Minimally invasive lateral extracavitary resection of foraminal neurofibromas

Abstract Nerve sheath tumors are the most common spinal tumors but extradural foraminal nerve sheath tumors are much rarer. Traditionally, these nerve sheath tumors have been resected via an open posterior approach. We describe an alternative minimally invasive (MIS) lateral extracavitary approach f...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of clinical neuroscience Vol. 18; no. 11; pp. 1510 - 1512
Main Authors:	Dakwar, Elias, Smith, William D, Malone, Kyle T, Uribe, Juan S
Format:	Journal Article
Language:	English
Published:	Scotland Elsevier Ltd 01-11-2011
Subjects:	Adult Dlif Extracavitary Humans Lateral Male Middle Aged Minimally invasive Minimally Invasive Surgical Procedures - methods Neurofibroma Neurofibroma - pathology Neurofibroma - surgery Neurofibromatosis 1 - pathology Neurofibromatosis 1 - surgery Neurofibromatosis 2 - pathology Neurofibromatosis 2 - surgery Neurology Spinal Cord Neoplasms - pathology Spinal Cord Neoplasms - surgery Treatment Outcome Xlif Xlif Extracavitary Dlif Lateral Minimally invasive Neurofibroma
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Abstract Nerve sheath tumors are the most common spinal tumors but extradural foraminal nerve sheath tumors are much rarer. Traditionally, these nerve sheath tumors have been resected via an open posterior approach. We describe an alternative minimally invasive (MIS) lateral extracavitary approach for resection of symptomatic extradural foraminal spinal neurofibromas. We describe three consecutive male patients (mean age, 37 years) who underwent a successful MIS lateral extracavitary approach for surgical resection of symptomatic extradural spinal neurofibromas. All patients presented with pain and two of the three presented with neurological deficit. Follow-up data, including functional and radiographic outcomes, were collected for all patients. The mean operative time, blood loss, and length of stay were 85 minutes (min) (range, 60–120 min), 150 mL (range, 100–200 mL), and two days (range, 1–3 day), respectively. There were no complications. All patients had complete resolution of their pain and motor deficits. Thus, the MIS lateral extracavitary approach is a safe and feasible alternative for resection of spinal extradural foraminal neurofibromas.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	0967-5868 1532-2653
DOI:	10.1016/j.jocn.2011.04.006