommendation for early nerve reconstruction when a baby has a preganglionic lesion at the l ... Full text Link to item Cite

Predominance of Spinal Metastases Involving the Posterior Vertebral Body.

Journal Article World Neurosurg · November 2018 BACKGROUND: Spinal metastases pose significant morbidity. For many histologies, the spine is a frequent site for bone metastases. This predilection is not fully understood, and there are conflicting reports regarding the distribution within the vertebral b ... Full text Link to item Cite

Effect of fascicle composition on ulnar to musculocutaneous nerve transfer (Oberlin transfer) in neonatal brachial plexus palsy.

Journal Article J Neurosurg Pediatr · August 2018 OBJECTIVE Neonatal brachial plexus palsy (NBPP) continues to be a problematic occurrence impacting approximately 1.5 per 1000 live births in the United States, with 10%-40% of these infants experiencing permanent disability. These children lose elbow flexi ... Full text Link to item Cite

Analysis of Intraoperative Cone-Beam Computed Tomography Combined With Image Guidance for Lateral Lumbar Interbody Fusion.

Journal Article Oper Neurosurg (Hagerstown) · June 1, 2018 BACKGROUND: Minimally invasive lateral lumbar interbody fusion (LLIF) is traditionally performed with biplanar fluoroscopy. Recent literature demonstrates that intraoperative cone-beam computed tomography combined with spinal navigation can be safely utili ... Full text Link to item Cite

An Update on the Management of Neonatal Brachial Plexus Palsy-Replacing Old Paradigms: A Review.

Journal Article JAMA Pediatr · June 1, 2018 IMPORTANCE: Neonatal brachial plexus palsy (NBPP) can result in persistent deficits for those who develop it. Advances in surgical technique have resulted in the availability of safe, reliable options for treatment. Prevailing paradigms include, "all neona ... Full text Link to item Cite

Timing of nerve transfer for elbow flexion in neonatal brachial plexus palsy

Journal Article Neurology Psychiatry and Brain Research · June 1, 2018 Infants with neonatal brachial plexus palsies (NBPPs) of the upper trunk can suffer permanent loss of elbow flexion. To restore elbow flexion, nerve transfer from an ulnar nerve fascicle to the musculocutaneous nerve branch to biceps, also known as the Obe ... Full text Cite

Response

Journal Article Journal of Neurosurgery: Spine · January 1, 2018 Full text Cite

Radiosurgery for Treatment of Renal Cell Metastases to Spine: A Systematic Review of the Literature.

Journal Article World Neurosurg · January 2018 BACKGROUND: The incidence of renal cell carcinoma (RCC) continues to increase, and the spine is the most common site for bony metastasis. Radiation therapy is one treatment for spinal RCC metastasis. Stereotactic body radiotherapy (SBRT) is a newer treatme ... Full text Link to item Cite

The impact of blood pressure management after spinal cord injury: a systematic review of the literature.

Journal Article Neurosurg Focus · November 2017 OBJECTIVE Spinal cord injury (SCI) results in significant morbidity and mortality. Improving neurological recovery by reducing secondary injury is a major principle in the management of SCI. To minimize secondary injury, blood pressure (BP) augmentation ha ... Full text Link to item Cite

Minimally invasive guidewireless, navigated pedicle screw placement: a technical report and case series.

Journal Article Neurosurg Focus · August 2017 OBJECTIVE Percutaneous pedicle screw insertion (PPSI) is a mainstay of minimally invasive spinal surgery. Traditionally, PPSI is a fluoroscopy-guided, multistep process involving traversing the pedicle with a Jamshidi needle, placement of a Kirschner wire ... Full text Link to item Cite

Impact of Increased Football Field Width on Player High-Speed Collision Rate.

Journal Article World Neurosurg · July 2017 BACKGROUND: High-acceleration head impact is a known risk for mild traumatic brain injury (mTBI) based on studies using helmet accelerometry. In football, offensive and defensive players are at higher risk of mTBI due to increased speed of play. Other coll ... Full text Link to item Cite

Does clinical improvement of symptomatic degenerative lumbar disease impact obesity?

Journal Article J Neurosurg Spine · June 2017 OBJECTIVE Obesity and low-back pain associated with degenerative spondylosis or spondylolisthesis are common comorbid conditions. Many patients report that the pain and disability associated with degenerative lumbar disease are key factors in their inabili ... Full text Link to item Cite

Use of Intraoperative Navigation for Reconstruction of the C1 Lateral Mass After Resection of Aneurysmal Bone Cyst.

Journal Article World Neurosurg · June 2017 BACKGROUND: Aneurysmal bone cysts (ABCs) are rare blood-filled cystic lesions that are found in the long bones and spine. Here, we present a case of an ABC found in the lateral mass and lamina of C1. Lesions in this area provide a surgical challenge becaus ... Full text Link to item Cite

Current applications of robotics in spine surgery: a systematic review of the literature.

Journal Article Neurosurg Focus · May 2017 OBJECTIVE Surgical robotics has demonstrated utility across the spectrum of surgery. Robotics in spine surgery, however, remains in its infancy. Here, the authors systematically review the evidence behind robotic applications in spinal instrumentation. MET ... Full text Link to item Cite

Heparin-induced thrombocytopenia presenting as unilateral lower limb paralysis following lumbar spine surgery: case report.

Journal Article J Neurosurg Spine · May 2017 Heparin-induced thrombocytopenia (HIT) is a state of thrombocytopenia with a paradoxically elevated thrombotic potential after exposure to heparin. Severe cases can present with multiorgan involvement with direct and secondary effects. Although HIT has bee ... Full text Link to item Cite

Blunt prenatal trauma resulting in fetal epidural or subdural hematoma: case report and systematic review of the literature.

Journal Article J Neurosurg Pediatr · January 2017 Blunt prenatal trauma is known to have consequences to the developing brain, and can result in subdural hematoma (SDH) or epidural hematoma (EDH). The authors present a case of blunt prenatal trauma resulting in a fetal SDH, intraparenchymal hematoma, and ... Full text Link to item Cite

Variability in Standard Outcomes of Posterior Lumbar Fusion Determined by National Databases.

Journal Article World Neurosurg · January 2017 OBJECTIVE: National databases are used with increasing frequency in spine surgery literature to evaluate patient outcomes. The differences between individual databases in relationship to outcomes of lumbar fusion are not known. We evaluated the variability ... Full text Link to item Cite

Use of 3D CT-based navigation in minimally invasive lateral lumbar interbody fusion.

Journal Article J Neurosurg Spine · September 2016 OBJECTIVE Lateral lumbar interbody fusion (LLIF) is an increasingly popular technique used to treat degenerative lumbar disease. The technique of using an intraoperative cone-beam CT (iCBCT) and an image-guided navigation system (IGNS) for LLIF cage placem ... Full text Link to item Cite

Postoperative dysphagia correlates with increased morbidity, mortality, and costs in anterior cervical fusion.

Journal Article J Clin Neurosci · September 2016 Anterior cervical fusion (ACF) after discectomy and/or corpectomy is a common procedure with traditionally good patient outcomes. Though typically mild, postoperative dysphagia can result in significant patient morbidity. In this study, we examine the rela ... Full text Link to item Cite

Supratentorial hemispheric ependymomas: an analysis of 109 adults for survival and prognostic factors.

Journal Article J Neurosurg · August 2016 OBJECTIVE Survival rates and prognostic factors for supratentorial hemispheric ependymomas have not been determined. The authors therefore designed a retrospective study to determine progression-free survival (PFS), overall survival (OS), and prognostic fa ... Full text Link to item Cite

Seizure Correlates with Prolonged Hospital Stay, Increased Costs, and Increased Mortality in Nontraumatic Subdural Hematoma.

Journal Article World Neurosurg · August 2016 BACKGROUND: Nontraumatic subdural hematoma (NTSDH) is a common neurosurgical disease process, with mortality reported as high as 13%. Seizure has a known association with NTSDH, although patient outcomes have not previously been well studied in this popula ... Full text Link to item Cite

Comparison of complication rates of minimally invasive transforaminal lumbar interbody fusion and lateral lumbar interbody fusion: a systematic review of the literature.

Journal Article Neurosurg Focus · October 2015 OBJECT Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) and lateral lumbar interbody fusion (LLIF) are 2 currently popular techniques for lumbar arthrodesis. The authors compare the total risk of each procedure, along with other importan ... Full text Link to item Cite

Syrinx location and size according to etiology: identification of Chiari-associated syrinx.

Journal Article J Neurosurg Pediatr · July 2015 OBJECT Syrinx size and location within the spinal cord may differ based on etiology or associated conditions of the brain and spine. These differences have not been clearly defined. METHODS All patients with a syrinx were identified from 14,118 patients un ... Full text Link to item Cite

Impact of body mass index on cerebellar tonsil position in healthy subjects and patients with Chiari malformation.

Journal Article J Neurosurg · July 2015 OBJECT: It is unclear if there is a relationship between Chiari malformation Type I (CM-I) and body mass index (BMI). The aim of this study was to identify the relationship between BMI and cerebellar tonsil position in a random sample of people. METHODS: C ... Full text Link to item Cite

The association between Chiari malformation Type I, spinal syrinx, and scoliosis.

Journal Article J Neurosurg Pediatr · June 2015 OBJECT Chiari malformation Type I (CM-I) is often found in patients with scoliosis. Most previous reports of CM-I and scoliosis have focused on patients with CM-I and a spinal syrinx. The relationship between CM-I and scoliosis in the absence of a syrinx h ... Full text Link to item Cite

Distribution of cerebellar tonsil position: implications for understanding Chiari malformation.

Journal Article J Neurosurg · September 2013 OBJECT: Prior attempts to define normal cerebellar tonsil position have been limited by small numbers of patients precluding analysis of normal distribution by age group. The authors' objective in the present study was to analyze cerebellar tonsil location ... Full text Link to item Cite

Effect of amusement park rides on programmable shunt valve settings.

Journal Article Pediatr Neurosurg · 2013 BACKGROUND: Magnetically programmable shunt valves are susceptible to environmental factors including magnetic fields and accelerative forces. It is unknown if rollercoasters with or without magnetic brakes or linear induction motors (LIMs) are capable of ... Full text Link to item Cite