One stage microsurgical resection combined with spinal instrumentation for the treatment of communicating intra and extra vertebral tumors
Guo Yunfa
Huang Bin
Li Quancai
Wang Jinlong
Liu Yajun
Wu Hao
Luo Kun
Abstract：Objective To investigate the best way to resect the communicating intra- and extra-vertebral (CIE) tumor and maintain the spinal stability through one-stage microsurgery. Methods Clinical data of 12 patients with CIE tumor were analyzed retrospectively. The tumors was located at the cervical spine in 6 patients, at the thoracic spine in 4 and at the lumbar spine in 2. Tumor resection was performed under microscope in all the patients and spinal instrumentation in 10. Results Total tumor removal was achieved in 9 patients, subtotal removal in 2 and partial removal in 1. The pathological results showed schwannoma in 8 patients, and neurofibroma, malignant peripheral nerve sheath tumor, malignant mesothelioma and highly differentiated angiosarcoma in 1 respectively. The neurological function was improved in 11 patients and unchanged in 1. All the patients were followed up for 4 to 16 months. No tumor relapse and spinal malformation were found. Conclusion Spinal instrumentation should be performed simultaneously during one-stage microsurgery for most patients with CIE tumors in order to maintain the stability of the spine.
Keywords：spinal cord neplasmscommunicating intra-and extra-spinalmicrosurgeryinternal fixation
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 269-271 )