Su Xing , Shi Wei , Zhang Yu , Shi Jin Long , Chen Jian Guo , Shen Jian Hong , Chen Jian , Bai Peng . Microsurgical Resection of Intra-and Extraspinal Dumbbell-shape Schwannoma through Enlarged Intervertebral Foramen Approach[J]. Journal of Kunming Medical University, 2017, 38(09): 71-73.
Citation: Su Xing , Shi Wei , Zhang Yu , Shi Jin Long , Chen Jian Guo , Shen Jian Hong , Chen Jian , Bai Peng . Microsurgical Resection of Intra-and Extraspinal Dumbbell-shape Schwannoma through Enlarged Intervertebral Foramen Approach[J]. Journal of Kunming Medical University, 2017, 38(09): 71-73.

Microsurgical Resection of Intra-and Extraspinal Dumbbell-shape Schwannoma through Enlarged Intervertebral Foramen Approach

Funds:

基金: 江苏省“六大人才高峰”基金资助项目 (2014-WSW-028);

  • Received Date: 2017-04-22
  • Objective To assess the microsurgical resection of dumbbell-shape spinal schwannoma through enlarged intervertebral foramen approach.Methods We performed a retrospective review of 16 patients with dumbbell-shape spinal schwannomas who underwent microsurgical treatment by enlarged intervertebral foramen approach from March 2012 to December 2015 in our department.Preoperative imaging revealed the tumor bestriding intra-and extra-spinal canal, and the intervertebral foramen had been enlarged noticeably.Among which 8 were cervical, 3 were thoracic and 5 were lumbar spinal schwannomas.Results All tumors were removed completely.There was no intraoperative death.The average operation time was 3.2 hours, the average perioperative blood loss was 240 ml, the average hospital stay was 7.8 days postoperation.The average follow-up period was 10.7 months (ranged, 3 months to 36 months) .The symptoms and signs were improved and relieved significantly and no obvious complication or spinal deformity was found.Conclusion The dumbbell-shape spinal schwannoma predominantly located in extraintervertebral foramen could be removed via enlarged intervertebral foramen approach.This approach can aviod the destruction of spine bone structure, excessive exposure during operation and obtain maximum maintenance of spine stability.
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  • [1]
    [1]OZAWA H, KOKUBUN S, AIZAWA T, et al.Spinal dumbbell tumors:an analysis of a series of 118 cases[J].J Neurosurg Spine, 2007, 7 (6) :587-593.[1]OZAWA H, KOKUBUN S, AIZAWA T, et al.Spinal dumbbell tumors:an analysis of a series of 118 cases[J].J Neurosurg Spine, 2007, 7 (6) :587-593.
    [2]刘通, 刘辉, 张建宁, 等.椎管哑铃形肿瘤的显微外科治疗[J].中华神经外科杂志, 2016, 32 (6) :551-555.[2]刘通, 刘辉, 张建宁, 等.椎管哑铃形肿瘤的显微外科治疗[J].中华神经外科杂志, 2016, 32 (6) :551-555.
    [3]陈建, 倪兰春, 施炜, 等.哑铃形椎管肿瘤的分型和显微外科手术[J].中华神经外科杂志, 2008, 24 (10) :731-733.[3]陈建, 倪兰春, 施炜, 等.哑铃形椎管肿瘤的分型和显微外科手术[J].中华神经外科杂志, 2008, 24 (10) :731-733.
    [4]张志成, 李放, 孙天胜, 等.颈椎管内外哑铃形肿瘤Toyama分型及手术治疗策略[J].中国脊柱脊髓杂志, 2009, 19 (7) :510-514.[4]张志成, 李放, 孙天胜, 等.颈椎管内外哑铃形肿瘤Toyama分型及手术治疗策略[J].中国脊柱脊髓杂志, 2009, 19 (7) :510-514.
    [5]
    [5]YASARGIL M G, PAIT T G.Exposure versus Instability[J].J Neurosurg, 1996, 84 (5) :891-892.[5]YASARGIL M G, PAIT T G.Exposure versus Instability[J].J Neurosurg, 1996, 84 (5) :891-892.
    [6]
    [6]ZDEBLICK T A, ZOU D, WARDEN K E, et al.Cervical stability after foraminotomy.A biomechanical in vitro analysis[J].J Bone Joint Surg Am, 1992, 74 (1) :22-27.[6]ZDEBLICK T A, ZOU D, WARDEN K E, et al.Cervical stability after foraminotomy.A biomechanical in vitro analysis[J].J Bone Joint Surg Am, 1992, 74 (1) :22-27.
    [7]林国中, 王振宇, 谢京城, 等.半椎板入路显微手术治疗颈椎椎管内肿瘤[J].中国临床神经外科杂志, 2010, 15 (7) :390-392.[7]林国中, 王振宇, 谢京城, 等.半椎板入路显微手术治疗颈椎椎管内肿瘤[J].中国临床神经外科杂志, 2010, 15 (7) :390-392.
    [8]
    [8]NAGANAWA T, MIYAMOTO K, HOSOE H, et al.Hemilaminectomy for removal of extramedullary or extradural spinal cord tumors:medium to long-term clinical outcomes[J].Yonsei Med J, 2011, 52 (1) :121-129.[8]NAGANAWA T, MIYAMOTO K, HOSOE H, et al.Hemilaminectomy for removal of extramedullary or extradural spinal cord tumors:medium to long-term clinical outcomes[J].Yonsei Med J, 2011, 52 (1) :121-129.
    [9] 佟怀宇, 张远征, 潘隆盛, 等.颈椎管哑铃形肿瘤的显微外科治疗[J].中华神经外科杂志, 2007, 23 (5) :325-328.[9]佟怀宇, 张远征, 潘隆盛, 等.颈椎管哑铃形肿瘤的显微外科治疗[J].中华神经外科杂志, 2007, 23 (5) :325-328.
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