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"Predictors"

Original Articles

Spine and Spinal Cord Tumors DSPN-Neurospine Special Issue

Functional Outcome After Spinal Meningioma Surgery. A Nationwide Population-Based Study
Charles Champeaux-Depond, Nicolas Penet, Joconde Weller, Jean-Charles Le Huec, Vincent Jecko
Neurospine 2022;19(1):96-107.   Published online March 31, 2022
DOI: https://doi.org/10.14245/ns.2143186.593

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Functional Outcome After Spinal Meningioma Surgery. A Nationwide Population-Based Study
Neurospine. 2022;19(1):96-107.   Published online March 31, 2022
DOI: https://doi.org/10.14245/ns.2143186.593
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Functional Outcome After Spinal Meningioma Surgery. A Nationwide Population-Based Study
Neurospine. 2022;19(1):96-107.   Published online March 31, 2022
DOI: https://doi.org/10.14245/ns.2143186.593
Close
Objective
To describe and analysed the functional outcome (FO) after spinal meningioma (SM) surgery.
Methods
We processed the système national des données de santé (SNDS) i.e. , the French national administrative medical database to retrieve appropriate cases. We analysed the International Classification of Diseases 10 codes to assess the FO. Logistic models were implemented to search for variables associated with a favourable FO i.e. , a patient being independent at home without disabling symptom.
Results
A total of 2,844 patients were identified of which 79.1% were female. Median age at surgery was 66 years, interquartile range (IQR) (56–75). Ninety-five point nine percent of the SMs were removed through a posterior ± lateral approach and 0.7% need an associated stabilisation. Benign meningioma represented 92.9% and malignant 2.1%. Median follow-up was 5.5 years, IQR (2.1–8), and at data collection 9% had died. The FO was good and increased along the follow-up: 84.3% of the patients were alive and had not associated symptoms at one year, 85.9% at 2 and 86.8% at 3 years. Nonetheless, 3 years after the surgery 9.8% of the alive patients still presented at least one disabling symptom of which 2.7% motor deficit, 3.3% bladder control problem, and 2.5% gait disturbance. One point seven percent were care-provider dependent and 2.1% chair or bedfast. In the multivariable logistic regression an older age at surgery (odds ratio [OR], 0.37; 95% confidence interval [CI], 0.29–0.47, p < 0.001), a high level of comorbidities (OR, 0.71; 95% CI, 0.66–0.75, p < 0.001), and an aggressive tumor (OR, 0.49; 95% CI, 0.33–0.73; p < 0.001) were associated with a worse FO.
Conclusion
FO after meningioma surgery is favourable but, may be impaired for older patients with a high level of comorbidities and aggressive tumor.

Citations

Citations to this article as recorded by  Crossref logo
  • Giant Thoracic Meningioma: Missed Diagnosis and Challenging Management in a Resource-Limited Setting
    Gerald Musa, Aaron Munkondya, Lukulula E Mwanza, Sandford Sumaili, Mwaba Nambela, Davies Chiwaya, Chifundo Daka, Kabongo Ngoy, Keith Simfukwe, Misa Funjika, Carlos Castillo-Rangel, Gervith Reyes Soto, Manuel De Jesus Encarnacion Ramirez, Nicola Montemurro
    Cureus.2026;[Epub]     CrossRef
  • Clinical Characteristics and Surgical Outcomes of Intradural Spinal Tumor Resections: A Retrospective Single-Center Study
    Anastasija Krzemińska, Sara Chmielewska, Marta Koźba-Gosztyła, Bogdan Czapiga
    Journal of Clinical Medicine.2026; 15(10): 3669.     CrossRef
  • Overall survival after carmustine wafers implantation for newly-diagnosed high grade glioma. A nationwide population-based controlled propensity score-matched analysis
    Charles Champeaux Depond, Vincent Jecko, Joconde Weller, Philippe Tuppin, Philippe Metellus
    Clinical Neurology and Neurosurgery.2025; 257: 109081.     CrossRef
  • Accuracy of intraoperative neurophysiological monitoring in predicting postoperative neurological decline in intradural extramedullary spinal tumor surgery: a systematic review and meta-analysis
    Lukasz Antkowiak, Marta Antkowiak, Anna Kasperczuk, Wojciech Kaspera, Marek Mandera
    Neurosurgical Review.2025;[Epub]     CrossRef
  • Predictors of functional outcomes following spinal meningioma surgery. A single-center retrospective experience of 59 cases
    Meissa Hamza, Angela Elia, Luca Paun, Benoit Hudelist, Xavier Schumacher, Marco Demasi, Catherine Oppenheim, Fabrice Chretien, Marc Zanello, Alexandre Roux, Johan Pallud
    Neurochirurgie.2024; 70(5): 101577.     CrossRef
  • Descriptive epidemiology of 399 histologically confirmed newly diagnosed meningeal solitary fibrous tumours and haemangiopericytomas in France: 2006–2015
    Charles Champeaux Depond, Sonia Zouaoui, Amélie Darlix, Valérie Rigau, Hélène Mathieu-Daudé, Fabienne Bauchet, Mohamed Khettab, Brigitte Trétarre, Dominique Figarella-Branger, Luc Taillandier, Julien Boetto, Johan Pallud, Mathieu Peyre, Marine Lottin, Luc
    Acta Neurochirurgica.2024;[Epub]     CrossRef
  • Survival After Newly-Diagnosed High-Grade Glioma Surgery: What Can We Learn From the French National Healthcare Database?
    Charles Champeaux Depond, Luc Bauchet, Dahmane Elhairech, Philippe Tuppin, Vincent Jecko, Joconde Weller, Philippe Metellus
    Brain Tumor Research and Treatment.2024; 12(3): 162.     CrossRef
  • Surgical Treatment of Spinal Meningiomas in the Elderly (≥75 Years): Which Factors Affect the Neurological Outcome? An International Multicentric Study of 72 Cases
    Gabriele Capo, Alessandro Moiraghi, Valentina Baro, Nadim Tahhan, Alberto Delaidelli, Andrea Saladino, Luca Paun, Francesco DiMeco, Luca Denaro, Torstein Ragnar Meling, Enrico Tessitore, Cédric Yves Barrey
    Cancers.2022; 14(19): 4790.     CrossRef
  • Spinal Meningioma Surgery in Octogenarians: Functional Outcomes and Complications over a 2-Year Follow-Up Period
    Pavlina Lenga, Gelo Gülec, Awais Akbar Bajwa, Mohammed Issa, Karl Kiening, Basem Ishak, Andreas W. Unterberg
    Medicina.2022; 58(10): 1481.     CrossRef
  • Current Knowledge on Spinal Meningiomas Epidemiology, Tumor Characteristics and Non-Surgical Treatment Options: A Systematic Review and Pooled Analysis (Part 1)
    Victor Gabriel El-Hajj, Jenny Pettersson-Segerlind, Alexander Fletcher-Sandersjöö, Erik Edström, Adrian Elmi-Terander
    Cancers.2022; 14(24): 6251.     CrossRef
  • 11,048 View
  • 191 Download
  • 13 Web of Science
  • 10 Crossref
Type I Chiari Malformation Without Concomitant Bony Instability: Assessment of Different Surgical Procedures and Outcomes in 73 Patients
Kamlesh Rangari, Kuntal Kanti Das, Suyash Singh, Krishna G. Kumar, Kamlesh Singh Bhaisora, Jayesh Sardhara, Anant Mehrotra, Arun Kumar Srivastava, Awadhesh Kumar Jaiswal, Sanjay Behari
Neurospine 2021;18(1):126-138.   Published online March 31, 2021
DOI: https://doi.org/10.14245/ns.2040438.219

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Type I Chiari Malformation Without Concomitant Bony Instability: Assessment of Different Surgical Procedures and Outcomes in 73 Patients
Neurospine. 2021;18(1):126-138.   Published online March 31, 2021
DOI: https://doi.org/10.14245/ns.2040438.219
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Type I Chiari Malformation Without Concomitant Bony Instability: Assessment of Different Surgical Procedures and Outcomes in 73 Patients
Neurospine. 2021;18(1):126-138.   Published online March 31, 2021
DOI: https://doi.org/10.14245/ns.2040438.219
Close
Objective
Posterior fossa decompression is the treatment of choice in type 1 Chiari malformation (CM-1) without bony instability. Although surgical fixation has been recommended by a few authors recently, comparative studies to evaluate these treatment strategies using objective outcome tools are lacking.
Methods
Seventy-three patients with pure CM-1 (posterior fossa bony decompression [PFBD], n = 21; posterior fossa bony and dural decompression [PFBDD], n = 40; and posterior fixation [PF], n = 12) underwent a postoperative outcome assessment using Chicago Chiari Outcome Score (CCOS). Logistic regression analysis detected predictors of an unfavorable outcome.
Results
Minimally symptomatic patients generally underwent a PFBD while most of the clinically severe patients underwent a PFBDD (p = 0.049). The mean CCOS score at discharge was highest in the PF (12.0 ± 1.41) and lowest in PFBDD group (10.98 ± 1.73, p = 0.087). Patients with minimal preoperative clinical disease severity (adjusted odds ratio [AOR], 4.58; 95% confidence interval [CI], 1.29–16.31) and PFBDD (AOR, 7.56; 95% CI, 1.70–33.68) represented risks for an unfavorable short-term postoperative outcome. Though long-term outcomes (CCOS) did not differ among the 3 groups (p = 0.615), PFBD group showed the best long-term improvements (mean follow-up CCOS, 13.71 ± 0.95), PFBDD group improved to a comparable degree despite a poorer short-term outcome while PF had the lowest scores. Late deteriorations (n = 3, 4.1%) occurred in the PFBDD group.
Conclusion
Minimally symptomatic patients and PFBDD predict a poor short-term postoperative outcome. PFBD appears to be a durable procedure while PFBDD group is marred by complications and late deteriorations. PF does not provide any better results than posterior fossa decompression alone in the long run.

Citations

Citations to this article as recorded by  Crossref logo
  • C1-C2 Fixation for Chiari with Syringomyelia Associated with Atlantoaxial Instability, Atlantooccipital Assimilation and an Anomalous Vertebral Artery Course
    Chirag Jain, Nupur Pruthi
    World Neurosurgery.2024; 191: 37.     CrossRef
  • Low versus High Intracranial Compliance in Adult Patients with Chiari Malformation Type 1–Comparison of Long-Term Outcome After Tailored Treatment
    Radek Frič, Geir Ringstad, Per Kristian Eide
    World Neurosurgery.2023; 173: e699.     CrossRef
  • Chiari Syndrome: Advances in Epidemiology and Pathogenesis: A Systematic Review
    Raquel Rodríguez-Blanque, Cristina Almazán-Soto, Beatriz Piqueras-Sola, Juan Carlos Sánchez-García, Andrés Reinoso-Cobo, María José Menor-Rodríguez, Jonathan Cortés-Martín
    Journal of Clinical Medicine.2023; 12(20): 6694.     CrossRef
  • Individualized Functional Decompression Options for Adult Chiari Malformation With Syringomyelia and A Novel Scale for Syringomyelia Resolution: A Single-Center Experience
    Shiyuan Han, Bo Hou, Zhimin Li, Feng Feng, Yongning Li, Jun Gao
    Neurospine.2023; 20(4): 1501.     CrossRef
  • Letter to the Editor. Outcome prediction and assessment after surgery in CM-I: there is more to it than meets the eye
    Kuntal Kanti Das, Jaskaran Singh Gosal, Deepak Khatri, Arun K. Srivastava
    Journal of Neurosurgery.2022; 136(3): 934.     CrossRef
  • Commentary on “Frailty Status Is a More Robust Predictor Than Age of Spinal Tumor Surgery Outcomes: A NSQIP Analysis of 4,662 Patients”
    Moon-Jun Sohn
    Neurospine.2022; 19(1): 63.     CrossRef
  • Relationship Between Syrinx Resolution and Cervical Sagittal Realignment Following Decompression Surgery for Chiari I Malformation Related Syringomyelia Based on Configuration Phenotypes
    Chunli Lu, Longbing Ma, Jian Guan, Zhenlei Liu, Kai Wang, Wanru Duan, Zan Chen, Hao Wu, Fengzeng Jian
    Neurospine.2022; 19(4): 1057.     CrossRef
  • Role of Atlas Assimilation in the Context of Craniocervical Junction Anomalies
    Andrei Fernandes Joaquim, Alécio Cristino Evangelista Santos Barcelos, Jefferson Walter Daniel
    World Neurosurgery.2021; 151: 201.     CrossRef
  • 9,607 View
  • 139 Download
  • 8 Web of Science
  • 8 Crossref

Clinical Article

Neurological Outcome after Surgical Treatment of Intramedullary Spinal Cord Tumors
Sang-Min Lee, Yong-Eun Cho, Young-Min Kwon
Korean J Spine 2014;11(3):121-126.   Published online September 30, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.3.121

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Neurological Outcome after Surgical Treatment of Intramedullary Spinal Cord Tumors
Korean J Spine. 2014;11(3):121-126.   Published online September 30, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.3.121
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Neurological Outcome after Surgical Treatment of Intramedullary Spinal Cord Tumors
Korean J Spine. 2014;11(3):121-126.   Published online September 30, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.3.121
Close
Objective

Recently, surgical outcomes of patients with intramedullary spinal cord tumors (IMSCT) have been improved due to advances of medicine. The purposes of our study were to evaluate the recent neurological outcomes after surgical treatment of IMSCTs.

Methods

We retrospectively reviewed 69 patients who underwent surgical treatment for IMSCT in our hospital between 1998 and 2013. Patient's age, sex, histological origin and grade, tumor location, tumor extension, preoperative neurological state, initial presenting symptom, and extend of tumor resection were analyzed to evaluate predictive factors that affect postoperative functional outcome.

Results

The neurological states at last follow-up were improved in 16 patients (23.2%), unchanged in 47 (68.1%), aggravated in 6 (8.7%). In all patients, the functional outcomes were good in 52 patients (75.4%), fair in 10 (14.5%), poor in 7 (10.1%). Preoperative good neurological state was the strongest positive predictor of good functional outcome (p<0.05). In tumor location, functional outcomes of thoracic tumors were poor than those in cervical and conus medullaris region (p=0.011). High-grade tumor shows poor outcome compare to low-grade tumor (p=0.03).

Conclusion

The most reliable predicting factor of surgical outcome was the preoperative neurological state. In addition, IMSCTs in thoracic region and high-grade tumor showed relatively bad outcome and had a risk of postoperative morbidity.

Citations

Citations to this article as recorded by  Crossref logo
  • Clinical and Magnetic Resonance Features of Spinal Myxopapillary Ependymoma
    Yi-Chun Chen, Ping-Hong Lai, Herng-Sheng Lee, Chia-Hung Wu, Hsin-Wei Wu, Te-Ming Lin, Chung-Han Yang, Feng-Chi Chang
    Neurosurgery Practice.2026;[Epub]     CrossRef
  • Evaluation of Clinical Outcomes of Laminectomy Versus Laminoplasty in Patients With Intradural Spinal Tumors: A Retrospective Observational Study
    Bharatkumar R Dave, Mikeson Panthackel, Amritesh Singh, Ajay Krishnan, Shivanand C Mayi, Ravi Ranjan Rai, Mirant B Dave, Arjit Vashishtha, Yogenkumar Adodariya, Saurabh S Kulkarni, Mukesh Patel
    Cureus.2026;[Epub]     CrossRef
  • Complete symptomatic resolution following surgical resection of a spinal tanycytic ependymoma: a case report
    Saja Karaja, Khayry Al-Shami, William Borghol, Mulham Alkassem, Habib Jarbouh, Wardan Almir Tamer
    Journal of Medical Case Reports.2026;[Epub]     CrossRef
  • Biportal Endoscopic Foraminotomy with Unilateral Screw Fixation Using a Dynamic Rod for Radiculopathy Due to Osteoporotic Compression Fracture
    Sang Youp Han, Sang Hyub Lee, Jae Won Jang, Yong Eun Cho, Choon Keun Park, Sang Won Lee
    Journal of Clinical Medicine.2026; 15(13): 4938.     CrossRef
  • Laminoplasty vs laminectomy in the surgical management of spinal intradural extramedullary tumors
    Deepak Kumar Singh, Prevesh Kumar Sharma, Vipin Kumar Chand, Kaif Mohammad, Kuldeep Yadav, Neha Singh
    Egyptian Journal of Neurosurgery.2025;[Epub]     CrossRef
  • Clinical characteristics and prognostic factors of primary spinal subependymoma: a single-center cohort study and systematic review
    Guang-Hao Zheng, Yao-Wu Zhang, Yi-Xiang Liu, Wei-Hao Liu, Bo Wang, Chong Wang, Kai Ji, Yong-Zhi Wang, Wen-Qing Jia
    Journal of Neuro-Oncology.2025; 172(3): 675.     CrossRef
  • Minimally Invasive Versus Open Surgery for Intradural Extramedullary Spinal Cord Tumors: A Critical Analysis
    G. Balamurali, Soma Sundar Subramanian, Keerthivasan Panneerselvam, Satish Venugopal
    Journal of Minimally Invasive Spine Surgery and Technique.2025; 10(Suppl 2): S150.     CrossRef
  • What Factors Predict the Development of Neurologic Deficits Following Resection of Intramedullary Spinal Cord Tumors: A Multi-Center Study
    Oluwaseun O. Akinduro, Abdul Karim Ghaith, Michaelides Loizos, Andrea Otamendi Lopez, Anshit Goyal, Leonardo de Macêdo Filho, Marc Ghanem, Ryan Jarrah, Diogo P. Moniz Garcia, Kingsley Abode-Iyamah, Maziyar A. Kalani, Selby G. Chen, William E. Krauss, Mich
    World Neurosurgery.2024; 182: e34.     CrossRef
  • Spinal Intradural Tumor Resection via Long-Segment Approaches and Clinical Long-Term Follow-Up
    Laura Dieringer, Lea Baumgart, Laura Schwieren, Jens Gempt, Maria Wostrack, Bernhard Meyer, Vicki M. Butenschoen
    Cancers.2024; 16(9): 1782.     CrossRef
  • Nondysraphic Intramedullary Spinal Cord Lipomas in the Adult Population
    Andrew M. Hersh, Ali Bydon, Zach Pennington, Daniel Lubelski, Sheng-Fu Larry Lo, Nicholas Theodore, Daniel M. Sciubba, George I. Jallo, Nir Shimony
    World Neurosurgery.2024; 190: e373.     CrossRef
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    Oluwaseun O. Akinduro, Abdul Karim Ghaith, Victor Gabriel El-Hajj, Marc Ghanem, Fatima Soltan, Antonio Bon Nieves, Kingsley Abode-Iyamah, John H. Shin, Ziya L. Gokaslan, Alfredo Quinones-Hinojosa, Mohamad Bydon
    Journal of Neuro-Oncology.2023; 164(1): 75.     CrossRef
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    Tommaso Tufo, Eleonora Grande, Giuseppina Bevacqua, Ines Di Muccio, Beatrice Cioni, Mario Meglio, Marco Ciavarro
    Frontiers in Psychology.2023;[Epub]     CrossRef
  • Comparison of the clinical effects of lamina replantation and screw fixation after laminectomy in the treatment of intraspinal tumours
    Zhen Liu, Ji-Hui Zheng, Na Yuan, Jun Miao
    Journal of Orthopaedic Surgery and Research.2023;[Epub]     CrossRef
  • Neurological Outcome and Respiratory Insufficiency in Intramedullary Tumors of the Upper Cervical Spine
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    Medicina.2023; 59(10): 1754.     CrossRef
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    Farideh Iravanpour, Majid Reza Farrokhi, Seyed Reza Mousavi, Ahmad Soltani, Mahshid Hosseini
    Egyptian Journal of Neurosurgery.2023;[Epub]     CrossRef
  • Approaches to Incidental Intradural Tumors of the Spine in the Pediatric Population
    Andrew M. Hersh, Daniel Lubelski, Nicholas Theodore, Daniel M. Sciubba, George Jallo, Nir Shimony
    Pediatric Neurosurgery.2023; 58(5): 367.     CrossRef
  • Spinal ependymoma in adults: from molecular advances to new treatment perspectives
    Giulia Cerretti, Federico Pessina, Enrico Franceschi, Valeria Barresi, Alessandro Salvalaggio, Marta Padovan, Renzo Manara, Vincenzo Di Nunno, Beatrice Claudia Bono, Giovanni Librizzi, Mario Caccese, Marta Scorsetti, Marta Maccari, Giuseppe Minniti, Pieri
    Frontiers in Oncology.2023;[Epub]     CrossRef
  • Intramedullary spinal cord and filum tumours—long-term outcome: single institution case series
    Erling Myrseth, S. Habiba, T. Rekand, H. A. Sætran, S. Mørk, M. Grønning
    Acta Neurochirurgica.2022; 164(11): 3047.     CrossRef
  • Impact of tumor-associated syrinx on outcomes following resection of primary ependymomas of the spinal cord
    Zach Pennington, Anthony L. Mikula, Nikita Lakomkin, Fredric B. Meyer, W. Richard Marsh, Benjamin D. Elder, Mohamad Bydon, Jeremy L. Fogelson, William E. Krauss, Michelle J. Clarke
    Journal of Neuro-Oncology.2022; 160(3): 725.     CrossRef
  • Application of open-door laminoplasty with ARCH plate fixation in cervical intraspinal tumors
    Zhi-Chao Wang, Shu-Zhong Li, Xin-Fei Qu, Chu-Qiang Yin, Yuan-Liang Sun, Yue-Lei Wang, Jie Wang, Chen-Jing Liu, Zhen-Lu Cao, Ting Wang
    BMC Surgery.2021;[Epub]     CrossRef
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    Jun-Soon Kim, Kyung Seok Park
    Journal of Intraoperative Neurophysiology.2021; 3(2): 80.     CrossRef
  • Application of Laminoplasty Combined with ARCH Plate in the Treatment of Lumbar Intraspinal Tumors
    Zhi‐Chao Wang, Shu‐Zhong Li, Yuan‐Liang Sun, Chu‐Qiang Yin, Yue‐Lei Wang, Jie Wang, Chen‐Jing Liu, Zhen‐Lu Cao, Ting Wang
    Orthopaedic Surgery.2020; 12(6): 1589.     CrossRef
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    Kirsty R. Hamilton, Sharon SI Lee, James C. Urquhart, Benjamin P. Jonker
    Journal of Clinical Neuroscience.2019; 63: 168.     CrossRef
  • Surgical Treatment of Intra- and Juxtamedullary Spinal Cord Tumors: A Population Based Observational Cohort Study
    Oscar Persson, Alexander Fletcher-Sandersjöö, Gustav Burström, Erik Edström, Adrian Elmi-Terander
    Frontiers in Neurology.2019;[Epub]     CrossRef
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    ArunKumar Srivastava, Deepak Khatri, KamleshSingh Bhaisora, KuntalKanti Das, VedPrakash Maurya, Sanjay Behari
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  • Characteristic and surgical results of multisegment intramedullary cervical spinal cord tumors
    Jian-jun Sun, Mario Teo, Zhen-yu Wang, Zhen-dong Li, Hai-bo Wu, Mei Zheng, Qing Chang, Yun-feng Han, Zhi-hui Cui, Min Chen, Tao Wang, Xiao-dong Chen
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    Daljit Singh, Shaam Bodeliwala, Hukum Singh, Anita Jagetia, Amit Mittal
    World Neurosurgery.2017; 100: 261.     CrossRef
  • Influence of Tumor Location and Other Variables on Predictive Value of Intraoperative myogenic Motor-Evoked Potentials in Spinal Cord Tumor Surgery
    Parthiban Velayutham, Vedantam Rajshekhar, Ari George Chacko, Srinivasa Krothapalli Babu
    World Neurosurgery.2016; 92: 264.     CrossRef
  • Quality of Life Outcomes Following Resection of Adult Intramedullary Spinal Cord Tumors
    Roy Xiao, Jacob A. Miller, Kalil G. Abdullah, Daniel Lubelski, Thomas E. Mroz, Edward C. Benzel
    Neurosurgery.2016; 78(6): 821.     CrossRef
  • Spinal ependymomas. Part 1: Intramedullary ependymomas
    Jörg Klekamp
    Neurosurgical Focus.2015; 39(2): E6.     CrossRef
  • Progression free survival and functional outcome after surgical resection of intramedullary ependymomas
    Kalil G. Abdullah, Daniel Lubelski, Jacob Miller, Michael P. Steinmetz, John H. Shin, Ajit Krishnaney, Thomas E. Mroz, Edward C. Benzel
    Journal of Clinical Neuroscience.2015; 22(12): 1933.     CrossRef
  • Association of risk factors with unfavorable outcomes after resection of adult benign intradural spine tumors and the effect of hospital volume on outcomes: an analysis of 18, 297 patients across 774 US hospitals using the National Inpatient Sample (2002−
    Piyush Kalakoti, Symeon Missios, Richard Menger, Sunil Kukreja, Subhas Konar, Anil Nanda
    Neurosurgical Focus.2015; 39(2): E4.     CrossRef
  • 9,686 View
  • 78 Download
  • 34 Crossref
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