Controversies in Neurosurgery: Disparities in Neurosurgical Care

Title: Wellness Podcast: Impact and Possible Solutions for Decreasing Admin Burden for Neurosurgeons Guest Faculty: Anthony DiGiorgio and Charles Mackel Hosts: Brian Gantwerker and Lara Massie In this episode of the CNS Wellness Podcast, Charles Mackel and Anthony DiGiorgio will discuss sources of physician burnout, meaningful work, and the administrative component of a successful career in neurosurgery.

May 2025 Journal Club Podcast Title: Microsurgical Treatment of Intracranial Dural Arteriovenous Fistulas: A Collaborative Investigation From the Multicenter Consortium for Dural Arteriovenous Fistula Outcomes Research To read journal article: https://journals.lww.com/neurosurgery/fulltext/2025/05000/microsurgical_treatment_of_intracranial_dural.12.aspx Author: Kunal Raygor Guest Faculty: Matthew Koch Moderator: Zachary Sorrentino Committee Co-chair: Kimberly Hoang

Title: Controversies in Neurosurgery: Carbon Fiber versus Titanium in Metastatic Spine Cancer Guest Faculty: Ilya Laufer Hosts: Brian Gantwerker, MD and W. Christopher Newman, MD In this episode we will discuss the use of carbon fiber implants for spinal instrumentation in patients with metastatic spine cancer, covering the indications, benefits, and limitations. We also will discuss how to incorporate these implants into your practice.

Patients with metastatic brain tumors (MBTs) require a multidisciplinary team-based approach to select the best treatment interventions. This podcast updates recommendations addressing whether Laser Interstitial Thermal Therapy (LITT) provides benefit regarding local control, OS, PFS, performance status, or reduction in CNS side effects compared with standard management with chemotherapy, immune modulators and molecular targeted agents, SRS, WBRT, and surgical resection. J. Bradley Elder, MD Mark E. Linskey, M.D., FAANS Kristin Huntoon, PhD, DO Brandon Lucke-Wold, MD, PhD

April 2025 Journal Club Podcast Title: Spatial Distribution of Meningiomas: A Magnetic Resonance Image Atlas To read journal article: https://journals.lww.com/neurosurgery/fulltext/2025/04000/spatial_distribution_of_meningiomas__a_magnetic.9.aspx Authors: Wenya Linda Bi and Ruchit Patel Guest Faculty: Jennifer Moliterno Moderator: Rafael Vega Resident Planner: Helen Shi

Title: MMA vs. Evacuation for Chronic SDH Guest Faculty: Richard W. Williamson, MD Hosts: Lara Massie, MD and Seth Oliveria, MD In this episode, we will discuss the procedure of middle meningeal artery (MMA) embolization, the indications and evidence to support the procedure’s use. We will discuss the ideal/non-ideal patient selection, and optimal timing of the procedure.

March 2025 Journal Club Podcast Title: Gene Expression Changes Associated With Recurrence After Gross Total Resection of Newly Diagnosed World Health Organization Grade 1 Meningioma To read journal article: https://journals.lww.com/neurosurgery/fulltext/2025/03000/gene_expression_changes_associated_with_recurrence.6.aspx Author: Ramin Morshed Guest Faculty: Tomas Garzon-Muvdi Moderator: Kimberly Hoang Resident Planner: Alexander Himstead

Title: Motion Preservation vs. Fusion Guest Faculty: Michael Steinmetz, MD Hosts: Brian Gantwerker, MD and Christopher Newman, MD In this CNS Controversies podcast, we discuss the options of motion preservation surgery. We engage with Dr. Michael Steinmetz, Professor and endowed Chairman of the Department of Neurological Surgery at the Cleveland Clinic Foundation, about his experiences and thoughts on fusion alternatives.

February 2025 Journal Club Podcast Title: American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator as a Predictor of Postoperative Outcomes After Adult Spinal Deformity Surgery: A Retrospective Cohort Analysis To read journal article: https://journals.lww.com/neurosurgery/fulltext/2025/02000/american_college_of_surgeons_national_surgical.12.aspx Authors: Jeffrey Mullin Guest faculty: Daniel Carr Moderator: Rafael Vega Resident Planner: Roxana Beladi

Title: What Cases Are Safe for the ASC? Guest Faculty: Robert S. Bray, Jr., MD Hosts: Lara W. Massie, MD and Seth F. Oliveria, MD PhD In this episode we talk to Dr. Robert Bray about performing increasingly complex neurosurgical procedures in the ambulatory surgery center setting. We discuss strategies to safely and efficiently discharge patients home within 24 hours of surgery as well as the limits of this approach.