{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:40:26Z","timestamp":1780598426640,"version":"3.54.1"},"reference-count":41,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>In Uganda, the burden of neural tube defects (NTDs) poses a serious neurosurgical and public health challenge; however, published data on this patient population are lacking. The authors sought to characterize the population of patients with NTDs, maternal characteristics, and referral patterns of these patients, and to quantify the burden of NTDs in southwestern Uganda.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>A retrospective neurosurgical database at a referral hospital was reviewed to identify all patients with NTDs treated between August 2016 and May 2022. Descriptive statistics were used to characterize the patient population and maternal risk factors. A Wilcoxon rank-sum test and chi-square test were used to determine the association between demographic variables and patient mortality.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A total of 235 patients were identified (121 male, 52%). The median age at presentation was 2 days (IQR 1\u20138 days). A total of 87% of patients with NTDs presented with spina bifida (n = 204) and 31 presented with encephalocele (13%). The most common location of dysraphism was lumbosacral (n = 180, 88%). Of all patients, 80% were delivered vaginally (n = 188). Overall, 67% of patients were discharged (n = 156) and 10% died (n = 23). The median length of stay was 12 days (IQR 7\u201319 days). The median maternal age was 26 years (IQR 22\u201330 years). The majority of mothers received only primary education (n = 100, 43%). The majority of mothers reported prenatal folate use (n = 158, 67%) and regular antenatal care (n = 220, 94%), although only 23% underwent an antenatal ultrasound (n = 55). Mortality was associated with younger age at presentation (p = 0.01), need for blood transfusion (p = 0.016) and oxygen supplementation (p &lt; 0.001), and maternal education level (p = 0.001).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS <\/jats:title>\n<jats:p>To the authors\u2019 knowledge, this is the first study to describe the population of patients with NTDs and their mothers in southwestern Uganda. A prospective case-control study is necessary to identify unique demographic and genetic risk factors associated with NTDs in this region.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2023.4.peds2327","type":"journal-article","created":{"date-parts":[[2023,5,27]],"date-time":"2023-05-27T17:18:09Z","timestamp":1685207889000},"page":"149-157","source":"Crossref","is-referenced-by-count":2,"title":["Demographics, referral patterns, and outcome of patients with neural tube defects in southwestern Uganda"],"prefix":"10.3171","volume":"32","author":[{"given":"Maria","family":"Punchak","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania;"},{"name":"Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Nambi Najjuma","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda;"},{"name":"Division of Neurosurgery, Mbarara Regional Referral Hospital, Mbarara, Uganda;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahaan S.","family":"Razak","sequence":"additional","affiliation":[{"name":"Harvard School of Medicine, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaina","family":"Nakaziba","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Mbarara Regional Referral Hospital, Mbarara, Uganda;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amos Mbusa","family":"Kasoba","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Mbarara Regional Referral Hospital, Mbarara, Uganda;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael M.","family":"Haglund","sequence":"additional","affiliation":[{"name":"Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina;"},{"name":"Duke University School of Medicine, Durham;"},{"name":"Duke University Global Health Institute, Durham; and"},{"name":"Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony T.","family":"Fuller","sequence":"additional","affiliation":[{"name":"Division of Global Neurosurgery and Neurology, Duke University, Durham, North Carolina;"},{"name":"Duke University School of Medicine, Durham;"},{"name":"Duke University Global Health Institute, Durham; and"},{"name":"Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kitya","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda;"},{"name":"Division of Neurosurgery, Mbarara Regional Referral Hospital, Mbarara, Uganda;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Global Burden of Disease and Injury Series","article-title":"Health Dimensions of Sex and Reproduction: The Global Burden of Sexually Transmitted Diseases, HIV, Maternal Conditions, Perinatal Disorders, and Congenital Anomalies","volume":"3","author":"Murray CJL","year":"1998","unstructured":"Murray CJL, Lopez AD; World Health OrganizationHealth Dimensions of Sex and Reproduction: The Global Burden of Sexually Transmitted Diseases, HIV, Maternal Conditions, Perinatal Disorders, and Congenital Anomalies. Global Burden of Disease and Injury Series. Vol 3. WHO; 1998."},{"issue":"1","key":"b2","series-title":"J Glob Health","first-page":"010402","article-title":"Estimating the burden of neural tube defects in low- and middle-income countries","volume":"4","author":"Lo A","year":"2014","unstructured":"Lo A, Pol\u0161ek D, Sidhu S. Estimating the burden of neural tube defects in low- and middle-income countries. J Glob Health. 2014;4(1):010402.24976961"},{"issue":"1","key":"b3","series-title":"Nutrients","first-page":"244","article-title":"Low- and middle-income countries: an analysis to identify large-scale mandatory fortification of wheat flour and rice","volume":"13","author":"Kancherla V","year":"2021","unstructured":"Kancherla V, Chadha M, Rowe L,  Low- and middle-income countries: an analysis to identify large-scale mandatory fortification of wheat flour and rice. Nutrients. 2021;13(1):244.33467050"},{"issue":"1","key":"b4","series-title":"Ann N Y Acad Sci","first-page":"31","article-title":"Estimates of global and regional prevalence of neural tube defects for 2015: a systematic analysis","volume":"1414","author":"Blencowe H","year":"2018","unstructured":"Blencowe H, Kancherla V, Moorthie S, Darlison MW, Modell B. Estimates of global and regional prevalence of neural tube defects for 2015: a systematic analysis. Ann N Y Acad Sci. 2018;1414(1):31\u201346.29363759"},{"issue":"4","key":"b5","series-title":"PLoS One","first-page":"e0151586","article-title":"Describing the prevalence of neural tube defects worldwide: a systematic literature review","volume":"11","author":"Zaganjor I","year":"2016","unstructured":"Zaganjor I, Sekkarie A, Tsang BL,  Describing the prevalence of neural tube defects worldwide: a systematic literature review. PLoS One. 2016;11(4):e0151586.27064786"},{"issue":"1","key":"b6","series-title":"BMC Neurol","first-page":"202","article-title":"Birth prevalence of neural tube defects in eastern Africa: a systematic review and meta-analysis","volume":"22","author":"Ssentongo P","year":"2022","unstructured":"Ssentongo P, Heilbrunn ES, Ssentongo AE, Ssenyonga LVN, Lekoubou A. Birth prevalence of neural tube defects in eastern Africa: a systematic review and meta-analysis. BMC Neurol. 2022;22(1):202.35650541"},{"key":"b7","article-title":"Global Report on Birth Defects 2006","unstructured":"March of Dimes. Global Report on Birth Defects 2006. Accessed April 26, 2023.https:\/\/dev.marchofdimes.org\/materials\/global-report-on-birth-defects-the-hidden-toll-of--d2unzZI5_VWOaLZnw6iHcx7hbpMWtWzTuIOU3DabcVY.pdf"},{"issue":"3-4","key":"b8","series-title":"Birth Defects Res","first-page":"95","article-title":"Prevalence of neural tube defects, maternal HIV status, and antiretroviral therapy from a hospital-based birth defect surveillance in Kampala, Uganda","volume":"114","author":"Barlow-Mosha L","year":"2022","unstructured":"Barlow-Mosha L, Serunjogi R, Kalibbala D,  Prevalence of neural tube defects, maternal HIV status, and antiretroviral therapy from a hospital-based birth defect surveillance in Kampala, Uganda. Birth Defects Res. 2022;114(3-4):95\u2013104.34766465"},{"issue":"1","key":"b9","series-title":"BMC Pregnancy Childbirth","first-page":"372","article-title":"A hospital-based birth defects surveillance system in Kampala, Uganda","volume":"19","author":"Mumpe-Mwanja D","year":"2019","unstructured":"Mumpe-Mwanja D, Barlow-Mosha L, Williamson D,  A hospital-based birth defects surveillance system in Kampala, Uganda. BMC Pregnancy Childbirth. 2019;19(1):372.31640605"},{"issue":"1","key":"b10","series-title":"East Cent Afr J Surg","first-page":"26","article-title":"Prevalence, nature and characteristics of external congenital anomalies at Mulago Hospital","volume":"16","author":"Ochieng J","year":"2011","unstructured":"Ochieng J, Kiryowa H, Munabi I, Ibingira C. Prevalence, nature and characteristics of external congenital anomalies at Mulago Hospital. East Cent Afr J Surg. 2011;16(1):26\u201330."},{"key":"b11","series-title":"BioMed Res Int","first-page":"4829023","article-title":"Magnitude of neural tube defects and associated risk factors at three teaching hospitals in Addis Ababa, Ethiopia","volume":"2018","author":"Gedefaw A","year":"2018","unstructured":"Gedefaw A, Teklu S, Tadesse BT. Magnitude of neural tube defects and associated risk factors at three teaching hospitals in Addis Ababa, Ethiopia. BioMed Res Int. 2018;2018:4829023."},{"issue":"6","key":"b12","series-title":"Am J Obstet Gynecol","first-page":"S194","article-title":"Trends in state\/population-based screening for neural tube defects (NTDS), South Australia 1986-2004","volume":"195","author":"Muller P","year":"2006","unstructured":"Muller P, Wilkinson C, Cocciolone R, Haan E, Chan A. Trends in state\/population-based screening for neural tube defects (NTDS), South Australia 1986-2004. Am J Obstet Gynecol. 2006;195(6):S194."},{"issue":"5 suppl 1","key":"b13","series-title":"Am J Prev Med","first-page":"S74","article-title":"Retrospective assessment of cost savings from prevention: folic acid fortification and spina bifida in the U.S","volume":"50","author":"Grosse SD","year":"2016","unstructured":"Grosse SD, Berry RJ, Mick Tilford J, Kucik JE, Waitzman NJ. Retrospective assessment of cost savings from prevention: folic acid fortification and spina bifida in the U.S. Am J Prev Med. 2016;50(5 suppl 1):S74\u2013S80.26790341"},{"issue":"11","key":"b14","series-title":"Q J Med","first-page":"703","article-title":"Maternal plasma folate and vitamin B12 are independent risk factors for neural tube defects","volume":"86","author":"Kirke PN","year":"1993","unstructured":"Kirke PN, Molloy AM, Daly LE, Burke H, Weir DG, Scott JM. Maternal plasma folate and vitamin B12 are independent risk factors for neural tube defects. Q J Med. 1993;86(11):703\u2013708.8265769"},{"issue":"10","key":"b15","series-title":"JAMA","first-page":"1233","article-title":"From the Centers for Disease Control and Prevention. Recommendations for use of folic acid to reduce number of spina bifida cases and other neural tube defects","volume":"269","author":"Atlanta G","year":"1993","unstructured":"Atlanta G. From the Centers for Disease Control and Prevention. Recommendations for use of folic acid to reduce number of spina bifida cases and other neural tube defects. JAMA. 1993;269(10):1233-1238,1236-1238."},{"issue":"9","key":"b16","series-title":"N Engl J Med","first-page":"827","article-title":"Neural-tube defects and antiretroviral treatment regimens in Botswana","volume":"381","author":"Zash R","year":"2019","unstructured":"Zash R, Holmes L, Diseko M,  Neural-tube defects and antiretroviral treatment regimens in Botswana. N Engl J Med. 2019;381(9):827\u2013840.31329379"},{"issue":"1","key":"b17","series-title":"Congenit Anom (Kyoto)","first-page":"29","article-title":"Gender-dependent differences in the incidence of ochratoxin A-induced neural tube defects in the Pdn\/Pdn mouse","volume":"50","author":"Ueta E","year":"2010","unstructured":"Ueta E, Kodama M, Sumino Y,  Gender-dependent differences in the incidence of ochratoxin A-induced neural tube defects in the Pdn\/Pdn mouse. Congenit Anom (Kyoto). 2010;50(1):29\u201339.20201966"},{"issue":"1","key":"b18","series-title":"J Neurosurg Pediatr","first-page":"70","article-title":"Ten-year survival of Ugandan infants after myelomeningocele closure","volume":"19","author":"Sims-Williams HJ","year":"2017","unstructured":"Sims-Williams HJ, Sims-Williams HP, Kabachelor EM, Fotheringham J, Warf BC. Ten-year survival of Ugandan infants after myelomeningocele closure. J Neurosurg Pediatr. 2017;19(1):70\u201376.27767901"},{"issue":"4","key":"b19","series-title":"Neurosurg Focus","first-page":"E9","article-title":"Neural tube defects in Uganda: follow-up outcomes from a national referral hospital","volume":"45","author":"Xu LW","year":"2018","unstructured":"Xu LW, Vaca SD, He JQ,  Neural tube defects in Uganda: follow-up outcomes from a national referral hospital. Neurosurg Focus. 2018;45(4):E9.30269577"},{"key":"b20","article-title":"Health Facilities Inventory","year":"2012","unstructured":"Uganda Ministry of Health. Health Facilities Inventory. July 2012. Accessed April 26, 2023.http:\/\/library.health.go.ug\/sites\/default\/files\/resources\/Health%20Facility%20Inventory%20update%20july%202012.pdf"},{"issue":"6","key":"b21","series-title":"Surgery","first-page":"1710","article-title":"Surgical volume and postoperative mortality rate at a referral hospital in Western Uganda: measuring the Lancet Commission on Global Surgery indicators in low-resource settings","volume":"161","author":"Anderson GA","year":"2017","unstructured":"Anderson GA, Ilcisin L, Abesiga L,  Surgical volume and postoperative mortality rate at a referral hospital in Western Uganda: measuring the Lancet Commission on Global Surgery indicators in low-resource settings. Surgery. 2017;161(6):1710\u20131719."},{"issue":"4","key":"b22","series-title":"J Pediatr Surg","first-page":"838","article-title":"Patterns and treatment outcomes of anorectal malformations in Mbarara Regional Referral Hospital, Uganda","volume":"54","author":"Kayima P","year":"2019","unstructured":"Kayima P, Kitya D, Punchak M, Anderson GA, Situma M. Patterns and treatment outcomes of anorectal malformations in Mbarara Regional Referral Hospital, Uganda. J Pediatr Surg. 2019;54(4):838\u2013844.30153942"},{"key":"b23","series-title":"World Neurosurg","first-page":"526","article-title":"Epidemiology and characteristics of neurosurgical conditions at Mbarara Regional Referral Hospital","volume":"102","author":"Abdelgadir J","year":"2017","unstructured":"Abdelgadir J, Smith ER, Punchak M,  Epidemiology and characteristics of neurosurgical conditions at Mbarara Regional Referral Hospital. World Neurosurg. 2017;102:526\u2013532.28342925"},{"key":"b24","series-title":"World Neurosurg","first-page":"172","article-title":"The College of Surgeons of East, Central, and Southern Africa: successes and challenges in standardizing neurosurgical training","volume":"136","author":"Henderson F Jr","year":"2020","unstructured":"Henderson F Jr, Abdifatah K, Qureshi M,  The College of Surgeons of East, Central, and Southern Africa: successes and challenges in standardizing neurosurgical training. World Neurosurg. 2020;136:172\u2013177.31958592"},{"key":"b25","series-title":"J Biomed Inform","first-page":"103208","article-title":"The REDCap consortium: building an international community of software platform partners","volume":"95","author":"Harris PA","year":"2019","unstructured":"Harris PA, Taylor R, Minor BL,  The REDCap consortium: building an international community of software platform partners. J Biomed Inform. 2019;95:103208.31078660"},{"issue":"2","key":"b26","series-title":"J Biomed Inform","first-page":"377","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris PA","year":"2009","unstructured":"Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377\u2013381.18929686"},{"key":"b27","unstructured":"Tableau. Accessed April 26, 2023.https:\/\/www.tableau.com\/products\/techspecs"},{"issue":"2","key":"b28","series-title":"J Neurosurg Pediatr","first-page":"127","article-title":"Factors affecting survival of infants with myelomeningocele in southeastern Uganda","volume":"7","author":"Warf BC","year":"2011","unstructured":"Warf BC, Wright EJ, Kulkarni AV. Factors affecting survival of infants with myelomeningocele in southeastern Uganda. J Neurosurg Pediatr. 2011;7(2):127\u2013133.21284456"},{"issue":"4","key":"b29","series-title":"Eur J Cancer Care (Engl)","first-page":"516","article-title":"Aflatoxin levels in common foods of South Western Uganda: a risk factor to hepatocellular carcinoma","volume":"19","author":"Kitya D","year":"2010","unstructured":"Kitya D, Bbosa GS, Mulogo E. Aflatoxin levels in common foods of South Western Uganda: a risk factor to hepatocellular carcinoma. Eur J Cancer Care (Engl). 2010;19(4):516\u2013521.20030698"},{"issue":"8","key":"b30","series-title":"Food Addit Contam Part A Chem Anal Control Expo Risk Assess","first-page":"1322","article-title":"Longitudinal evaluation of aflatoxin exposure in two cohorts in south-western Uganda","volume":"32","author":"Kang M","year":"2015","unstructured":"Kang M, Nkurunziza P, Muwanika R,  Longitudinal evaluation of aflatoxin exposure in two cohorts in south-western Uganda. Food Addit Contam Part A Chem Anal Control Expo Risk Assess. 2015;32(8):1322\u20131330.26208708"},{"key":"b31","series-title":"The National Population and Housing Census 2014: Main Report","unstructured":"Uganda Bureau of Statistics. The National Population and Housing Census 2014: Main Report. Accessed April 26, 2023.https:\/\/docslib.org\/doc\/7408300\/the-national-population-and-housing-census-2014-main-report-kampala-uganda"},{"issue":"12","key":"b32","series-title":"Trop Med Int Health","first-page":"1465","article-title":"Maternal recall of birthweight and birth size in Entebbe, Uganda","volume":"17","author":"Lule SA","year":"2012","unstructured":"Lule SA, Webb EL, Ndibazza J,  Maternal recall of birthweight and birth size in Entebbe, Uganda. Trop Med Int Health. 2012;17(12):1465\u20131469.22994260"},{"issue":"1","key":"b33","series-title":"Sudan J Paediatr","first-page":"36","article-title":"Clinical profile of neural tube defects in Sudanese children: is malaria a risk factor?","volume":"17","author":"Sadik B","year":"2017","unstructured":"Sadik B, Babikir HE, Arbab MAR. Clinical profile of neural tube defects in Sudanese children: is malaria a risk factor? Sudan J Paediatr. 2017;17(1):36\u201341.29213169"},{"key":"b34","series-title":"Encyclopedia of the Neurological Sciences","first-page":"360","article-title":"Neural tube defects","author":"Doherty D","year":"2014","unstructured":"Doherty D, Walker WO Jr. Neural tube defects. In: Aminoff MJ, Daroff RB, eds. Encyclopedia of the Neurological Sciences. 2nd ed. Elsevier Ltd; 2014;360-365."},{"issue":"1","key":"b35","series-title":"Ann N Y Acad Sci","first-page":"126","article-title":"Triple surveillance: a proposal for an integrated strategy to support and accelerate birth defect prevention","volume":"1414","author":"Botto LD","year":"2018","unstructured":"Botto LD, Mastroiacovo P. Triple surveillance: a proposal for an integrated strategy to support and accelerate birth defect prevention. Ann N Y Acad Sci. 2018;1414(1):126\u2013136.29532515"},{"issue":"7","key":"b36","series-title":"Lancet Glob Health","first-page":"e1053","article-title":"Preventing birth defects, saving lives, and promoting health equity: an urgent call to action for universal mandatory food fortification with folic acid","volume":"10","author":"Kancherla V","year":"2022","unstructured":"Kancherla V, Botto LD, Rowe LA,  Preventing birth defects, saving lives, and promoting health equity: an urgent call to action for universal mandatory food fortification with folic acid. Lancet Glob Health. 2022;10(7):e1053\u2013e1057.35617975"},{"key":"b37","article-title":"The State of Maize Flour Fortification in Uganda","year":"2018","unstructured":"SPRING. The State of Maize Flour Fortification in Uganda. 2018. Accessed April 26, 2023.https:\/\/www.spring-nutrition.org\/sites\/default\/files\/publications\/reports\/spring_report_uganda_maize_fortification_status.pdf"},{"issue":"1","key":"b38","series-title":"J Neurosurg Pediatr","first-page":"8","article-title":"The role of neurosurgeons in global public health: the case of folic acid fortification of staple foods to prevent spina bifida","volume":"31","author":"Shlobin NA","year":"2022","unstructured":"Shlobin NA, Roach JT, Kancherla V,  The role of neurosurgeons in global public health: the case of folic acid fortification of staple foods to prevent spina bifida. J Neurosurg Pediatr. 2022;31(1):8\u201315.36334286"},{"issue":"18","key":"b39","series-title":"Birth Defects Res","first-page":"1461","article-title":"Modeling shows high potential of folic acid-fortified salt to accelerate global prevention of major neural tube defects","volume":"112","author":"Kancherla V","year":"2020","unstructured":"Kancherla V, Tsang B, Wagh K, Dixon M, Oakley GP Jr. Modeling shows high potential of folic acid-fortified salt to accelerate global prevention of major neural tube defects. Birth Defects Res. 2020;112(18):1461\u20131474.32738033"},{"issue":"3","key":"b40","series-title":"Value Health","first-page":"385","article-title":"The use of cost-effectiveness thresholds for evaluating health interventions in low- and middle-income countries from 2015 to 2020: a review","volume":"25","author":"Kazibwe J","year":"2022","unstructured":"Kazibwe J, Gheorghe A, Wilson D, Ruiz F, Chalkidou K, Chi YL. The use of cost-effectiveness thresholds for evaluating health interventions in low- and middle-income countries from 2015 to 2020: a review. Value Health. 2022;25(3):385\u2013389.35227450"},{"key":"b41","article-title":"Uganda Country Profile","unstructured":"World Bank. Uganda Country Profile. Accessed April 26, 2023. https:\/\/data.worldbank.org\/"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/32\/2\/article-p149.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/32\/2\/article-p149.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/32\/2\/article-p149.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T13:02:46Z","timestamp":1733490166000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/32\/2\/article-p149.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,1]]},"references-count":41,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/2023.4.peds2327","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"value":"1933-0707","type":"print"},{"value":"1933-0715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,1]]}}}