机构:[1]Yangzhou Univ, Dept Neurosurg, Clin Med Coll, 98 Nantong West Rd, Yangzhou, Jiangsu, Peoples R China[2]Cent South Univ, Dept Neurosurg, Xiangya Med Coll, Changsha, Peoples R China[3]Nanjing Tongren Hosp, Dept Neurosurg, Nanjing, Peoples R China
Background to explore the feasibility and effectiveness of para-split laminotomy in the treatment of lumbar intraspinal tumors. Methods We retrospectively review the clinical data of 15 patients suffering lumbar intraspinal tumors, who underwent tumor resection using the para-split laminotomy, from October 2016 to May 2018. Observation indicators were as follows: (1) surgical and postoperative recovery situations; (2) the neurological function of the spinal cord and the follow-up situations. Results Mean blood loss was 95.3 +/- 58.2 ml, and the mean duration of the surgical procedure was 176.7 +/- 35.2 min. All lumbar intraspinal tumors were resected completely. There were no operative complications. The postoperative CT scans showed no pedicle or vertebral fractures. During the follow-up period of 6-18 months (average 10.8 +/- 3.9 months), no tumor recurrence or spinal deformation was found according to the imaging examination. CT 3D reconstructions showed that the split laminae tended to heal. The average preoperative JOA score was 15.5 +/- 4.9 and the average postoperative JOA score improved to 24.0 +/- 3.5 (average improvement rate 65.9 +/- 19.6%). Conclusion The para-split laminotomy could reduce the damage to the posterior spinal tension band and help to protect the stability of the spine. It is feasible and effective to apply the para-split laminotomy to the operation of a lumbar intraspinal tumor, and this technique may be a promising option when considering surgical methods for some multilevel well-circumscribed intraspinal tumors.
基金:
Six Talent Peaks Project in Jiangsu Province [LGY2017026]; Social Development Program of Yangzhou Science and Technology Bureau [YZ2018088, YZ2019056, YZ2017068]; Scientific Research Project of Jiangsu Province [BRA2019026]
第一作者机构:[1]Yangzhou Univ, Dept Neurosurg, Clin Med Coll, 98 Nantong West Rd, Yangzhou, Jiangsu, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Yangzhou Univ, Dept Neurosurg, Clin Med Coll, 98 Nantong West Rd, Yangzhou, Jiangsu, Peoples R China[*1]Department of Neurosurgery, Clinical Medical College of Yangzhou University, 98 Nantong West Road, Yangzhou, China
推荐引用方式(GB/T 7714):
Wang Xiaodong,Liao Xiongfei,Zhang Hengzhu,et al.Surgical treating lumbar intraspinal tumor through a para-split laminotomy[J].BRITISH JOURNAL OF NEUROSURGERY.2024,38(1):45-48.doi:10.1080/02688697.2021.1872772.
APA:
Wang, Xiaodong,Liao, Xiongfei,Zhang, Hengzhu,Xu, Zhiwen,Yan, Zhengcun...&Dong, Lun.(2024).Surgical treating lumbar intraspinal tumor through a para-split laminotomy.BRITISH JOURNAL OF NEUROSURGERY,38,(1)
MLA:
Wang, Xiaodong,et al."Surgical treating lumbar intraspinal tumor through a para-split laminotomy".BRITISH JOURNAL OF NEUROSURGERY 38..1(2024):45-48