Bibliometric Analysis and Applications of a Modified H-Index Examining the Research Productivity of Neurosurgery Faculty at High-Ranking Academic Institutions

高水平院校神经外科教师科研效率H指数的文献计量学分析及应用

A major critique of the h-index is that it may be inflated by noncritical authorship. We propose a modified h-index (hm), incorporating critical authorship, complementary to the h-index. We analyze its relationship to the traditional h-index, and how each varies across professional categories relevant to academic neurosurgery. This analysis is not meant to critique authorship decisions, affect career development, alter academic legacy, or imply that the concepts of team science or midlevel authorship contributions are not valuable. The h-index can be influenced by noncritical authorship, and hm, using critical contributions, can be used as a complement reflecting critical academic output in neurosurgery. Leaders deciding on hiring or promotion should consider disparities in productivity predicated on noncritical authorship contributions.

对h指数的一个主要批评是，它可能被非批判性的作者夸大了。我们提出了一种改进的h-指数(Hm)，它包含了批评作者，是对h-指数的补充。我们分析了它与传统h指数的关系，以及它们在与学术神经外科相关的专业类别中的差异。这一分析并不是要批评作者的决定，影响职业发展，改变学术遗产，或暗示团队科学或中层作者贡献的概念没有价值。H指数可以受到非批判性作者的影响，而hm，使用批判性贡献，可以作为反映神经外科批判性学术产出的补充。决定聘用或晋升的领导者应该考虑基于非批判性作者贡献的生产率差异。

REF: Rainone GJ, Nugent JG, Yeradi M, Ramanathan S, Lega BC. Bibliometric Analysis and Applications of a Modified H-Index Examining the Research Productivity of Neurosurgery Faculty at High-Ranking Academic Institutions. World Neurosurg. Published online November 10, 2023. doi:10.1016/j.wneu.2023.11.015 PMID: 37952889

Cost Associated with Geriatric Traumatic Brain Injury in Developing Countries: An Observational Study

发展中国家老年人创伤性脑损伤相关费用的观察性研究

Traumatic brain injury (TBI) in the geriatric population is a serious public health problem and has a huge impact on mortality and morbidity. This study provides the first estimates of the financial burden of Geriatric TBI in the region, which signifies the importance of developing strategies to prevent TBIs and help in resource allocation and healthcare policy formation.

老年人群中的创伤性脑损伤是一个严重的公共卫生问题，对死亡率和发病率有巨大的影响。这项研究首次对该地区老年性脑损伤的财政负担进行了估计，这表明了制定预防脑损伤的战略以及帮助资源分配和医疗保健政策形成的重要性。

REF: Al-Rahbi A, Al Mahrouqi O, Al Ibrahim H, Al Saidi M, Abid Shah Y, Al-Saadi T. Cost Associated with Geriatric Traumatic Brain Injury in Developing Countries: An Observational Study. World Neurosurg. Published online November 10, 2023. doi:10.1016/j.wneu.2023.11.025 PMID: 37952885

What Factors Predict the Development of Neurologic Deficits Following Resection of Intramedullary Spinal Cord Tumors: A Multi-Center Study

脊髓髓内肿瘤切除术后神经功能障碍的预测因素：一项多中心研究

Intramedullary spinal cord tumors are challenging to resect, and their postoperative neurological outcomes are often difficult to predict, with few studies assessing this outcome. Tumor grade/histology, age, use of neuromonitoring, and myelotomy type appeared to be most predictive of postoperative neurological deficits. These results can be used to better inform patients of perioperative risk.

脊髓髓内肿瘤的切除具有挑战性，其术后神经学结果往往难以预测，很少有研究评估这一结果。肿瘤分级/组织学、年龄、神经监测的使用和脊髓切开类型似乎是术后神经功能障碍的最大预测者。这些结果可以用来更好地告知患者围手术期的风险。

REF: Akinduro OO, Ghaith AK, Loizos M, et al. What Factors Predict the Development of Neurologic Deficits Following Resection of Intramedullary Spinal Cord Tumors: A Multi-Center Study. World Neurosurg. Published online November 10, 2023. doi:10.1016/j.wneu.2023.11.010 PMID: 37952880

Expanding the Horizons of Minimally Invasive Spine Surgery: Experience of the Destandau Technique for the Treatment of Multiple Spinal Diseases

微创脊柱外科的新视野：Destandau技术治疗多种脊柱疾病的经验

Minimally invasive spine surgery is rapidly gaining popularity because of its versatile nature. Traditionally, prolapsed disc has been the most common disease targeted using this technique. However, its usefulness for various other diseases has also been shown in studies. We present our experience of using this technique for various spinal diseases apart from prolapsed discs. Minimally invasive techniques for dealing with multiple diseases involving the spine are as good as traditional open techniques, with some additional advantages of lesser tissue trauma, early return to work, and so on. However, one must overcome the steep learning curve before adopting them in day-to-day practice.

由于其多功能性，微创脊柱外科手术迅速流行起来。传统上，腰椎间盘突出症是使用这项技术的最常见的疾病。然而，研究也表明，它对其他各种疾病也很有用。我们介绍了我们使用这项技术治疗除腰椎间盘突出症以外的各种脊柱疾病的经验。微创技术治疗涉及脊柱的多种疾病与传统的开放技术一样好，还有一些额外的优点，如组织创伤小，早日重返工作岗位等。然而，在将它们应用于日常实践之前，人们必须克服陡峭的学习曲线。

REF: Mehrotra A, Singh K, Kanjilal S, et al. Expanding the Horizons of Minimally Invasive Spine Surgery: Experience of the Destandau Technique for the Treatment of Multiple Spinal Diseases. World Neurosurg. Published online November 10, 2023. doi:10.1016/j.wneu.2023.11.022 PMID: 37951463

Optic Nerve Sheath Diameter Sonography for the Diagnosis of Intracranial Hypertension in Traumatic Brain Injury: A Systematic Review and Meta-Analysis

视神经鞘管径超声诊断颅脑损伤后高颅压的系统评价及Meta分析

Timely diagnosis and management of elevated intracranial pressure (ICP) in patients with traumatic brain injury (TBI) can significantly reduce mortality rates. Ultrasound examination of the optic nerve sheath diameter (ONSD) is considered a potential, noninvasive, and effective method for assessing ICP. We conducted a systematic review and meta-analysis of ONSD ultrasound detection and invasive ICP monitoring methods to compare and evaluate the diagnostic accuracy of ONSD ultrasound detection methods for intracranial hypertension (IH) in patients with TBI. ONSD sonography may be a useful method for predicting increased ICP in adult patients with TBI. Further clinical studies are required to confirm the diagnostic value of ONSD sonography.

及时诊断和处理创伤性脑损伤(TBI)患者的颅内压升高可显著降低死亡率。超声检查视神经鞘直径(ONSD)被认为是一种潜在的、无创的、有效的评估颅内压的方法。为了比较和评价ONSD超声检测方法对颅脑损伤患者高颅压(IH)的诊断准确性，我们对ONSD超声检测方法和有创颅内压监测方法进行了系统回顾和Meta分析。ONSD超声可能是预测成人颅脑损伤患者颅内压升高的有用方法。需要进一步的临床研究来证实ONSD超声检查的诊断价值。

REF: Xu J, Song Y, Shah Nayaz BM, et al. Optic Nerve Sheath Diameter Sonography for the Diagnosis of Intracranial Hypertension in Traumatic Brain Injury: A Systematic Review and Meta-Analysis. World Neurosurg. Published online November 10, 2023. doi:10.1016/j.wneu.2023.11.016 PMID: 37951461

Trends of the Oswestry Disability Index in Adult Spinal Deformity Patients: A 3-Year Study

成人脊柱畸形患者OSwestry残疾指数的变化趋势：一项3年的研究

Patients with adult spinal deformity (ASD) undergoing operative treatment may have varying degrees of improvement in patient-reported outcomes. The Oswestry Disability Index (ODI) assesses improvement in quality of life. We aim to measure longitudinal outcomes of ODI scores over 3 years to determine if early ODI scores predict late ODI scores and to analyze longitudinal changes in ODI scores. Our results demonstrate a significant and sustained improvement in ODI scores over 3 years following surgical correction of ASD. ODI scores were stable after 6 months, indicating that ODI scores at 6 months may be predictive of scores out to 3 years postoperatively. Examining individual components of ODI sub-scores and comparing ODI results to other PROMs are critical to better assess long-term outcomes in ASD.

接受手术治疗的成人脊柱畸形(ASD)患者在患者报告的结果中可能有不同程度的改善。奥斯维斯塔残疾指数(ODI)评估生活质量的改善。我们的目标是测量ODI评分在3年内的纵向结果，以确定早期ODI评分是否预测晚期ODI评分，并分析ODI评分的纵向变化。我们的结果显示在ASD手术矫正后的3年中，ODI评分有了显著和持续的改善。6个月后ODI评分稳定，提示6个月的ODI评分可预测术后3年的评分。检查ODI亚分的个别组成部分，并将ODI结果与其他PROM进行比较，对于更好地评估ASD的长期结果至关重要。

REF: Azam F, Furtado K, Anand S, et al. Trends of the Oswestry Disability Index in Adult Spinal Deformity Patients: A 3-Year Study. World Neurosurg. Published online November 10, 2023. doi:10.1016/j.wneu.2023.11.018 PMID: 37952881

The Application of Ultrasonography–Computed Tomography Fusion Navigation Technology in Complex Bone Tumor Biopsy: A Randomized Double-Blind Controlled Trial

超声-CT融合导航技术在复杂骨肿瘤活检中的应用：随机双盲对照试验

This study aims to investigate the clinical application value of ultrasonography-computed tomography (CT) fusion navigation technology in bone tumor biopsy surgery. The real-time localization of the biopsy needle in bone tumor biopsy surgery using ultrasonography-CT fusion navigation technology can significantly reduce intraoperative radiation exposure for both patients and surgeons during the procedure. Consequently, this technique holds certain clinical applicability.

本研究旨在探讨超声-CT融合导航技术在骨肿瘤活检术中的临床应用价值。利用超声-CT融合导航技术对骨肿瘤活检术中的活检针进行实时定位，可以显著减少术中患者和外科医生的辐射暴露。因此，该技术具有一定的临床适用性。

REF: Xin B, Liu D, Lu P, et al. The Application of Ultrasonography-Computed Tomography Fusion Navigation Technology in Complex Bone Tumor Biopsy: A Randomized Double-Blind Controlled Trial. World Neurosurg. Published online November 10, 2023. doi:10.1016/j.wneu.2023.11.021 PMID: 37951464

The Relationship Between Endplate Defect Scores and Lumbar Sagittal Translation Stability in Lumbar Spondylolisthesis Patients

腰椎滑脱患者终板缺损评分与腰椎椎体平移稳定性的关系

Lumbar instability and endplate defects are commonly seen in patients with spondylolisthesis. However, little is known about associations between segmental stability and endplate defects. The present study explored associations between stability-related radiographic parameters and endplate defect scores and assessed whether endplate defect scores can predict lumbar stability in lumbar spondylolisthesis. Endplate defect scores increase with a reduction in IDH, progression of slippage and a decrease in ST in isthmic spondylolisthesis but not in degenerative spondylolisthesis. ST instability was associated with endplate defect scores in isthmic spondylolisthesis, and endplate defect scores could be used to reflect lumbar stability at the slippage segment.

腰椎不稳和终板缺损在腰椎滑脱患者中很常见。然而，很少有人知道节段性稳定性和终板缺损之间的联系。本研究探讨了与稳定性相关的影像学参数和终板缺损评分之间的关系，并评估了终板缺损评分是否可以预测腰椎滑脱症的腰椎稳定性。在峡部裂性腰椎滑脱中，终板缺损评分随着IDH的减少、滑脱的进展和ST段的减少而增加，但在退行性腰椎滑脱中则不然。ST段不稳定与峡部裂性腰椎滑脱的终板缺损评分相关，终板缺损评分可用于反映滑脱节段的腰椎稳定性。

REF: Li R, Wang LF, Wang F, Sun Y, Ding W. The Relationship Between Endplate Defect Scores and Lumbar Sagittal Translation Stability in Lumbar Spondylolisthesis Patients. World Neurosurg. Published online November 10, 2023. doi:10.1016/j.wneu.2023.11.017 PMID: 37952886

An Artificial Intelligence-Based Support Tool for Lumbar Spinal Stenosis Diagnosis from Self-Reported History Questionnaire

基于人工智能的腰椎管狭窄症自报病史问卷诊断支持工具

Symptomatic lumbar spinal stenosis (LSS) leads to functional impairment and pain. While radiologic characterization of the morphological stenosis grade can aid in the diagnosis, it may not always correlate with patient symptoms. Artificial intelligence (AI) may diagnose symptomatic LSS in patients solely based on self-reported history questionnaires. Our results indicate that ML can automate the diagnosis of LSS based on self-reported questionnaires with high accuracy. Implementation of standardized and intelligence-automated workflow may serve as a supportive diagnostic tool to streamline patient management and potentially lower health care costs.

症状性腰椎管狭窄症(LSS)会导致功能障碍和疼痛。虽然形态狭窄分级的放射学特征有助于诊断，但它可能并不总是与患者的症状相关。人工智能(AI)可以仅基于自我报告的历史问卷来诊断患者的症状性LSS。我们的结果表明，ML可以自动诊断基于自填式问卷的LSS，具有很高的准确率。实施标准化和智能自动化的工作流程可能会成为一种支持性的诊断工具，以简化患者管理并潜在地降低医疗成本。

REF: Abel F, Garcia E, Andreeva V, et al. An Artificial Intelligence-Based Support Tool for Lumbar Spinal Stenosis Diagnosis from Self-Reported History Questionnaire. World Neurosurg. Published online November 10, 2023. doi:10.1016/j.wneu.2023.11.020 PMID: 37952887