====== 1993 ====== [[1992]]-[[1994]] ---- Brantigan and Steffee ((Brantigan JW, Steffee AD. A [[carbon fiber]] implant to aid [[interbody]] [[lumbar fusion]]. Two-year clinical results in the first 26 patients. Spine (Phila Pa 1976) 1993;18:2106–7. )) combined [[interbody fusion]] with [[pedicle screw]]/[[plate]] [[stabilization]] of the [[lumbar spine]] in [[1993]]. ---- ---- In [[1993]] [[Engelbert Knosp]] et al. offered the [[Knosp grade]] system for showing invasion of [[cavernous sinus]] by [[pituitary macroadenoma]]. Briefly, the much laterally adenoma grows and surrounds the [[internal carotid artery]] (ICA), the more grade level is. The grading defined by the relation of carotid lines with the limits of invasion. These lines passes through supra- and [[intracavernous internal carotid artery]] in [[coronal]] view. There are medial, median and lateral carotid lines ((Knosp E, Steiner E, Kitz K, Matula C. pituitary neuroendocrine tumors with invasion of the cavernous sinus space: a magnetic resonance imaging classification compared with surgical findings. Neurosurgery. 1993 Oct;33(4):610-7; discussion 617-8. PubMed PMID: 8232800. )). ---- The first edition of the [[World Health Organization Classification of Tumors of the Central Nervous System]] was published in [[1979]] and took almost a decade to complete. The second edition followed in [[1993]] and was considered a great step forward as it incorporated the advances in classification resulting from the introduction of [[immunohistochemistry]]. ---- In [[1993]], Mayer and Brock reported the use of tubular retractors. Foley and Smith performed a video-assisted technique using a tubular work canal (Micro-endoscopic discectomy: MED) via a 2-cm incision adopting a trans-muscular approach without multifidus release from its insertion in [[1997]]. ---- ---- Biallelic inactivation of the NF2 gene has been established as the principal underlying genetic event in patients with sporadic and syndrome-associated vestibular schwannoma (VS). Two independent teams contemporaneously identified the NF2 gene located on [[chromosome 22]] at 22q12.2 in [[1993]], which codes for the tumor suppressor protein Merlin, also called schwannomin The NF2 gene provides instructions for the production of a protein called [[merlin]], also known as [[schwannomin]] ((Rouleau GA, Merel P, Lutchman M, et al. Alteration in a new gene encoding a putative membrane-organizing protein causes neurofibromatosis type 2. Nature 1993;363:515–21.)) ((Trofatter JA, MacCollin MM, Rutter JL, et al. A novel moesin-, ezrin-, radixin-like gene is a candidate for the neurofibromatosis 2 tumor suppressor. Cell 1993;72:791–800.)).