Clinical Features and Surgical Outcomes of Spinal Hamartomas: Surgical Treatment of 8 Patients.

Autor: Cao C; Department of Orthopaedic Surgery, Yongchuan Hospital of Chongqing Medical University, Chongqing, China., Li Q; Department of neurology, Yongchuan Hospital of Chongqing Medical University, Chongqing, China., Dong J; Department of Clinical Medicine, Chongqing Medical and Pharmaceutical College, Chongqing, China. Electronic address: tokyo2024@126.com., Lu M; Department of Pain Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2024 Jul; Vol. 187, pp. e792-e797. Date of Electronic Publication: 2024 May 03.
DOI: 10.1016/j.wneu.2024.04.166
Abstrakt: Objective: Rarely do spinal hamartomas receive attention in the literature, and the majority of previous studies consist of case reports. The purpose of this report, then, is to provide a more accurate diagnosis and treatment of spinal hamartomas by presenting the clinical and surgical outcomes of 8 cases.
Methods: The researchers conducted a retrospective analysis of the data for 8 individuals with spinal hamartomas. The 8 patients had undergone both preoperative and postoperative magnetic resonance imaging (MRI) and went through surgery. Radiologic and pathologic criteria were applied to diagnose the spinal hamartomas. The Modified McCormick classification system was used to evaluate neurologic function in these patients.
Results: Among the 8 patients, 6 were male and 2 were female, with an average age of 37.4 years. The typical duration of symptoms was 14.5 months. During surgery, all lesions were well-defined and located in the bone marrow. Gross total resection (GTR) was achieved in 6 cases, and the anatomical plane was clearly delineated, and subtotal resection (STR) was achieved in 2 cases. None of the patients took postoperative radiotherapy. 14.5 months was the average follow-up period during this time, and MRI did not observe the recurrence or regeneration of residual tumors. The McCormick grade was improved in 7 patients and remained stable in 1 patient.
Conclusions: Spinal hamartomas are benign, but they are clinically progressive lesions. Pathology is the basis of accurate diagnosis, and complete preoperative evaluation is crucial for providing suitable treatment and prognosis.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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