Document Detail

Microsurgical unilateral approaches for spinal tumour surgery: eight years' experience in 256 primary operated patients.
MedLine Citation:
PMID:  2589118     Owner:  NLM     Status:  MEDLINE    
A series of 256 consecutive patients suffering from spinal tumours was studied with respect to the value of bilateral or unilateral surgical approaches. The case material included 152 extradural, 87 intradural, extramedullary and 17 intramedullary tumours. The cervical spinal cord was involved in 43, the thoracic in 152 and the lumbosacral region in 61 cases. Hemilaminectomy was chosen mainly for juxtamedullary tumours, while laminectomy was used for intramedullary tumours. No remarkable difference regarding the choice of approaches was found in extradural tumours. More than 60% of cervical or lumbosacral tumours were managed using unilateral procedures. A higher rate of surgical radicality but fewer complications, shorter stay in hospital and better early results were achieved using hemilaminectomy especially in patients with juxtamedullary tumours. From the observations it may be concluded that the results do not depend on the type of surgical approach but are closely related to the histology and location of tumours. Under the prerequisite of exact pre-operative definition of tumour location, unilateral approaches are advantageous for all kinds of spinal tumours especially for juxtamedullary benign tumours.
S M Chiou; H R Eggert; G Laborde; W Seeger
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta neurochirurgica     Volume:  100     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  1989  
Date Detail:
Created Date:  1989-12-28     Completed Date:  1989-12-28     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  AUSTRIA    
Other Details:
Languages:  eng     Pagination:  127-33     Citation Subset:  IM    
Department of General Neurosurgery, University of Freiburg, Federal Republic of Germany.
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MeSH Terms
Aged, 80 and over
Child, Preschool
Lung Neoplasms
Meningeal Neoplasms / secondary,  surgery*
Meningioma / secondary,  surgery*
Microsurgery / methods*
Middle Aged
Neurilemmoma / secondary,  surgery*
Postoperative Complications
Spinal Neoplasms / secondary,  surgery*

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