Application of posterior arch of the atlasrch resection for high-level cervical dumbbell schwannoma surgery.
10.12200/j.issn.1003-0034.2021.06.010
- Author:
Shi-Rong GU
1
;
Ming ZHANG
1
;
Bin-Hui CHEN
1
;
Pei-Ming SANG
1
;
Hai-Ming FANG
1
Author Information
1. The Second Department of Orthopaedics, LI Huili Hospital of Ningbo Medical Center, Ningbo 315000, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Cervical atlas;
Neurilemmoma;
Surgical procedures, operative
- MeSH:
Adult;
Aged;
Cervical Vertebrae;
Female;
Fracture Fixation, Internal;
Humans;
Male;
Middle Aged;
Neoplasm Recurrence, Local;
Neurilemmoma;
Retrospective Studies;
Treatment Outcome;
Young Adult
- From:
China Journal of Orthopaedics and Traumatology
2021;34(6):530-533
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the feasibility and clinical effect of hemi-resection of posterior arch of atlas in the upper cervical spinal dumbbell-shaped schwannomas.
METHODS:A retrospective analysis was performed on 13 patients with high level cervical dumbbell schwannomas from January 2005 to December 2018, including 10 males and 3 females, aged 19 to 67 years old. The occipital foramen to the C
RESULTS:The operation was successfully completed in 13 cases of this group. No vertebral artery injury or spinal cord injury occurred during the operation. All 13 patients were followed up for more than 12 months. No local recurrence was found. Both the VAS and the JOA score were significantly improved compared with those before surgery. The ASIA classification before operation was:1 case of grade C, 6 cases of grade D, 6 cases of grade E;the latest follow up was 3 cases of ASIA grade D and 10 cases of E.
CONCLUSION:The posterior arch of the atlas hemisection can remove the upper cervical dumbbell schwannoma in one stage. The short-term clinical effect is good, and there are no complications such as cervical instability.
