Andreas K. Demetriades
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View article: Optimising postoperative spine outcomes: an umbrella review of enhanced recovery after spinal surgery (ERASS) protocols
Optimising postoperative spine outcomes: an umbrella review of enhanced recovery after spinal surgery (ERASS) protocols Open
PROSPERO (CRD42024578786).
View article: Stability, neurology, infection, and morbidity (SNIM): The quest towards a unified framework for assessment and management of spinal infection:A narrative review and position paper of the EANS spondylodiscitis study group
Stability, neurology, infection, and morbidity (SNIM): The quest towards a unified framework for assessment and management of spinal infection:A narrative review and position paper of the EANS spondylodiscitis study group Open
View article: Organisational risks matter and should be discussed during consent: survey of 980 neurosurgery patients from the UK
Organisational risks matter and should be discussed during consent: survey of 980 neurosurgery patients from the UK Open
Introduction During consent, surgeons discuss surgical and anaesthetic risks with patients. We investigated whether patients also wish to be informed about hospital organisational risks. Methods We used a cross-sectional survey. A question…
View article: Radiographic Assessment of Successful Lumbar Spinal Fusion: A Systematic Review of Fusion Criteria in Randomized Trials
Radiographic Assessment of Successful Lumbar Spinal Fusion: A Systematic Review of Fusion Criteria in Randomized Trials Open
Study Type Systematic Scoping Review. Introduction Radiographic assessment is crucial for diagnosing symptomatic pseudarthrosis and evaluating spinal fusion outcomes, yet no consensus exists on defining successful lumbar fusion. This scopi…
View article: In Reply to the Letter to the Editor Regarding “BOOTStrap-SCI: Beyond One Option of Treatment for Spinal Trauma and Spinal Cord Injury: Consensus-Based Stratified Protocols for Intensive Care and Surgical Management”
In Reply to the Letter to the Editor Regarding “BOOTStrap-SCI: Beyond One Option of Treatment for Spinal Trauma and Spinal Cord Injury: Consensus-Based Stratified Protocols for Intensive Care and Surgical Management” Open
View article: Overcoming career barriers in global neurosurgery: insights from the WFNS young neurosurgeons survey
Overcoming career barriers in global neurosurgery: insights from the WFNS young neurosurgeons survey Open
The findings underscore persistent structural and institutional barriers confronting young neurosurgeons globally. Addressing these challenges through coordinated strategies including mentorship networks, funding reforms, international col…
View article: AO Spine Clinical Practice Recommendations for the Surgical Management of Degenerative Spondylolisthesis: When to Decompress Alone and When to Fuse
AO Spine Clinical Practice Recommendations for the Surgical Management of Degenerative Spondylolisthesis: When to Decompress Alone and When to Fuse Open
Study Design Literature review. Objective To provide a concise review of outcomes of decompression and fusion (D + F) vs decompression (D) alone for degenerative lumbar spondylolisthesis (DLS). Methods 6 articles were selected, including 3…
View article: BOOTStrap-SCI: Beyond One Option of Treatment for Spinal Trauma and Spinal Cord Injury: Consensus-Based Stratified Protocols for Intensive Care and Surgical Management
BOOTStrap-SCI: Beyond One Option of Treatment for Spinal Trauma and Spinal Cord Injury: Consensus-Based Stratified Protocols for Intensive Care and Surgical Management Open
The proposed protocols may bridge gaps in STx and SCI care in LMICs by providing adaptable frameworks for resource-limited contexts. The consensus-driven approach can foster protocolized care delivery in LMICs, emphasizing feasibility and …
View article: Decompression-Only for Lumbar Degenerative Spondylolisthesis - What are the Risk for Failure? - A Systematic Review
Decompression-Only for Lumbar Degenerative Spondylolisthesis - What are the Risk for Failure? - A Systematic Review Open
Study Design Systematic review. Objective The current literature suggests that decompression-only procedures may be an adequate treatment option for low-grade degenerative spondylolisthesis. It is necessary to understand the causes of the …
View article: A Low‐Cost Alternative Technique for Eye Protection During Prone Positioning in Spinal Surgery
A Low‐Cost Alternative Technique for Eye Protection During Prone Positioning in Spinal Surgery Open
Background Although rare, anaesthetising patinets in prone position for spinal surgery carries a risk of serious complications. Among these, postoperative visual loss (POVL) is of significant concern. Preventing POVL requires close collabo…
View article: Open Versus Minimally Invasive Spine Surgery in the Treatment of Single-Level Degenerative Lumbar Spondylolisthesis: An AO Spine Global Cross-Sectional Study
Open Versus Minimally Invasive Spine Surgery in the Treatment of Single-Level Degenerative Lumbar Spondylolisthesis: An AO Spine Global Cross-Sectional Study Open
Objective: This study aims to assess global trends in the use of open surgery versus minimally invasive surgery (MIS) for the treatment of single-level L4–5 degenerative lumbar spondylolisthesis (DLS).Methods: A cross-sectional online surv…
View article: A Comparative Analysis of Revision Rates in Surgical Treatments for Lumbar Isthmic Spondylolisthesis
A Comparative Analysis of Revision Rates in Surgical Treatments for Lumbar Isthmic Spondylolisthesis Open
Study Design Retrospective Cohort Study. Objective Isthmic spondylolisthesis is frequently encountered in spine surgical practice, though there is a significant variation in surgical management strategies. We sought to evaluate revision ra…
View article: Framework for Adoption of Enabling Technologies for Improved Outcomes in Spine Surgery
Framework for Adoption of Enabling Technologies for Improved Outcomes in Spine Surgery Open
Study Design Narrative Review. Objectives We aim to investigate the integration and impact of enabling technologies, such as augmented reality, virtual reality, mixed reality, navigation, robotics, and artificial intelligence within the do…
View article: Global Practices and Preferences in the Use of Osteobiologics for Anterior Cervical Discectomy and Fusion: A Cross-Sectional Study
Global Practices and Preferences in the Use of Osteobiologics for Anterior Cervical Discectomy and Fusion: A Cross-Sectional Study Open
Study Design Cross-sectional study. Objectives To assess global practices and preferences in the use of osteobiologics for anterior cervical discectomy and fusion (ACDF) and identify factors influencing the choice of specific osteobiologic…
View article: Beyond One Option of Treatment for Spinal Cord Injury- Stratified Protocols (BOOTStraP-SCI). Development of a Resource-Stratified Protocol for Traumatic Spinal Cord Injury Management
Beyond One Option of Treatment for Spinal Cord Injury- Stratified Protocols (BOOTStraP-SCI). Development of a Resource-Stratified Protocol for Traumatic Spinal Cord Injury Management Open
View article: Evaluation of the site score in primary pyogenic spinal infections: Correlation with clinical and radiological outcomes
Evaluation of the site score in primary pyogenic spinal infections: Correlation with clinical and radiological outcomes Open
View article: The first EANS vascular and skull base hands-on course in East Africa: Review from the global and humanitarian neurosurgical committee initiative
The first EANS vascular and skull base hands-on course in East Africa: Review from the global and humanitarian neurosurgical committee initiative Open
The first edition of the EANS Vascular and Skull base Hands-on Neurosurgery Course in East Africa successfully run in Dar es Salaam. Subsequent editions should focus on more targeted in-person lectures better adapted to LMICs.
View article: Traumatic central cord Syndrome: An integrated neurosurgical and neurocritical care perspective
Traumatic central cord Syndrome: An integrated neurosurgical and neurocritical care perspective Open
Traumatic Central Cord Syndrome (TCCS) presents complex challenges in the management of spinal cord injury. Characterized by disproportionate upper limb weakness, TCCS is the most common clinical spinal cord syndrome, typically affecting m…
View article: Evaluation of spinal deformity and its progression in pyogenic spondylodiscitis: A retrospective MRI study of 59 cases
Evaluation of spinal deformity and its progression in pyogenic spondylodiscitis: A retrospective MRI study of 59 cases Open
This study underscores the importance of closely monitoring patients with conservatively managed pyogenic spondylodiscitis for progressive spinal deformity, and suggests considering early surgical intervention in cases with a high risk of …
View article: Epidural steroid injections in lumbar disc herniation- Evidence synthesis from 72 randomised controlled trials (RCTs) and a total of 7701 patients
Epidural steroid injections in lumbar disc herniation- Evidence synthesis from 72 randomised controlled trials (RCTs) and a total of 7701 patients Open
ESI has superior results to other conservative treatment modalities for sciatica; However surgery seems to have more immediate effect and better long term outcome. Apart from different approaches, additional agents such as amitriptyline pr…
View article: Evaluation of the SITE Score in Primary Pyogenic Spinal Infections: Correlation with Clinical and Radiological Outcomes
Evaluation of the SITE Score in Primary Pyogenic Spinal Infections: Correlation with Clinical and Radiological Outcomes Open
View article: The impact of pathogen species on the extent of structural damage in pyogenic spinal infections
The impact of pathogen species on the extent of structural damage in pyogenic spinal infections Open
View article: Pediatric lumbar disc herniation: A systematic review of the state of management strategies and outcomes (2010–2024)
Pediatric lumbar disc herniation: A systematic review of the state of management strategies and outcomes (2010–2024) Open
Introduction: Pediatric lumbar disc herniation (LDH) presents unique challenges compared to adult cases due to anatomical and developmental differences in the spine. This systematic review aims to consolidate evidence on the management and…
View article: BOOTStrap-SCI: Beyond One option of treatment for spinal trauma and spinal cord injury: Consensus-based stratified protocols for pre-hospital care and emergency room (part I)
BOOTStrap-SCI: Beyond One option of treatment for spinal trauma and spinal cord injury: Consensus-based stratified protocols for pre-hospital care and emergency room (part I) Open
The proposed protocols are not intended as gold-standard guidelines but as adaptable frameworks to guide management of STx/SCI in contexts with different availability of resources. By addressing disparities in resource availability and cli…
View article: What is the role of non-surgical clinicians in the assessment and management of degenerative cervical myelopathy? – Insights from the RECODE-DCM peri-operative rehabilitation incubator
What is the role of non-surgical clinicians in the assessment and management of degenerative cervical myelopathy? – Insights from the RECODE-DCM peri-operative rehabilitation incubator Open
View article: Interpersonal and systemic factors in initiating, developing and maintaining collaborations between European neurosurgical departments and institutions in low-resources settings: A qualitative study
Interpersonal and systemic factors in initiating, developing and maintaining collaborations between European neurosurgical departments and institutions in low-resources settings: A qualitative study Open
View article: Physical therapies after surgery for lumbar disc herniation- evidence synthesis from 55 randomized controlled trials (RCTs) and a total of 4,311 patients
Physical therapies after surgery for lumbar disc herniation- evidence synthesis from 55 randomized controlled trials (RCTs) and a total of 4,311 patients Open
Physical therapy improves functional outcomes after lumbar disc surgery. Further studies should address its safety, and cost-effectiveness, and provide dissemination and applicability tools.
View article: Quality of life assessment in schwannomatosis – A systematic review
Quality of life assessment in schwannomatosis – A systematic review Open
This systematic review reveals substantial variability in QoL assessment for schwannomatosis, highlighting significant physical and psychological impacts in NF2-SWN and predominant bodily pain in non-NF2-SWN patients. We call for an intern…
View article: Treatment practices for geriatric type II odontoid fractures – A survey by the European Association of Neurosurgical Societies Spine Section
Treatment practices for geriatric type II odontoid fractures – A survey by the European Association of Neurosurgical Societies Spine Section Open
Our survey found both variability and consistency in treatment practices of geriatric type II odontoid fractures, reflecting the ongoing debate and lack of consensus in clinical decision-making.
View article: Factors influencing the adoption of innovation in spine surgery: An international survey of AO spine network
Factors influencing the adoption of innovation in spine surgery: An international survey of AO spine network Open
A complex interplay exists between risk-adoptive behaviour amongst surgeons and the factors influencing a change in their clinical practice. Although most surgeons were in the early adoptive phase in accepting the innovations into their cl…