Three-Dimensional Radiomics and Machine Learning for Predicting Postoperative Outcomes in Laminoplasty for Cervical Spondylotic Myelopathy: A Clinical-Radiomics Model

三维影像组学和机器学习用于预测脊髓型颈椎病椎板成形术术后结局：一种临床 - 影像组学模型

This study aims to explore a method based on three-dimensional cervical spinal cord reconstruction, radiomics feature extraction, and machine learning to build a postoperative prognosis prediction model for patients with cervical spondylotic myelopathy (CSM). It also evaluates the predictive performance of different cervical spinal cord segmentation strategies and machine learning algorithms. This study validates the feasibility and superiority of three-dimensional radiomics combined with machine learning in predicting postoperative prognosis for CSM. The combination of radiomics features based on the narrowest segment and clinical features can yield a highly accurate prognosis prediction model, providing new insights for clinical assessment and individualized treatment decisions. Future studies need to further validate the stability and generalizability of this model in multicenter, large-sample cohorts.

本研究旨在探索一种基于三维颈椎脊髓重建、影像组学特征提取和机器学习的方法，为脊髓型颈椎病（CSM）患者构建术后预后预测模型。同时评估不同颈椎脊髓分割策略和机器学习算法的预测性能。本研究验证了三维影像组学结合机器学习在预测CSM术后预后方面的可行性和优越性。基于最狭窄节段的影像组学特征与临床特征相结合可构建出高度准确的预后预测模型，为临床评估和个体化治疗决策提供了新的思路。未来的研究需要在多中心、大样本队列中进一步验证该模型的稳定性和泛化性。

REF: Zheng B, Zhu Z, Ma K, Liang Y, Liu H. Three-Dimensional Radiomics and Machine Learning for Predicting Postoperative Outcomes in Laminoplasty for Cervical Spondylotic Myelopathy: A Clinical-Radiomics Model. World Neurosurg. 2025;203:124464. doi:10.1016/j.wneu.2025.124464 PMID: 40946789

Biocompatible and Low-Cost Dura Mater Scaffold: Evaluation of Tilapia Skin Acellular Dermal Matrix in an Animal Model

生物相容性好且低成本的硬脑膜支架：罗非鱼皮脱细胞真皮基质在动物模型中的评估

Scaffolds for dura mater repair have been widely used in neurosurgery. Over the past decades, various materials have been employed for the synthesis of these scaffolds, with collagen-based materials showing particularly promising results. TS-ADM exhibited a self-limiting inflammatory response, biodegradability, and replacement by functional connective tissue. Human studies are necessary to validate this new biomaterial for clinical use.

硬脑膜修复支架已在神经外科广泛应用。在过去几十年里，多种材料被用于合成这些支架，其中基于胶原蛋白的材料显示出特别有前景的效果。TS - ADM呈现出自限性炎症反应、可生物降解性，并能被功能性结缔组织替代。需要开展人体研究来验证这种新型生物材料的临床应用价值。

REF: de Souza RB, da Silva RP, Lima Júnior EM, et al. Biocompatible and Low-Cost Dura Mater Scaffold: Evaluation of Tilapia Skin Acellular Dermal Matrix in an Animal Model. World Neurosurg. 2025;203:124461. doi:10.1016/j.wneu.2025.124461 PMID: 40939833

Thoracic Kyphosis Reduction as the Important Compensatory Mechanism in Low-Grade Spondylolisthesis: A Correlation Analysis of Spinopelvic Parameters

胸椎后凸减小作为低度腰椎滑脱的重要代偿机制：矢状面脊柱骨盆参数的相关性分析

When spondylolisthesis occurs, several compensatory mechanisms are induced not only within the spine itself but also in the pelvis. We investigated the process of spine shift from a decompensated state to compensated malalignment. This study aimed to evaluate the sagittal plane malalignment and explore the major compensatory mechanism for maintaining sagittal balance in low-grade spondylolisthesis. Greater PI may lead to the development and progression of spondylolisthesis. In patients with low-grade spondylolisthesis, decreased TK acts as an important compensatory way to maintain sagittal balance, relative to the normal population.

当发生脊椎滑脱时，不仅脊柱自身会启动多种代偿机制，骨盆也会出现代偿机制。我们研究了脊柱从失代偿状态转变为代偿性排列不齐的过程。本研究旨在评估矢状面排列不齐情况，并探索低度脊椎滑脱中维持矢状面平衡的主要代偿机制。较大的骨盆入射角（PI）可能会导致脊椎滑脱的发生和进展。与正常人群相比，在低度脊椎滑脱患者中，胸椎后凸角（TK）减小是维持矢状面平衡的重要代偿方式。

REF: Bai J, Liu S, Peng C, Zhao Y, Xu S. Thoracic Kyphosis Reduction as the Important Compensatory Mechanism in Low-Grade Spondylolisthesis: A Correlation Analysis of Spinopelvic Parameters. World Neurosurg. 2025;203:124484. doi:10.1016/j.wneu.2025.124484 PMID: 40962138

Comparison of Single Antiplatelet Therapy and Dual Antiplatelet Therapy in the Treatment of Intracranial Aneurysms with Surface-Modified Flow Diverters: A Systematic Review and Meta-Analysis

单抗血小板治疗与双联抗血小板治疗在表面修饰血流导向装置治疗颅内动脉瘤中的比较：一项系统评价和荟萃分析

Surface-modified flow diverters enable application of single antiplatelet therapy (SAPT) for intracranial aneurysms (IAs) treatment. This study systematically evaluated the feasibility of SAPT as an alternative to dual antiplatelet therapy (DAPT). SAPT shows comparable efficacy and safety to DAPT. Prasugrel monotherapy is a more preferable option compared with aspirin. SAPT may be a viable alternative, particularly for high-hemorrhage-risk patients.

表面改性血流导向装置使单药抗血小板治疗（SAPT）可用于颅内动脉瘤（IAs）的治疗。本研究系统评估了采用SAPT替代双联抗血小板治疗（DAPT）的可行性。SAPT与DAPT的疗效和安全性相当。与阿司匹林相比，普拉格雷单药治疗是更优选的方案。SAPT可能是一种可行的替代方案，尤其适用于高出血风险患者。

REF: Wang X, Liu H, Song Z, Su X, Li X, Ma Y. Comparison of Single Antiplatelet Therapy and Dual Antiplatelet Therapy in the Treatment of Intracranial Aneurysms with Surface-Modified Flow Diverters: A Systematic Review and Meta-Analysis. World Neurosurg. 2025;203:124454. doi:10.1016/j.wneu.2025.124454 PMID: 40946790

Innovative Approaches in Thoracic Surgery: Unilateral Biportal Endoscopy and 3D Printing in Managing Ligamentum Flavum Ossification

胸外科的创新方法：单侧双孔内镜技术与3D打印技术在处理黄韧带骨化症中的应用

The objective of this study was to assess the clinical efficacy of unilateral biportal endoscopy technology in conjunction with three-dimensional (3D) printing technology for treating thoracic spinal stenosis caused by thoracic ligamentum flavum ossification (TOLF). Unilateral biportal endoscopy technology combined with 3D printing technology offers advantages such as minimal invasiveness, rapid recovery, and definite efficacy in the treatment of TOLF. This approach can significantly mitigate complications such as neurological deterioration.

本研究旨在评估单侧双孔内镜技术联合三维（3D）打印技术治疗胸椎黄韧带骨化症（TOLF）所致胸椎管狭窄症的临床疗效。单侧双孔内镜技术联合3D打印技术在治疗TOLF方面具有微创、恢复快、疗效确切等优势。该方法可显著减少神经功能恶化等并发症。

REF: Zhang HQ, Fan XG, Wang LS, Wang JJ. Innovative Approaches in Thoracic Surgery: Unilateral Biportal Endoscopy and 3D Printing in Managing Ligamentum Flavum Ossification. World Neurosurg. 2025;203:124472. doi:10.1016/j.wneu.2025.124472 PMID: 40967316

Keyhole Interlaminar Dorsal Rhizotomy: Assessing the Feasibility, Efficacy, and Innocuity of the Technique in one Center

锁孔椎板间隙背根切断术：评估某中心该技术的可行性、有效性和安全性

The objective of this article was to study the feasibility, efficacy, and innocuity and explore the nature of the complications of the keyhole interlaminar dorsal rhizotomy (KIDr) technique in the pediatric neurosurgery department in Nancy between 2018 and 2023. The KIDr shows similar results to other previously described SDR techniques in terms of operating time, intraoperative, and postoperative complications, functional results, and when it comes to the assessment of the spasticity at one year. It could be considered as a real surgical alternative to perform an SDR.

本文旨在研究2018年至2023年期间，南锡儿科神经外科采用锁孔椎板间背根切断术（KIDr）的可行性、有效性和安全性，并探讨其并发症的特点。就手术时间、术中及术后并发症、功能恢复情况以及术后一年的痉挛评估结果而言，KIDr与之前描述的其他选择性脊神经后根切断术（SDR）技术效果相当。该技术可被视为实施SDR的一种切实可行的手术替代方案。

REF: Joud A, Bteich F, Dalmont F, Stella I, Klein O, Sindou M. Keyhole Interlaminar Dorsal Rhizotomy: Assessing the Feasibility, Efficacy, and Innocuity of the Technique in one Center. World Neurosurg. 2025;203:124477. doi:10.1016/j.wneu.2025.124477 PMID: 40967317

How to Choose the Measurement Methods for Cage Subsidence Following Anterior Cervical Discectomy and Fusion?

如何选择颈椎前路椎间盘切除融合术后椎间融合器沉降的测量方法？

The methods for measuring cage subsidence from radiographs after anterior cervical discectomy and fusion were not standardized and are typically categorized into 3 approaches. The reliability and clinical correlation of these methods have not been fully elucidated. This study aims to evaluate 3 methods based on radiographs for measuring cage subsidence following anterior cervical discectomy and fusion and identify the most reliable one. The ΔDH method and the ΔCMH/ΔMSH method are not interchangeable within a single study. We recommend the ΔMSH method for measuring subsidence due to its relatively better reliability and clinical correlation.

颈椎前路椎间盘切除融合术后在X光片上测量椎间融合器沉降的方法尚未标准化，通常可分为3种方式。这些方法的可靠性和临床相关性尚未完全阐明。本研究旨在评估3种基于X光片测量颈椎前路椎间盘切除融合术后椎间融合器沉降的方法，并确定最可靠的方法。在同一项研究中，ΔDH法和ΔCMH/ΔMSH法不可互换。由于ΔMSH法具有相对较好的可靠性和临床相关性，我们推荐使用该方法来测量沉降情况。

REF: Zhao C, Wang S, Zhang J, et al. How to Choose the Measurement Methods for Cage Subsidence Following Anterior Cervical Discectomy and Fusion?. World Neurosurg. 2025;203:124485. doi:10.1016/j.wneu.2025.124485 PMID: 40973019

Key Factors for Neuronavigation Use in Skull Lesion Surgery

颅骨病变手术中使用神经导航的关键因素

To identify the determining factors for the use of neuronavigation in the surgical treatment of skull lesions, with the goal of establishing a standardized framework for its application in clinical practice. The factors that influence the decision to use neuronavigation-assisted surgery for skull lesions include whether the lesion invades or is adjacent to major blood vessels, maximum diameter, palpability, skull layer, bone location, and gender. Based on the identified factors, we can develop standardized guidelines for neuronavigation-assisted surgery in patients with skull lesions.

确定在颅骨病变手术治疗中使用神经导航的决定因素，旨在为其在临床实践中的应用建立标准化框架。影响决定对颅骨病变采用神经导航辅助手术的因素包括病变是否侵犯或毗邻主要血管、最大直径、能否触及、颅骨层次、骨质位置以及性别。基于所确定的因素，我们可以为颅骨病变患者的神经导航辅助手术制定标准化指南。

REF: Guo H, Xie D, Yang S, Ma L. Key Factors for Neuronavigation Use in Skull Lesion Surgery. World Neurosurg. 2025;203:124426. doi:10.1016/j.wneu.2025.124426 PMID: 40882767

Age and Time as Predictors of Outcome in Patients Undergoing Decompressive Craniectomy for Traumatic Brain Injury

年龄和时间作为创伤性脑损伤患者行去骨瓣减压术预后的预测因素

Evidence to support the benefit of decompressive craniectomy (DC) in traumatic brain injury (TBI) is diverging. Moreover, in the context of an aging population, there is a notable lack of direct evidence supporting the efficacy of DC in older age groups. In this study, we evaluate the impact of age on outcome after DC for TBI in a single-center cohort. Additionally, we explore the effect of time from injury to DC on outcome. Older age and requiring DC earlier rather than later were associated with unfavorable outcomes after DC for TBI.

减压颅骨切除术（DC）对创伤性脑损伤（TBI）有益的证据存在分歧。此外，在人口老龄化的背景下，明显缺乏直接证据支持DC对老年人群的有效性。在这项研究中，我们评估了单中心队列中年龄对TBI患者行DC术后预后的影响。此外，我们还探讨了从受伤到进行DC的时间对预后的影响。年龄较大以及在受伤后较早而非较晚进行DC与TBI患者行DC术后不良预后相关。

REF: Netteland DF, Rønning PA, Brommeland T, et al. Age and Time as Predictors of Outcome in Patients Undergoing Decompressive Craniectomy for Traumatic Brain Injury. World Neurosurg. 2025;203:124471. doi:10.1016/j.wneu.2025.124471 PMID: 40946788