Controversies in Neurosurgery: Disparities in Neurosurgical Care

June 2024 Journal Club Podcast Title: Does Tighter Glycemic Control Beyond Hemoglobin A1c of 8% Improve Outcome for Lumbar Spine Surgery? A MSSIC Study To read journal article: https://journals.lww.com/neurosurgery/fulltext/2024/06000/does_tighter_glycemic_control_beyond_hemoglobin.5.aspx Author: Victor Chang Guest faculty: Matthew Gary Resident Planner: James Malcolm Moderator: Rafael Vega

Title: How to Deal With Complications – Both at Work and at Home Guest faculty: Christopher Shaffrey, MD Host: Lara Massie, MD and Scott Zuckerman, MD, MPH Every surgeon will experience complications. We are often protected in residency from feeling the true weight of the responsibility or dealing with the patient long-term. Dr. Christopher Shaffrey will discuss how to manage complications medically/ethically, the shame that accompanies them, and how to both protect yourself and the patient from the challenging feelings that are difficult to navigate.

May 2024 Journal Club Podcast Title: Price Transparency for Cervical Spinal Fusion Among High-Performing Spine Centers in the United States To read journal article: https://journals.lww.com/neurosurgery/fulltext/2024/05000/price_transparency_for_cervical_spinal_fusion.13.aspx Author: Michael Mooney Guest faculty: Andrew Jea Resident Planner: Helen Shi Moderator: Kimberly Hoang

Title: Deformity Correction vs. Decompression for Scoliosis Guest Faculty: Victor W. Chang, MD Hosts: Rushna Ali, MD and Seth F. Oliveria, MD PhD We will discuss application of open and minimally invasive approaches to spinal fusion, including circumstances where each is clearly favored and where there is controversy amongst surgical approaches.

April 2024 Journal Club Podcast Title: Lower Cranial Nerve Schwannomas: Cohort Study and Systematic Review To read journal article: https://journals.lww.com/neurosurgery/fulltext/2024/04000/lower_cranial_nerve_schwannomas__cohort_study_and.12.aspx Author: Michael Link Guest faculty: Paul Gardner Resident Planner: Jeffrey Traylor Moderator: Rafael Vega

Title: Connecting to Patients Without Compromise Guest faculty: Richard G. Ellenbogen, MD Host: Brian R. Gantwerker, MD Dr. Gantwerker and Dr. Ellenbogen will discuss their techniques for building trust, delivering on promises, and connecting to patients and their families during potentially stressful interactions. We will discuss what works, what not to do, and how connecting to our patients helps mitigate physician burnout and increase patient satisfaction.

March 2024 Journal Club Podcast Title: Neurological Surgery Residency Programs in the United States: A National Cross-Sectional Survey To read journal article: https://journals.lww.com/neurosurgery/fulltext/2024/03000/neurological_surgery_residency_programs_in_the.12.aspx Senior Author: Brian Nahed Guest faculty: Robert Harbaugh Resident Planner: Alex Suarez Moderator: Kimberly Hoang

Title: Deformity Correction vs. Decompression for Scoliosis Guest Faculty: Lara Massie, MD Hosts: Rushna Ali, MD and Seth F. Oliveria, MD PhD Dr. Massie will discuss the indications, current evidence, limitations, and pitfalls of corrective spine surgery versus decompression for patients with scoliosis.

Length: 27.30 minutes This guideline was created as an educational tool to guide qualified physicians in assessing patients' bone mineral density prior to spine surgery and how to optimize it with select treatments if it is found to be a risk for poor surgical outcomes. Participants:  J. Bradley Elder, MD John Dimar, MD Praveen V. Mummaneni, MD Rushikesh Joshi, MD

February 2024 Journal Club Podcast Title: Global Outcomes for Microsurgical Clipping of Unruptured Intracranial Aneurysms: A Benchmark Analysis of 2245 Cases To read journal article: https://journals.lww.com/neurosurgery/fulltext/2024/02000/global_outcomes_for_microsurgical_clipping_of.17.aspx Corresponding Author: Lasse Dührsen First Author: Richard Drexler Guest faculty: Alejandro Spiotta Moderator: Brian Saway Co-chair: Rafael Vega