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CNS Spotlight

Celebrating 75 Years of NINDS: Dr. Christopher Getch’s Enduring Impact on Neurosurgery and Service

By CNS Spotlight, Faces of Neurosurgery, Medical ResearchNo Comments

Chris was born Dec 22, 1961, in Milton, MA. His family had a legacy of several generations attending the prominent Milton Academy, and Chris followed in those footsteps, as he was often proud to point out. He attended Princeton University, followed by medical school at Tufts. His career was shaped by his neurosurgical training at Thomas Jefferson University, where he developed a passion for cerebrovascular surgery under the guidance of Dr. William Buchheit. He then pursued a fellowship in Pittsburgh under Drs. Peter Janetta, Dade Lundsford, and Douglas Kondziolka, where he honed his microvascular and radiosurgery skills.

Chris joined the faculty at Northwestern in 1996 after finishing training. It was a unique time in the department, as Dr. Hunt Batjer had started as Chair only the year before, and the faculty was being completely revamped.  Chris came to Dr. Batjers’ attention when, at an AANS/CNS Joint Officers meeting at the O’Hare Hilton, Dr. Buchheit and Dr. Ed Laws approached him and said, “We have the perfect faculty member for your new department; his name is Chris Getch”.  Hunt called his cell immediately and had a 30-minute discussion, followed by an invitation for an interview in Chicago.  His recruitment provided Chris with an opportunity to play a significant role in shaping the program’s future. Chris rose to the rank of Professor of Neurosurgery at Northwestern and trained a generation of neurosurgeons during his time there. He was a master surgeon who delighted in performing rigorous cerebrovascular procedures, especially microvascular decompressions for trigeminal neuralgia and hemifacial spasm. He would show off the anatomy of a procedure to the entire operating room, explaining everything on the screen while mentoring the residents. He was fascinated by facial pain and even barged into one of our offices one afternoon, demanding to see a Schaltenbrand-Wahren stereotactic atlas to better understand the procedure that a patient he had seen in the clinic that day had undergone elsewhere.

We were his trainees (BB) and junior partners (BB and JR). Chris always made time to go over case plans with us and to join us in the operating room during the early years of our practice to provide support and technical assistance with challenging anatomy. His steady presence gave us the confidence to stretch our skills and become better surgeons. His rounds were legendary as he was able to spot subtle clinical signs and symptoms that remained invisible to the rest of the team. No one could sense the onset of vasospasm sooner than Chris. Neuroradiologists were always on alert for his phone calls to notify them of subtle findings they may have missed, but Chris did not. He was intense but amiable in how he challenged everyone around him. His laugh could be heard down the hall as he engaged students, colleagues, nurses, and partners in a jovial and collegial way that was his signature. He expected excellence but was the first to admit his failures and defeats. He would let you know when you fell short, but also acknowledged when you performed well. He suffered deeply with complications and always put his patients first. He was in love with the aesthetic of clean microsurgery and insisted on high standards of surgical finesse with his trainees.  He was a superior partner who would come in on off hours and weekends to handle cerebrovascular cases that came into the hospital while someone not specializing in those patients was on call. In fact, the last case he performed was an aneurysm clipping on a Sunday morning in one of these situations. He published over 75 peer-reviewed papers and numerous book chapters related to the surgical treatment of cerebrovascular disease and facial pain.

Importantly, Chris had significant influence outside the operating room. He served on the Board of Think First and worked with the Brain Aneurysm Foundation. He was the President of the Illinois State Neurosurgical Society and a driving presence during the state’s medical malpractice crisis. He was elected to the Executive Council of the AANS/CNS Joint Section on Cerebrovascular Surgery and the Executive Committee of the Society of Neurological Surgeons. He served as a guest examiner for the ABNS oral exams.

He served the Congress of Neurological Surgeons (CNS) in numerous roles, including a 10-year term on the Executive Committee. He was Chair of the Host Committee for the 1997 Annual Meeting, Scientific Program Chair for the 2005 Annual Meeting, and Chairperson of the 2006 Annual Meeting. He served as Vice President of the CNS from 2009 to 2010 and as President of the CNS from 2010 to 2011.

Chris had four sons from his two marriages. He delighted in adding the suffix “bear” to their names whenever he spoke of them (no matter how old they were!). He loved watching them play sports and doing outdoor activities with them. A special place for Chris was his family’s camp in the Canadian wilderness. Whenever possible, they made a family pilgrimage to that site. He was an avid model railroad enthusiast who maintained a large setup in his basement to which he was always adding new and often rare train cars or scenery.

Tributes to Chris’ influence have abounded in the wake of his untimely passing in January 2012. In 2015, the CNS and the National Institute of Neurological Disorders and Stroke (NINDS) established the NINDS/CNS K12 Getch Scholar Award. This 2-year award, funded by the CNS Foundation and NINDS, supports young surgeons early in their practice who wish to develop into productive surgeon-scientists. The Northwestern University Department of Neurosurgery has endowed the Getch Lecture, given each year during resident graduation. In recognition of the value Chris placed on multidisciplinary collaboration, the Department annually awards the Christopher Getch Clinical Excellence Award to a non-neurosurgeon or group that significantly contributes to the Department’s mission. In addition, the Brain Aneurysm Foundation Medical Advisory Board and Board of Directors established The Christopher C. Getch, MD, Chair of Research. The Illinois State Neurosurgical Society annually gives a Christopher Getch Distinguished Service Award to a member neurosurgeon along with the ingredients for Chris’s favorite drink, the Dark and Stormy.

Authors:

Joshua Rosenow, MD
Northwestern University Feinberg School of Medicine
Chicago, IL

 

Bernard Bendok, MD
Mayo Clinic
Phoenix, AZ

 

Hunt Batjer, MD
University of Texas at Tyler School of Medicine
Tyler, TX

Cross-Post: High-Accuracy Augmented Reality Guidance for Intracranial Drain Placement Using a Standalone Head-Worn Navigation System: First-in-Human Results

By CNS Spotlight, Cross PostNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they hit the mark on an issue. We wanted to bring attention to a recent publication in Neurosurgery, the official journal of the Congress of Neurological Surgeons, which provides multimedia, prompt publication of scientific articles on clinical or experimental surgery topics important for the brain, spine, and peripheral nerves, reviews, and other information of interest to readers across the world. The article, “High-Accuracy Augmented Reality Guidance for Intracranial Drain Placement Using a Standalone Head-Worn Navigation System: First-in-Human Results” is published as part of Neurosurgery’s High-Impact Manuscript Service (HIMS). Read More

Cross-Post: Vestibular Schwannoma Koos Grade I International Study of Active Surveillance Versus Stereotactic Radiosurgery: The VISAS-K1 Study

By CNS Spotlight, Cross PostNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they hit the mark on an issue. We wanted to bring attention to a recent publication in Neurosurgery, the official journal of the Congress of Neurological Surgeons, which provides multimedia, prompt publication of scientific articles on clinical or experimental surgery topics important for the brain, spine, and peripheral nerves, reviews, and other information of interest to readers across the world. The article, Vestibular Schwannoma Koos Grade I International Study of Active Surveillance Versus Stereotactic Radiosurgery: The VISAS-K1 Study, is published as part of Neurosurgery’s High-Impact Manuscript Service (HIMS). Read More

Bridging the Gap: A Pathway to Neurosurgery for Underrepresented Students

By CNS Spotlight, DEI, EquityNo Comments

Dedicated to alleviating health care disparities, the Pathway to Neurosurgery program encourages high school students from underrepresented groups and/or disadvantaged backgrounds to pursue a career in neurosurgery. On Monday, Sept. 11, the Congress of Neurological Surgeons (CNS) Foundation will host the program at the 2023 Annual Meeting in Washington, DC.

Forty high school students from the E.L. Haynes Public Charter School will participate in a hands-on activity lab to give them insight into a day in a neurosurgeon’s life. Students will also attend lectures from leading neurosurgeons and hear from plenary talk guest speakers.

In recognition of this noteworthy program, the District of Columbia Mayor Muriel Bowser proclaimed Sept. 7-13 as Pathway to Neurosurgery Week. “The CNS is thrilled that Mayor Bowser has recognized the Pathway to Neurosurgery program. As CNS president, it has been a privilege to witness the growth and development of this critical mission-centric project, offering exposure to the wonders of neuroscience to these exceptional students,” states Elad I. Levy, MD, MBA, FAHA, FACS, FAANS, CNS president and professor and chair of neurosurgery at the State University of New York at Buffalo.

“African Americans, Hispanic Americans and women are significantly underrepresented in neurosurgery, and the CNS Pathway to Neurosurgery program aims to address this problem by promoting diversity, equity and inclusion in neurosurgery. Our goal is to inspire students to consider neurosurgery as a career option to foster innovations in patient care that can improve outcomes and reduce minority health disparities,” said Tiffany R. Hodges, MD, co-chair of the CNS Diversity, Equity, and Inclusion Committee and associate professor of neurosurgery at Case Western Reserve School of Medicine. Only 4% of practicing neurosurgeons in the U.S. are Black, 5% are Hispanic and 8% are women. In contrast, approximately 14% of the U.S. population are Black, 19% are Hispanic and 50% are women.

Click here to read Neurosurgery’s press release.

Editor’s Note: We hope you will share what you learn from our posts. We invite you to join the conversation on Twitter by following @Neurosurgery and @CNS_Update and using the hashtag #PathwaytoNeurosurgery.

Cross-Post: Surgery Decreases Nonunion, Myelopathy, and Mortality for Patients With Traumatic Odontoid Fractures: A Propensity Score Matched Analysis

By CNS Spotlight, Cross PostNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places when we believe they may interest our readers. Today, we wanted to bring attention to a recent publication in Neurosurgery, the official journal of the Congress of Neurological Surgeons, which provides multimedia, prompt publication of scientific articles on clinical or experimental surgery topics important for the brain, spine, and peripheral nerves, reviews, and other information of interest to readers across the world.​ The article — “Surgery Decreases Nonunion, Myelopathy, and Mortality for Patients With Traumatic Odontoid Fractures: A Propensity Score Matched Analysis” — is published as part of Neurosurgery’s High-Impact Manuscript Service (HIMS).

Published online on June 13 and expected in the September issue of Neurosurgery, the article addresses odontoid fractures, common in elderly patients after a low-energy fall. “Given the increasing incidence of odontoid fractures with the aging population, we believe our findings could assist with neurosurgical decision-making for an increasingly common and complex problem,” the researchers say.

According to the Wolters Kluwer press release, “Michael B. Cloney, MD, MPH, of the Department of Neurological Surgery at Northwestern University in Chicago, and colleagues have published evidence that surgery should be considered the initial approach for many patients. Compared with nonoperative approaches to treatment, surgical stabilization of the fracture was associated with less myelopathy (mobility impairment due to spinal cord damage), and lower rates of fracture nonunion, 30-day mortality, and one year mortality.’”

To read the full Neurosurgery article, click here.

Editor’s Note: We hope you will share what you learn from our posts. We invite you to join the conversation on Twitter by following @Neurosurgery and @NeurosurgeryCNS and using the hashtag #neurosurgery.

Cross-Post: Stereotactic Radiosurgery for Vestibular Schwannoma in Neurofibromatosis Type 2: An International Multicenter Case Series of Response and Malignant Transformation Risk

By CNS Spotlight, Cross PostNo Comments

From time to time on the Neurosurgery Blog, you will see us cross-posting or linking to items from other places that we believe will interest our readers. We wanted to bring attention to a recent publication in Neurosurgery, the official journal of the Congress of Neurological Surgeons.​ The article, “Stereotactic Radiosurgery for Vestibular Schwannoma in Neurofibromatosis Type 2: An International Multicenter Case Series of Response and Malignant Transformation Risk” was published as part of Neurosurgery’s High-Impact Manuscript Service (HIMS).

Published in the May issue of Neurosurgery, the article is a retrospective study conducted by an international, multicenter team. Lead author Hussam Abou-Al-Shaar, MD of the University of Pittsburgh Medical Center in Pittsburgh, Pa. and colleagues reviewed data from 12 surgical centers around the world and a total of 267 patients with 328 vestibular schwannomas who underwent stereotactic radiosurgery. They found that stereotactic radiosurgery is effective while preserving serviceable hearing and not causing radiation-related tumor development or malignant transformation.

According to the Wolters Kluwer press release, “Dr. Abou-Al-Shaar’s group concludes that their results point to the need for early treatment of vestibular schwannoma in patients with [neurofibromatosis type 2]. ‘Tumor volume appeared to significantly impact tumor control and freedom from additional treatment, advocating for early stereotactic radiosurgery to maximize benefits and delay clinical deterioration.’”

To read the Neurosurgery article, click here. The complete May issue is here.

Editor’s Note: We hope you will share what you learn from our posts. We invite you to join the conversation on Twitter by following @Neurosurgery and @NeurosurgeryCNS and using the hashtag #neurosurgery.

Cross-Post: Neurosurgery Announces Global Neurosurgery ‘Moon Shot’ with New Editorial Board Section

By CNS Spotlight, Cross Post, Guest PostNo Comments

From time to time on Neurosurgery Blog, you will see us highlighting items from other places when we believe they hit the mark on an issue. To this end, we want to bring attention to the new Neurosurgery Editorial Board Section, “Global Neurosurgery,” highlighted by Section Editor Gail L. Rosseau, MD, FAANS, FACS, in the October issue of Neurosurgery.

As highlighted in a recent announcement about the new feature, “Despite rapid advancements in neurosurgical techniques and capabilities, much of the world’s population has limited or no access to modern care for brain and spinal trauma, stroke, tumors, and other neurological conditions.” To remedy this inequity, the Editor-in-Chief of Neurosurgery, Douglas S. Kondziolka, MD, FAANS, introduced this new section to help advance timely, safe and affordable neurosurgical care to all who need it. Comprised of experts from every generation and continent where neurosurgery is practiced, this new Neurosurgery feature is working to attract the highest-quality global neurosurgery manuscripts, emphasizing policies to assure equity in authorship, access and use of local data.

Dr. Rosseau likens the Global Neurosurgery initiative to President John F. Kennedy’s commitment to land American astronauts on the moon, “no specialty and no nation which expects to be a leader can expect to stay behind in the quest for highest quality health care for all people.”

To read the full Editorial in Neurosurgery, click here.

Editor’s Note: We hope you will share what you learn from our posts. We invite you to join the conversation on Twitter by following @Neurosurgery and @NeurosurgeryCNS.

Practice Restructuring in the COVID-19 Era

By CNS Spotlight, COVID-19, Cross PostNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting or linking to items from other sources that we believe are relevant to our audience. We wanted to bring attention to this article from the Winter 2021 issue of Congress Quarterly titled “Considerations for Private Practice Groups in the Age of COVID.” Stacey Lang, an executive administrator at the University of Pittsburgh Medical Center and a volunteer with the Neurosurgery Executives’ Resource Value & Education Society, outlines both short-term and long-term considerations for practice restructuring in the COVID-19 era, including staffing, facility and scheduling matters.

According to a recently released American Medical Association survey, the average number of weekly office visits per provider fell by over 50%. In addition, while on average physicians experienced a 32% drop in revenue since February, approximately 20% saw reductions of 50% or more. Less than 20% of physicians reported no decrease in revenue. Given the duration of the pandemic thus far, it is difficult to remember what everyday practice was and to imagine that we will, at some point, return to normal, albeit a new normal.

To read the complete article, click here.

Editor’s Note: We encourage everyone to join the conversation online by using the hashtags #COVID19 and #Neurosurgery.

RVU Compensation Model Insufficient for Measuring the Value of Academic Surgeons

By CNS Spotlight, Cross PostNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting or linking to items from other sources that we believe are relevant to our audience. We wanted to bring attention to the recent analysis of the worth of neurosurgeons in academic departments by Elad I. Levy, MD, FAANS, MBA, FACS, FAHA; Kunal Vakharia, MD; and Michael Cournyea, CEO of the University at Buffalo Neurosurgery, Inc. This article from the Winter 2021 issue of Congress Quarterly examines how the relative value unit (RVU) system is insufficient for effectively measuring an academic surgeon’s impact and value and proposes alternative strategies for developing appropriate compensation models for teaching faculty.

Academic neurosurgical departments are the lifeblood of the neurosurgical profession — their mission is to train the next generation of neurosurgeons. By educating stakeholders such as health care systems, universities, philanthropic entities and the community of the importance of each of the subspecialties in neurosurgery, it becomes possible to create appropriate compensation models for teaching faculty.

To read the complete article, click here.

Editor’s Note: We encourage everyone to join the conversation online by using the hashtag #Neurosurgery.

Novel Strategies for Reducing Health Care Costs

By CNS Spotlight, Cross Post, Healthcare CostsNo Comments

From time to time on Neurosurgery Blog, you will see us cross-posting or linking to items from other sources that we believe are relevant to our audience. We wanted to bring attention to the article from the Winter 2021 issue of Congress Quarterly, titled “Cost Effectiveness in Cranioplasty: Investigational 3D-Printed Method for Patient-Specific Cranial Implant.” Daniel Solomon; Jonathan A. Forbes, MD, FAANS; Joseph S. Cheng, MD, MS, FAANS; and Alice Xu from the University of Cincinnati, College of Medicine examine methods to reduce the cost of patient-specific cranial implant (PSCI) by approximately 70% via 3D printing and investigational technology.

Figure 1: (A) and (B) cadaveric specimen following right decompressive craniectomy. (C) Same specimen pictured following cranioplasty with patient-specific cranial implant. PSCI printed/constructed using investigational freeware.

Finding novel ways to reduce surgical expenditures reduces the financial burden on hospitals and patients without compromising quality of care. Strategies such as this are increasingly important as the U.S. continues to push towards value-centric health care.

To read the complete article, click here.

Editor’s Note: We encourage everyone to join the conversation online by using the hashtag #Neurosurgery.