Posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how I do it.
Cervicothoracic region
Spinal cord tumor
Surgical approach
Transpedicular approach
Ventral spinal lesion
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
received:
03
10
2022
accepted:
11
11
2022
pubmed:
23
11
2022
medline:
18
1
2023
entrez:
22
11
2022
Statut:
ppublish
Résumé
Surgical exposure of lower cervical and upper thoracic intradural extramedullary lesions located along the ventral medulla are among the most complexes to address in spinal surgery, and their surgical removal carries a high risk. We describe the surgical steps of a posterolateral transpedicular approach for resection of an intradural extramedullary lesion located anterolaterally at C7-T1 level. A posterolateral transpedicular approach is a safe and efficient surgical corridor to explore the ventral spinal cord and to have a direct access to lower cervical-upper thoracic lesions without the extensive manipulation of the spinal cord and the spine instability.
Sections du résumé
BACKGROUND
Surgical exposure of lower cervical and upper thoracic intradural extramedullary lesions located along the ventral medulla are among the most complexes to address in spinal surgery, and their surgical removal carries a high risk.
METHODS
We describe the surgical steps of a posterolateral transpedicular approach for resection of an intradural extramedullary lesion located anterolaterally at C7-T1 level.
CONCLUSIONS
A posterolateral transpedicular approach is a safe and efficient surgical corridor to explore the ventral spinal cord and to have a direct access to lower cervical-upper thoracic lesions without the extensive manipulation of the spinal cord and the spine instability.
Identifiants
pubmed: 36414756
doi: 10.1007/s00701-022-05424-2
pii: 10.1007/s00701-022-05424-2
pmc: PMC9840581
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
165-168Informations de copyright
© 2022. The Author(s).
Références
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pubmed: 21178841