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Removal of Intradural-Extramedullary Spinal Cord Tumors with Unilateral Limited Laminectomy
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  • Removal of Intradural-Extramedullary Spinal Cord Tumors with Unilateral Limited Laminectomy
  • Removal of Intradural-Extramedullary Spinal Cord Tumors with Unilateral Limited Laminectomy
저자명
Sim. Jong-Eun,Noh. Seung-Jin,Song. Young-Jin,Kim. Hyung-Dong
간행물명
Journal of Korean neurosurgical society
권/호정보
2008년|43권 5호|pp.232-236 (5 pages)
발행정보
대한신경외과학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Total laminectomy for the removal of intradural-extramedullary spinal cord tumors has been used widely, but postoperative complications often develop, such as kyphosis, spinal instability, and persistent back pain. In this study, we evaluated seven patients with intradural-extramedullary spinal cord tumors with respect to the value of unilateral limited laminectomy. Our cases included six schwannomas, and one meningioma. The cervical region was involved in four cases, the thoracolumbar region in two cases, and the lumbar region in one case. The rationale for choosing a unilateral approach is to preserve musculoligamentous attachments and posterior bony elements as much as possible. The patients were mobilized on the third postoperative day and preoperative neurological symptoms were recovered within a few weeks. We did not observe any complication relating to unilateral limited laminectomy and at follow-up evaluation (at 3 and 12 months postoperatively), none of the patients showed spinal deformity or spinal instability. We think that the unilateral limited laminectomy is a safe and efficient technique for the treatment of intradural-extramedullary spinal cord tumors. We suggest that this technique is one of the best treatments for these tumors.