124313

Minimally Invasive Hemilaminectomy Approach in Cases of Intradural-Extramedullary Spinal Tumors: Local Experience

Article

Last updated: 03 Jan 2025

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-

Tags

Tumors

Abstract

Background Data: Intradural-extramedullary (IDEM) tumors represent two-thirds of spinal cord tumors. As IDEM tumors are mostly benign, advocated approaches for surgical excision of these lesions should aim for total excision of the lesion with avoiding unnecessary disruption of spinal stability. Study design: This is a retrospective case series. Purpose: To assess the feasibility and advantages of a minimally invasive hemilaminectomy approach for excising IDEM spinal tumors. Patients and Methods: This study was conducted in our institution to review retrospectively cases of IDEM spinal tumors that underwent a minimally invasive hemilaminectomy approach from January 2016 to January 2019. Twenty-six patients who presented with twenty-seven tumors fulfilled our criteria and were included in this study. The history of all patients was taken and they were subjected to clinical examination and preoperative MRI with contrast. Frankel scale was used to assess the neurological status of the affected limbs and Visual Analogue Scale (VAS) for the evaluation of associated radicular pain. Regular follow-up visits were arranged for our cases one month after surgery and then every three months for at least 6 months. Results: Twenty-six patients with 27 tumors were included in this study, 15 females (57.7%) and 11 males (42.3%). The mean age of patients was 42.3 ± 12.8 years. This study included 15 schwannomas (55.6%), 4 neurofibromas (14.8%), and 8 meningiomas (29.6%). Gross total excision was achieved in 26 tumors (96%). Early mobilization and short hospital stay (1.38 ± 1.09) days were reported in all these cases. Complications reported in this study included one case of wound infection, one patient developed a CSF leak, and one patient experienced a mild deterioration of motor power. Conclusion: This study suggests that a minimally invasive hemilaminectomy approach offers an adequate, safe, and convenient corridor for the total excision of IDEM tumors. However, good patient selection, accurate preoperative and intraoperative tumor localization, and meticulous microsurgical resection are mandatory. (2020ESJ208)

DOI

10.21608/esj.2020.27140.1128

Keywords

hemilaminectomy, Approach, schwannoma, Neurofibroma, Intradural extramedullary, Tumors

Authors

First Name

Hesham

Last Name

Elsobky

MiddleName

-

Affiliation

Neurosurgery department mansoura university

Email

h_espero@yahoo.com

City

mansoura

Orcid

-

First Name

Basem

Last Name

Awad

MiddleName

-

Affiliation

Mansoura University

Email

dr_basemawad@hotmail.com

City

Mansoura

Orcid

-

First Name

Hazem

Last Name

Alkosha

MiddleName

-

Affiliation

Neurosurgery Department, Mansoura University

Email

hazem_kosha@yahoo.com

City

-

Orcid

0000-0001-6517-0586

First Name

Ashraf

Last Name

Zidan

MiddleName

shaker

Affiliation

neurosurgery department mansoura university

Email

ournour2004@yahoo.com

City

mansoura

Orcid

-

First Name

amin

Last Name

sabry

MiddleName

-

Affiliation

Lecturer of neurosurgery mansoura university

Email

amin_sabryneuro@yahoo.com

City

-

Orcid

aminmohamad@mans.edu.eg

Volume

34

Article Issue

1

Related Issue

14341

Issue Date

2020-04-01

Receive Date

2020-01-22

Publish Date

2020-04-01

Page Start

59

Page End

68

Print ISSN

2314-8950

Online ISSN

2314-8969

Link

https://esj.journals.ekb.eg/article_124313.html

Detail API

https://esj.journals.ekb.eg/service?article_code=124313

Order

6

Type

Clinical Articles

Type Code

433

Publication Type

Journal

Publication Title

Egyptian Spine Journal

Publication Link

https://esj.journals.ekb.eg/

MainTitle

Minimally Invasive Hemilaminectomy Approach in Cases of Intradural-Extramedullary Spinal Tumors: Local Experience

Details

Type

Article

Created At

22 Jan 2023