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Type: Artigo de periódico
Title: Surgical Management Of Intradural Extramedullary Tumors Located Anteriorly To The Spinal Cord.
Author: Joaquim, Andrei Fernandes
Almeida, João Paulo
Dos Santos, Marcos Juliano
Ghizoni, Enrico
de Oliveira, Evandro
Tedeschi, Helder
Abstract: Meningiomas and nerve sheath tumors are the most common lesions found in the intradural extramedullary compartment of the spine. Some of these lesions can be located anteriorly to the spinal cord, constituting a challenge for spine surgeons. We present a surgical technique that improves the surgical exposure of lesions located anteriorly or antero-laterally to the spinal cord. A microsurgical technique of tenting of the dentate ligament with sutures and rotation of the spinal cord is described in detail and illustrated with surgical cases. This technique increases the small microsurgical operative field and allows spinal cord retraction with the use of a natural cord component, minimizing pressure on the spinal cord delicate tissue, allowing total tumor resection. In conclusion, total resection without new neurological deficit of anterior and antero-lateral tumors can be performed using an isolated posterior approach with rotation of the spinal cord using tenting of the dentate ligament with sutures.
Subject: Adult
Magnetic Resonance Imaging
Meningeal Neoplasms
Middle Aged
Neurosurgical Procedures
Spinal Cord
Young Adult
Citation: Journal Of Clinical Neuroscience : Official Journal Of The Neurosurgical Society Of Australasia. v. 19, n. 8, p. 1150-3, 2012-Aug.
Rights: fechado
Identifier DOI: 10.1016/j.jocn.2011.08.044
Date Issue: 2012
Appears in Collections:Unicamp - Artigos e Outros Documentos

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