Minimally invasive transmuscular approach for the treatment of benign intradural extramedullary spinal cord tumours: Technical note and results |
| |
| Institution: | 1. LINT, Faculty of Medicine, National University of Tucumán, Tucumán, Argentina;2. Department of Neurological Surgery, Hospital Padilla, Tucumán, Argentina;3. Laboratory of Microsurgical Neuroanatomy, Second Chair of Gross Anatomy, School of Medicine, University of Buenos Aires, Buenos Aires, Argentina;4. Trauma Center, Gamma Knife Center, Department of Neurosurgery, Cannizzaro Hospital, Catania, Italy;5. Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy;6. Neurosurgery Unit, Department of Surgical Sciences, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy;1. Neurosurgery Department of Toluca Medical Center of Social Security Institute of the State of Mexico and Provinces, Toluca, State of Mexico, Mexico;2. Amphitheater Department, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico;3. Neurological Center, American British Cowdray (ABC) Medical Center, Mexico City, Mexico |
| |
| Abstract: | BackgroundMinimally invasive surgery has expanded over the past two decades and was initially used for the treatment of lumbar disc herniation. Later, this approach was used to treat other spine pathologies, as well as to perform spinal fusion and extended spinal decompression. In this study, we report our experience regarding the use of a minimal surgical approach in the treatment of intradural extramedullary spinal cord tumours.MethodsBetween January 2008 and July 2013, 18 patients with an intradural extramedullary tumour were included in the study (13 thoracic, 4 lumbar and one cervical tumours). The mean age was 59 years. We operated on 11 meningiomas, 6 neurinomas and one ependymoma. All patients underwent minimally invasive surgery using a tubular retractor system to perform a hemilaminectomy in order to access the spinal canal. Fifteen patients had a neurological deficit and 7 suffered from radicular pain prior to surgery.ResultsGross completed resection was performed in all patients. Mean time of surgery was 95 min. Blood loss was less than 200cc. Fifteen patients out of 18 were able to get up the day after surgery. Mean hospital stay was 6 days. There were no complications.ConclusionA minimal surgical approach using a tubular retractor permits an effective resection of intradural extramedullary tumours. This procedure may be a useful tool to decrease the risk of secondary spine instability and postoperative kyphosis, and could also be used for spinal junctions and in fragile patients. |
| |
| Keywords: | Minimally invasive spine surgery Benign spinal cord tumours Spinal meningioma Spinal schwannoma Spinal ependymoma Chirurgie mini-invasive Méningiome rachidien Schwannome rachidien Épendymome |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
