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Sim JE, Noh SJ, Song YJ, et al. Removal of intradural-extramedullary spinal cord tumors with unilateral limited laminectomy. J Korean Neurosurg Soc. 2008;43(5):232-6doi: 10.3340/jkns.2008.43.5.232.
Sim, J. E., Noh, S. J., Song, Y. J., & Kim, H. D. (2008). Removal of intradural-extramedullary spinal cord tumors with unilateral limited laminectomy. Journal of Korean Neurosurgical Society, 43(5), 232-6. https://doi.org/10.3340/jkns.2008.43.5.232
Sim, Jong-Eun, et al. "Removal of intradural-extramedullary spinal cord tumors with unilateral limited laminectomy." Journal of Korean Neurosurgical Society vol. 43,5 (2008): 232-6. doi: https://doi.org/10.3340/jkns.2008.43.5.232
Sim JE, Noh SJ, Song YJ, Kim HD. Removal of intradural-extramedullary spinal cord tumors with unilateral limited laminectomy. J Korean Neurosurg Soc. 2008 May;43(5):232-6. doi: 10.3340/jkns.2008.43.5.232. Epub 2008 May 20. PMID: 19096602; PMCID: PMC2588222.
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J Korean Neurosurg Soc. 2008 May;43(5):232-6. doi: 10.3340/jkns.2008.43.5.232. Epub 2008 May 20.

Removal of intradural-extramedullary spinal cord tumors with unilateral limited laminectomy.

Journal of Korean Neurosurgical Society

Jong-Eun Sim, Seung-Jin Noh, Young-Jin Song, Hyung-Dong Kim

Affiliations

  1. Department of Neurosurgery, College of Medicine, Dong-A University, Busan, Korea.

PMID: 19096602 PMCID: PMC2588222 DOI: 10.3340/jkns.2008.43.5.232

Abstract

Total laminectomy for the removal of intradural-extramedullary spinal cord tumors has been used widely, but postoperative complications often develop, such as kyphosis, spinal instability, and persistent back pain. In this study, we evaluated seven patients with intradural-extramedullary spinal cord tumors with respect to the value of unilateral limited laminectomy. Our cases included six schwannomas, and one meningioma. The cervical region was involved in four cases, the thoracolumbar region in two cases, and the lumbar region in one case. The rationale for choosing a unilateral approach is to preserve musculoligamentous attachments and posterior bony elements as much as possible. The patients were mobilized on the third postoperative day and preoperative neurological symptoms were recovered within a few weeks. We did not observe any complication relating to unilateral limited laminectomy and at follow-up evaluation (at 3 and 12 months postoperatively), none of the patients showed spinal deformity or spinal instability. We think that the unilateral limited laminectomy is a safe and efficient technique for the treatment of intradural-extramedullary spinal cord tumors. We suggest that this technique is one of the best treatments for these tumors.

Keywords: Intradural extramedullary spinal cord neoplams; Laminectomy

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