Publications by authors named "Kenneth D Sack"
Augmented-reality template guided transorbital approach for intradural tumors.
Neurosurg Focus Video
January 2022
For "minimally invasive" approaches to a deep-lying skull base lesion, the bone opening must be precisely placed and adequately wide to accomplish the surgical goal. Surgical rehearsal in virtual reality (VR) can generate navigation-integrated augmented reality (AR) templates to ensure precise surgical openings. In this video, the authors used AR templates for the transpalpebral, transorbital approach for intradural tumors.
View Article and Find Full Text PDFNeurosurgery Subspecialty Practice During a Pandemic: A Multicenter Analysis of Operative Practice in 7 U.S. Neurosurgery Departments During Coronavirus Disease 2019.
World Neurosurg
September 2022
Article Synopsis
- - The study examined how COVID-19 pandemic restrictions altered neurosurgical practices by comparing case logs from April 2020 (during the pandemic) to April 2019 (historical control) across seven academic hospitals.
- - Overall surgical volume dropped by 58.5% during the pandemic, with significant declines across specific subspecialties, notably spinal and functional neurosurgeries, while vascular surgeries saw a slight increase in their share of total cases.
- - The findings suggest that local COVID-19 infection rates directly impacted both the number of surgeries performed and the severity of patients' conditions, indicating a need for adaptations in surgical practices during health crises.
Object: The COVID-19 pandemic has disrupted all aspects of society globally. As healthcare resources had to be preserved for infected patients, and the risk of in-hospital procedures escalated for uninfected patients and staff, neurosurgeons around the world have had to postpone non-emergent procedures. Under these unprecedented conditions, the decision to defer cases became increasingly difficult as COVID-19 cases skyrocketed.
View Article and Find Full Text PDFArticle Synopsis
- A 15-month pilot program in Washington, DC introduced dockless electric scooters to reduce traffic, leading to a rapid increase in their use and associated injuries.* -
- A study analyzed electronic medical records from The George Washington University Hospital and found 13 patients with serious injuries related to electric scooters that required neurosurgical consultation, including cases of skull fractures and one fatality.* -
- The findings emphasize the serious nature of electric scooter injuries, highlighting the need for improved safety measures and further research into their impact on public health.*
Background: Cadaveric studies on surgical anatomy and approaches are hampered by the limited number of specimens. Virtual reality (VR) technology can overcome this limitation, allowing for more in-depth statistical analysis of the data.
Objective: To determine the benefit of a supraorbital ridge osteotomy in a supraorbital craniotomy targeting (1) the anterior communicating artery complex (ACOM), and (2) a lesion 25 mm above tuberculum sellae, using a large dataset generated by VR.