Stefan Aspalter
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View article: Early Prediction of Cerebral Vasospasm After Aneurysmal Subarachnoid Hemorrhage Using a Machine Learning Model and Interactive Web Application
Early Prediction of Cerebral Vasospasm After Aneurysmal Subarachnoid Hemorrhage Using a Machine Learning Model and Interactive Web Application Open
Background: Cerebral vasospasm is a frequent and severe complication after aneurysmal subarachnoid hemorrhage (aSAH), often causing delayed cerebral ischemia (DCI) and poor outcomes. Despite progress in neurocritical care, early vasospasm …
View article: Intrathecal Triamcinolone for Lumbar Degenerative Disease: A Single-Center Retrospective Cohort of 499 Patients
Intrathecal Triamcinolone for Lumbar Degenerative Disease: A Single-Center Retrospective Cohort of 499 Patients Open
Background/Objectives: While epidural and periradicular corticosteroid injections are well-established treatments for degenerative spinal conditions, intrathecal administration of glucocorticoids remains uncommon and under-researched. To o…
View article: Accuracy of Navigated High-Speed Drill-Assisted Cervical and Upper Thoracic Pedicle Screw Placement—A Single Center Experience with 1112 Pedicle Screws
Accuracy of Navigated High-Speed Drill-Assisted Cervical and Upper Thoracic Pedicle Screw Placement—A Single Center Experience with 1112 Pedicle Screws Open
Background/Objectives: While biomechanically superior, cervical pedicle screw placement is technically challenging, and therefore typically performed only in centers with the aid of navigation. The purpose of this study was to analyze the …
View article: Low-grade gliomas do not grow along white matter tracts: evidence from quantitative imaging
Low-grade gliomas do not grow along white matter tracts: evidence from quantitative imaging Open
Low-grade gliomas are infiltrative brain tumors that can lead to significant neurological deficits due to their invasive nature. The prevailing belief is that low-grade gliomas primarily disseminate along white matter tracts, but quantitat…
View article: ChatGPT’s Performance in Spinal Metastasis Cases—Can We Discuss Our Complex Cases with ChatGPT?
ChatGPT’s Performance in Spinal Metastasis Cases—Can We Discuss Our Complex Cases with ChatGPT? Open
Background: The integration of artificial intelligence (AI), particularly large language models (LLMs) like ChatGPT-4, is transforming healthcare. ChatGPT’s potential to assist in decision-making for complex cases, such as spinal metastasi…
View article: Microsurgical Clipping of Unruptured Middle Cerebral Artery Bifurcation Aneurysms: A Single-Center Experience
Microsurgical Clipping of Unruptured Middle Cerebral Artery Bifurcation Aneurysms: A Single-Center Experience Open
Background/Objectives: Microsurgical clipping has traditionally been considered a standard treatment for middle cerebral artery (MCA) aneurysms. Recently, a caseload reduction related to improved endovascular treatment options has occurred…
View article: Machine Learning–Based Prediction of Chronic Shunt-Dependent Hydrocephalus After Spontaneous Subarachnoid Hemorrhage
Machine Learning–Based Prediction of Chronic Shunt-Dependent Hydrocephalus After Spontaneous Subarachnoid Hemorrhage Open
ML models, including logistic regression, demonstrate strong predictive capability for early chronic shunt-dependent hydrocephalus following spontaneous SAH, which may potentially contribute to more timely shunt placement interventions. Th…
View article: Bridging the Global Technology Gap in Neurosurgery: Disparities in Access to Advanced Tools for Brain Tumor Resection
Bridging the Global Technology Gap in Neurosurgery: Disparities in Access to Advanced Tools for Brain Tumor Resection Open
BACKGROUND AND OBJECTIVES: The advent of advanced technologies has brought unprecedented precision and efficacy to neurosurgical procedures for brain tumor resection. Despite the remarkable progress, disparities in technology access across…
View article: From molecular signatures to radiomics: tailoring neurooncological strategies through forecasting of glioma growth
From molecular signatures to radiomics: tailoring neurooncological strategies through forecasting of glioma growth Open
OBJECTIVE Contemporary oncological paradigms for adjuvant treatment of low- and intermediate-grade gliomas are often guided by a limited array of parameters, overlooking the dynamic nature of the disease. The authors’ aim was to develop a …
View article: Machine learning based outcome prediction of microsurgically treated unruptured intracranial aneurysms
Machine learning based outcome prediction of microsurgically treated unruptured intracranial aneurysms Open
Machine learning (ML) has revolutionized data processing in recent years. This study presents the results of the first prediction models based on a long-term monocentric data registry of patients with microsurgically treated unruptured int…
View article: Reduction of spondylolisthesis and restoration of lumbar lordosis after anterior lumbar interbody fusion (ALIF)
Reduction of spondylolisthesis and restoration of lumbar lordosis after anterior lumbar interbody fusion (ALIF) Open
View article: TLIF Online Videos for Patient Education—Evaluation of Comprehensiveness, Quality, and Reliability
TLIF Online Videos for Patient Education—Evaluation of Comprehensiveness, Quality, and Reliability Open
Over the last few decades, the number of lumbar interbody fusion surgeries performed has been constantly increasing, with transforaminal lumbar interbody fusion (TLIF) being one of the most common surgical techniques. Due to easy accessibi…
View article: Reduction of spondylolisthesis and restoration of lumbar lordosis after anterior lumbar interbody fusion (ALIF)
Reduction of spondylolisthesis and restoration of lumbar lordosis after anterior lumbar interbody fusion (ALIF) Open
Background Anterior lumbar interbody fusion (ALIF) is a well-established surgical treatment option for various diseases of the lumbar spine, including spondylolisthesis. This study aimed to evaluate the postoperative correction of spondylo…
View article: Nonsteroidal anti-inflammatory drugs (NSAID) do not increase blood loss or the incidence of postoperative epidural hematomas when using minimally invasive fusion techniques in the degenerative lumbar spine
Nonsteroidal anti-inflammatory drugs (NSAID) do not increase blood loss or the incidence of postoperative epidural hematomas when using minimally invasive fusion techniques in the degenerative lumbar spine Open
Objective Nonsteroidal anti-inflammatory drugs (NSAID) are essential in surgeons' armamentarium for pain relief and antiphlogistic effects. However, spine surgeons are concerned about the drugs' impact on coagulation, fearing hemodynamic i…
View article: Frequency and characteristics of bacterial and viral low-grade infections of the intervertebral discs: a prospective, observational study
Frequency and characteristics of bacterial and viral low-grade infections of the intervertebral discs: a prospective, observational study Open
View article: Accidental Dural Tears in Minimally Invasive Spinal Surgery for Degenerative Lumbar Spine Disease
Accidental Dural Tears in Minimally Invasive Spinal Surgery for Degenerative Lumbar Spine Disease Open
Background: One of the most frequent complications of spinal surgery is accidental dural tears (ADTs). Minimal access surgical techniques (MAST) have been described as a promising approach to minimizing such complications. ADTs have been s…
View article: Regarding “Radiation Exposure in Posterior Lumbar Fusion: A Comparison of CT Image-Guided Navigation, Robotic Assistance, and Intraoperative Fluoroscopy” by Wang et al
Regarding “Radiation Exposure in Posterior Lumbar Fusion: A Comparison of CT Image-Guided Navigation, Robotic Assistance, and Intraoperative Fluoroscopy” by Wang et al Open