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Related Experiment Video

Updated: Nov 12, 2025

Intraoperative Ultrasound in Spinal Surgery
05:53

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

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How Do Pediatric Neurosurgeons Make Intraoperative Decisions?

Leeat Granek1, Shahar Shapira2, Shlomi Constantini3

  • 1School of Health Policy and Management, Faculty of Health, York University, Toronto, Ontario, Canada.

World Neurosurgery
|March 16, 2021
PubMed
Summary

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Articles linked to this work by shared authors, journal, and citation graph.

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Same author

Long-term subjective patient's satisfaction and aesthetic outcomes in sagittal synostosis: a study of 488 patients operated by early, wide, open strip craniectomy.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery·2026
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Erratum: Systems Theory Model to Understand the Barriers and Facilitators to Palliative Care Referral for Pediatric Oncology Patients in Canada.

JCO oncology practice·2026
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Strategies to Reduce Gender Discrimination in Surgery: A Qualitative Study of Women Neurosurgeons and Cardiothoracic Surgeons.

Journal of surgical education·2026
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The plated bayonet forceps: technical note and illustrative video clips.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery·2026
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Severe ADEM-Like Neuroinflammatory Disease and Cerebrovascular Fragility With Recurrent Pseudoaneurysms and Moyamoya in a Familial Germline CBL Mutation: Expanding the Clinical Phenotype.

American journal of medical genetics. Part A·2026
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Surgery for isolated sagittal synostosis: a neuro-developmental necessity or an isolated cosmetic challenge? Mini-survey and literature review.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery·2026

Pediatric neurosurgeons (PNs) use a spectrum of decision-making processes, including internal, action-based, and analytical strategies, when facing unexpected intraoperative situations.

Area of Science:

  • Neurosurgery
  • Medical Decision Making
  • Qualitative Research

Background:

  • Intraoperative decision-making in pediatric neurosurgery is complex.
  • Unexpected events require surgeons to adapt rapidly.

Purpose of the Study:

  • To explore the intraoperative decision-making processes of pediatric neurosurgeons.
  • To understand how uncertainty is managed during pediatric neurosurgery.

Main Methods:

  • Grounded theory approach.
  • Interviews with 26 pediatric neurosurgeons from 12 countries.
  • Line-by-line data analysis and constant comparison.

Main Results:

  • Decision-making occurs along a spectrum.
Keywords:
Grounded theoryIntraoperative decision makingNeurosurgeonsPediatricsProfessional practice

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  • Three response processes identified: internal (self-control, team control), action (patient stabilization, intuitive response, strategy shifts), and analytical (situation assessment, consultation).

    • Conclusions:

    • Findings offer novel insights into pediatric neurosurgeon decision-making.
    • Results can inform training for resident neurosurgeons.
    • Suggests a need for new decision-making models in neurosurgery.