The evolving landscape of neurosurgery: techniques and outcomes reflects an intricate balance between technological innovation and neurologic preservation. Modern techniques such as intraoperative neuronavigation, stereotactic guidance, and cortical mapping have revolutionized how brain and spinal conditions are approached. Surgeons now operate with real-time imaging feedback and perform minimally invasive interventions through tubular retractors or endoscopic portals. Whether managing tumors, vascular malformations, or degenerative spine disease, the emphasis has shifted from survival alone to optimizing long-term neurologic function and life quality. Adjuncts like awake craniotomies and functional MRI aid in preserving eloquent brain areas during resection. With continuous advancements in surgical tools and perioperative monitoring, neurosurgery now offers more targeted, outcome-driven approaches, delivering greater safety and improved recovery for complex central nervous system disorders.
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