scholarly journals Vertebral plate and ligament composite laminoplasty in spinal cord tumor surgery: Analysis of 94 patients

2021 ◽  
Vol 12 (1) ◽  
pp. 040-045
Author(s):  
Xu Hao ◽  
Wang Lin
Keyword(s):  
Spinal Cord ◽  
Spinal Deformity ◽  
Spinal Cord Tumor ◽  
Tumor Resection ◽  
Cervical Vertebra ◽  
Csf Leak ◽  
Tumor Surgery ◽  
Bone Fusion ◽  
Significant Difference ◽  
Similar Risk

Abstract Objectives The aim of this study was to evaluate the value and long-term effect of laminectomy or laminoplasty in spinal cord tumor surgery. Patients and methods Patients with spinal cord tumor treated in Department of Neurosurgery from January 2016 to October 2019 were included in this study. Posterior median approach tumor resection was preceded in 94 cases. Vertebral plate and ligament composite replant (laminoplasty group) was proceeded in 34 cases, and vertebral plate resection (laminectomy group) was proceeded in 60 cases. All patients were followed up and neurological function imagings were conducted 1 week, 3 months, and 6 months postsurgery to evaluate the surgical efficiency and spinal stability. Results Total resection was achieved in 84 patients (89.0%); subtotal resection was achieved in 10 patients (11%). There was no significant difference between thelaminectomy group and laminoplasty group in terms of operative time, surgical site, infection rate, cerebrospinal fluid (CSF) infection, CSF leak, and length of hospitalization (P > 0.05). The incidence of postoperative spinal deformity was 15.0% in the laminectomy group and 11.7% in the laminoplasty group (P > 0.05). Laminoplasty vs laminectomy was associated with a similar risk of progressive deformity. However, for the cervical patients, there is significant difference (P < 0.05) in the spinal deformity. For the patients with incision vertebral segments >3, there is no significant difference in the spinal deformity (P > 0.05). Bone fusion was achieved in 7 (20%) patients in the laminoplasty group. Laminoplasty vs laminectomy was associated with a similar risk of progressive deformity. Conclusion Vertebral plate and ligament composite replant is a simple and practical method in spinal cord tumor surgery. Neither every case got bone fusion nor positive results turned out in survival analysis, but it is still valuable in reducing spinal deformity, especially in cervical vertebra spinal cord tumor surgery.

Spinal Cord Tumor Surgery—Importance of Continuous Intraoperative Neurophysiological Monitoring After Tumor Resection

Spine ◽  
2012 ◽  
Vol 37 (16) ◽  
pp. E1001-E1008 ◽  
Author(s):  
Marie-Thérèse Forster ◽  
Gerhard Marquardt ◽  
Volker Seifert ◽  
Andrea Szelényi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Tumor ◽  
Tumor Resection ◽  
Intraoperative Neurophysiological Monitoring ◽  
Neurophysiological Monitoring ◽  
Tumor Surgery

The Evolution of Intramedullary Spinal Cord Tumor Surgery

2009 ◽  
Vol 65 (suppl_6) ◽  
pp. ons84-ons92 ◽  
Author(s):  
Daniel M. Sciubba ◽  
Daniel Liang ◽  
Karl F. Kothbauer ◽  
Joseph C. Noggle ◽  
George I. Jallo
Keyword(s):  
Spinal Cord ◽  
New Technologies ◽  
Spinal Cord Tumor ◽  
Tumor Resection ◽  
Surgical Techniques ◽  
Surrounding Tissue ◽  
Tumor Surgery ◽  
Spinal Cord Tumors ◽  
Intramedullary Spinal Cord ◽  
Intramedullary Spinal Cord Tumor

Abstract Objective: Resections of intramedullary spinal cord tumors were attempted as early as 1890. More than a century after these primitive efforts, profound advancements in imaging, instrumentation, and operative techniques have greatly improved the modern surgeon’s ability to treat such lesions successfully, often with curative results. Methods: We review the history of intramedullary spinal cord tumor surgery, as well as the evolution and advancement of technologies and surgical techniques that have defined the procedure over the past 100 years. Results: Surgery to remove intramedullary spinal cord tumors has evolved to include sophisticated imaging equipment to pinpoint tumor location, laser scalpel systems to provide precise incisions with minimal damage to surrounding tissue, and physiological monitoring to detect and prevent intraoperative motor deficits. Conclusion: Modern surgical devices and techniques have developed dramatically with the availability of new technologies. As a result, continual advancements have been achieved in intramedullary spinal cord tumor surgery, thus increasing the safety and effectiveness of tumor resection, and progressively improving the overall outcomes in patients undergoing such procedures.

scholarly journals Intraoperative 3T MR Imaging for Spinal Cord Tumor Resection: Feasibility, Timing, and Image Quality Using a “Twin” MR–Operating Room Suite

2008 ◽  
Vol 29 (10) ◽  
pp. 1991-1994 ◽  
Author(s):  
T.P. Duprez ◽  
A. Jankovski ◽  
C. Grandin ◽  
L. Hermoye ◽  
G. Cosnard ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Image Quality ◽  
Mr Imaging ◽  
Operating Room ◽  
Spinal Cord Tumor ◽  
Tumor Resection ◽  
3T Mr

Pediatric Spinal Cord Tumor Surgery

1990 ◽  
Vol 1 (3) ◽  
pp. 569-590 ◽  
Author(s):  
Fred J. Epstein ◽  
Jean-Pierre Farmer
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Tumor ◽  
Tumor Surgery

scholarly journals Intracranial hypertension due to spinal cord tumor misdiagnosed as pseudotumor cerebri syndrome: case report

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wanglu Hu ◽  
Chun Wang ◽  
Qun Wu ◽  
Yike Chen ◽  
Wei Gao ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Spinal Cord Tumor ◽  
Tumor Resection ◽  
Pseudotumor Cerebri ◽  
Transverse Sinus ◽  
Pathologic Evaluation ◽  
Spinal Imaging ◽  
One Year

Abstract Background Isolated onset of intracranial hypertension due to spinal cord tumor is rare, thus, easily leading to misdiagnosis and delay in effective treatment. Case presentation Herein, we describe a 45-year-old female patient who manifested isolated symptoms and signs of intracranial hypertension and whose condition was initially diagnosed as idiopathic intracranial hypertension and transverse sinus stenosis. The patient received a stent implantation; however, no improvements were observed. One year later her symptoms exacerbated, and during rehospitalization a spinal imaging examination revealed a lumbar tumor. Pathologic evaluation confirmed schwannoma, and tumor resection significantly improved her symptoms, except for poor vision. Conclusions Space-occupying lesions of the spine should be considered in the differential diagnosis of idiopathic intracranial hypertension, even in the absence of spine-localized signs or symptoms.

Efficacy of intraoperative lumbar subarachnoid drainage for prevention of cerebrospinal fluid leak after spinal cord tumor resection

2018 ◽  
Vol 23 (2) ◽  
pp. 266-272 ◽  
Author(s):  
Kazuyoshi Kobayashi ◽  
Kei Ando ◽  
Kenyu Ito ◽  
Mikito Tsushima ◽  
Akiyuki Matsumoto ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cerebrospinal Fluid ◽  
Spinal Cord Tumor ◽  
Tumor Resection ◽  
Cerebrospinal Fluid Leak ◽  
Fluid Leak

Intrinsic Spinal Cord Tumor Resection

Neurosurgery ◽  
2002 ◽  
Vol 50 (5) ◽  
pp. 1059-1063 ◽  
Author(s):  
Jacques Brotchi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Tumor ◽  
Tumor Resection

Intrathecal morphine analgesia after cervical and thoracic spinal cord tumor surgery

2014 ◽  
Vol 21 (6) ◽  
pp. 899-904 ◽  
Author(s):  
Beate Poblete ◽  
Christoph Konrad ◽  
Karl F. Kothbauer
Keyword(s):  
Spinal Cord ◽  
Intensive Care ◽  
Rating Scale ◽  
Intrathecal Morphine ◽  
Spinal Cord Tumor ◽  
Tumor Resection ◽  
Numeric Rating Scale ◽  
Thoracic Spinal Cord ◽  
Dural Closure ◽  
Thoracic Spinal

Object The aim of this study was to provide evidence for the effect of intrathecal morphine application after spinal cord tumor resection. Methods Twenty patients participated in a prospective open proof-of-concept study. During dural closure, morphine (7 μg/kg) was injected into the subarachnoid space. All patients were monitored in an intensive care setting postoperatively. Pain, additional opioids given, and vital parameters were recorded. Results Six patients received a mean morphine dose of 365 μg between C-3 and C-7 and 14 patients received a mean dose of 436 μg between T-2 and T-12. In the cervical and thoracic groups, the mean Numeric Rating Scale score was highest upon intensive care unit admission (1.2 and 2.5, respectively) and declined at 12 hours (0.5 and 0.8, respectively). Minimal extra morphine was required. Minor side effects occurred without consequence. Conclusions Intrathecal morphine for postoperative analgesia after resection of cervical and thoracic spinal cord tumors is effective and safe. These preliminary results require confirmation by larger comparative studies and further clinical experience.

Using Intraoperative Ultrasonography for Spinal Cord Tumor Surgery

2017 ◽  
Vol 97 ◽  
pp. 104-111 ◽  
Author(s):  
Marcel Ivanov ◽  
Alexandru Budu ◽  
Hugh Sims-Williams ◽  
Ion Poeata
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Tumor ◽  
Intraoperative Ultrasonography ◽  
Tumor Surgery
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