Minimally Invasive Removal of Extra- and Intradural Spinal Tumors Using Full Endoscopic Visualization
| Autor: | Yurledys Jhohana Linares-Benavides, Ueza Laurinelis Salazar Leitão, Carlos Aparicio-García, Misael López-Sánchez, Joel Caballero-García |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Endoscopic surgery Retrospective cohort study Endoscopy 03 medical and health sciences 0302 clinical medicine medicine Orthopedics and Sports Medicine Surgery In patient 030212 general & internal medicine Neurology (clinical) Clinical efficacy Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Global Spine Journal. 12:121-129 |
| ISSN: | 2192-5690 2192-5682 |
| Popis: | Study Design: Retrospective cohort study. Objective: To evaluate the clinical efficacy of minimally invasive endoscopic surgery in patients with spinal extradural and intradural-extramedullary tumors. Methods: This was a study of 15 consecutive patients with spinal extradural or intradural-extramedullary tumors up to 2 levels treated by minimal invasive surgery using a full endoscopic visualization and Caspar’s retraction system (for cervical, thoracic, and lumbar tumors) over a 4-year period between January 2015 to April 2019 at a tertiary center. Results: A gross total remove was achieved in all patients (100%), determined by postoperative contrast computed tomography scans and magnetic resonance imaging. There was no postoperative spinal instability. All patients had equal or better neurologic functions after surgery at follow-up. The average preoperative Nurick’s grade mean was 1.9 and the postoperative was 1.1. The average preoperative McCormick’s grade mean was 2.9 versus 1.3 in the postoperative period. Conclusions: Selective extradural or intradural-extramedullary tumors well localized and up to 2 levels can be safely and effectively treated by minimally invasive surgery using a full endoscopic visualization and the Caspar’s retractor. However, there is insufficient evidence to recommend this approach over the classical or other microsurgical approach described. |
| Databáze: | OpenAIRE |
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