Background/aim: Craniosynostosis is a deformity of the skull that occurs as a result of early fusion of one or more cranial sutures and can be accompanied by neurological deficits. Craniosynostosis can be classified as syndromic or nonsyndromic according to the type of suture involved. Surgical treatment of craniosynostosis in infants basically involves loosening and opening the fused sutures to reduce intracranial pressure, allow the brain to grow, and also fix the skull shape. However, in such cases there is a risk of resynostosis after surgery. According to the literature, resynostosis rates vary between 0% and 70%. In this study, we aimed to evaluate the reoperation rate in craniosynostosis cases treated surgically in our clinic. Material and methods: A retrospective analysis of 70 nonsyndromic craniosynostosis cases treated surgically in the Neurosurgery Department of Bursa Uludağ University from 2005 to 2019 was performed. All patients had undergone total cranial vault remodeling surgically and had been followed up for at least a year. Results: The study group included 70 patients, comprising 40 (57.1%) male and 30 (42.9%) female patients. The mean age of the group was 10.9 ± 7.8 months (range 3-34 months). Out of 70 patients, repeat surgery due to resynostosis had been performed once in 5 (7.1%) patients and twice in 1 (1.4%) patient. Conclusion: It should be kept in mind that resynostosis may occur in patients who have been operated for craniosynostosis. Patients should be examined cosmetically and if necessary, radiologically in the follow-up. Further studies based on larger sample size are recommended for more quantitative data and better results.

Background: Chronic subdural hematoma can cause compression of brain tissue followed by neurological deficits. There are several methods for the treatment of chronic subdural hematoma, but the most appropriate treatment is still controversial. we compared 5 different surgical methods applied by five different surgeons in a single center and we suggest the most appropriate treatment method in the literature. Methods: In this study, the files of patients diagnosed with chronic subdural hematoma who underwent surgery at the Neurosurgery Clinic of S.B.U. Bursa City Hospital were retrospectively examined. The patients were evaluated in terms of their complaints, neurological examinations, type of operation, use of subdural drain and postoperative complications. Five different surgical techniques were applied to the patients. Results: We collected data from 185 patients who underwent surgery due to chronic subdural hematoma. Different surgical techniques were used in the treatment of patients. Only one burr hole was opened in 22 of the patients, one burr hole was opened in 40 of them and 1 drain was placed in the subdural space, only two burr holes were opened in 41 of them, two burr holes were opened in 58 of them and 1 drain was placed in the subdural space, and mini craniotomy was performed in 24 patients. Conclusion: Five different surgical methods used in the treatment of chronic subdural hematoma have advantages and disadvantages. We believe that a study conducted by increasing the number of patients, ensuring homogenization of groups, and increasing surgical techniques will shed light on the literature.

Patients presenting with various symptoms to the pediatric emergency department may be diagnosed with a spinal mass. Spinal ependymoma is a central nervous system tumor that is quite rare in childhood. Early diagnosis is important in terms of reducing morbidity and mortality. The presenting symptoms should be well understood, and necessary tests for differential diagnosis should be conducted. In this case, a 9-year-old male patient who presented to our emergency department with complaints of urinary incontinence and walking difficulties and was diagnosed with spinal ependymoma will be discussed.

Aim: Posterior spinal instrumentation using segmental pedicle screw systems is a widely accepted surgical technique for the treatment of non-degenerative structural scoliosis because of its ability to achieve effective three-dimensional deformity correction and provide biomechanical stability. This study aimed to evaluate the early radiological and functional outcomes of posterior spinal instrumentation in patients with non-degenerative structural scoliosis.Material and Methods: This retrospective single-center study included patients who underwent posterior spinal instrumentation for non-degenerative structural scoliosis between January 2025 and May 2026. Demographic, radiological, and clinical data were reviewed retrospectively. Preoperative and postoperative Cobb angles were compared, and deformity correction rates were calculated. Early postoperative functional outcomes were assessed using the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) at the 3-month follow-up. Results: Twenty-five patients with a mean age of 15.28 ± 3.29 years were included. In patients with available preoperative and postoperative radiographic measurements, the mean Cobb angle decreased significantly from 58.42 ± 18.54° preoperatively to 13.29 ± 11.06° postoperatively (p < 0.001). The mean deformity correction rate was 78.78 ± 13.31%. At the 3-month follow-up, the mean VAS and ODI scores were 3.96 ± 1.99 and 25.28 ± 10.00, respectively. Adult patients demonstrated significantly higher ODI scores than pediatric patients (p = 0.042). Perioperative complications occurred in three patients (12.0%).Conclusion: Posterior-only segmental pedicle screw instrumentation achieved a mean deformity correction rate of nearly 80%, providing satisfactory early radiological correction and favorable short-term functional outcomes.

Background: The rate of spinal stabilization surgery has increased in recent years among both males and females due to ineffective activities impacting their quality of life, work-disability, and social-disability. Aim: This study aimed to determine the impact of such activities on bone density and spinal alignment after spinal stabilization surgery within the context of Bursa, Turkey. Method: A sample of 450 patients, who had undergone spinal surgery, was included, 210 of which were females and 240 were males. These patients had suffered from different ailments including spinal stenosis, degenerative spondylolisthesis and disc herniation. In order to attain the required outcomes, Core Outcome Measures Index (COMI) was measured before and after (one year) operation. This test measured various positive and negative outcomes post-spinal stabilization surgery including improvement in degree of pain and back function, quality of life, degree of work-disability and social-disability, over a period of 12-months. Patients' satisfaction level with therapy was also measured using a 5-point Likert scale while parametric statistics provided the relationship among variables. Results: The results obtained show that females with all pathologies had worse COMI scores significantly (p < 0.05) as compared to males. However, no significant differences were observed after the operation within the context of gender (p > 0.05). However, 72% of females and 71% of males received minimal clinically important change (MCIC) score of 2.2 for COMI. Hence, gender showed insignificant relationship with MCIC, since females did not show any significant satisfaction level as compared to males concerning their post-operative health outcomes. Conclusion: The study recommends to emphasize on improving therapeutic and surgical measures aiming at attaining significant satisfaction levels after surgery.