The authors present one of the largest single-center series of surgically treated SAW to date. While a subset of patients experienced persistent or worsened symptoms, the majority demonstrated both clinical and radiological improvement. These findings support surgical fenestration as a generally effective intervention for symptomatic SAW. Given the progressive nature of the condition and its potential impact on function, early recognition and surgical referral are critical to optimize patient outcomes. https://thejns.org/doi/10.3171/CASE25910.
Ritchey et al. (Mon,) studied this question.