Microsurgical resection of tumors lateroventral and ventral to the high cervical spinal cord / 中华医学杂志(英文版)
Chinese Medical Journal
;
(24): 828-832, 2005.
Article
in English
| WPRIM
| ID: wpr-288292
ABSTRACT
<p><b>BACKGROUND</b>Since there are a complex anatomic structure and vital function in the high cervical spinal cord, it is difficult to remove the tumors lateroventral and ventral to the high cervical spinal cord. This clinical study was undertaken to analyze surgical approaches, manner of tumor resection and postoperative management.</p><p><b>METHODS</b>Thirty-four patients underwent microsurgical excision of tumors lateroventral and ventral to the high cervical spinal cord by means of three approaches. The tumors comprised mostly Schwannoma and meningioma (88.24%, 30/34) in this group. Tumor volume varied from 3.0 cm x 2.5 cm x 2.0 cm to 12 cm x 3.0 cm x 2.5 cm. Of the 34 patients, 4 had dumbbell-shaped tumors growing outside the spinal canal and 7 tumors growing into the intracranium.</p><p><b>RESULTS</b>The tumor was totally removed in 32 patients (94.1%). Follow-up for 7 months to 6.4 years (median 3.6 years) showed a recovery of a normal life or work ability in 30 (83.3%) patients.</p><p><b>CONCLUSION</b>Modified operative approaches and microsurgical techniques can raise the rate of total tumor removal and reduce the disability of patients.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Postoperative Complications
/
Spinal Cord Neoplasms
/
General Surgery
/
Magnetic Resonance Imaging
/
Follow-Up Studies
/
Meningioma
/
Microsurgery
/
Neurilemmoma
Type of study:
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Chinese Medical Journal
Year:
2005
Type:
Article
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