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Surgical treating lumbar intraspinal tumor through a para-split laminotomy

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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
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关键词: Split laminectomy intraspinal tumors surgery

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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.

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出版当年[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
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出版当年[2022]版:
Q4 CLINICAL NEUROLOGY Q4 SURGERY
最新[2023]版:
Q3 SURGERY Q4 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Yangzhou Univ, Dept Neurosurg, Clin Med Coll, 98 Nantong West Rd, Yangzhou, Jiangsu, Peoples R China
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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
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