Lateral Cervical Approach Combined With Posterior Thoracotomy for the Treatment of Giant Neurilemmoma of the Chest Involving the Neck

Correa, Isidoro Rubio; Monje, Florencio; González-García, Raúl; Villanueva-Alcojol, Laura

doi:10.1016/j.joms.2012.06.173

Cited by 2 publications

(1 citation statement)

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“…Extraforaminal thoracic GSSs can compress the lungs and vascular structures, and lumbosacral GSSs can compress abdominal and visceral structures resulting in urination problems and constipation 10,13,19. Furthermore, GSSs that are located in the cauda equina can cause vertebral erosion that results in instability pain 11-13,20…”

Section: Discussionmentioning

confidence: 99%

Alternatives to surgical approach for giant spinal schwannomas

Onen

Şimşek

Naderi

2016

NSJ

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Objective:To review the diagnoses and surgical approach characteristics of giant spinal schwannomas (GSS) patients.Methods:We reviewed the preoperative and postoperative radiological and clinical data, and the surgical aspects of 18 GSS patients who underwent surgery in the Department of Neurosurgery, Umraniye Teaching Hospital and Research State Hospital, Istanbul, Turkey between January 2008 and December 2013.Results:There were 15 (83.3%) female and 3 (16.6%) male patients. The age range was 16-70 years (average: 45.8). Average symptom duration was 1.5 months: (range: 1-48). There was local pain in 15 cases, and radicular pain in 6 cases. The GSSs were most frequently located in the lumbosacral area (11 cases, 61.1%). An extraforaminal surgical approach was employed in 7 cases, a posterior approach was employed in 6 cases, a combined anterior transabdominal and posterior approach was employed in 2 cases, a combined posterior and extraforaminal approach was employed in 2 cases, and a retroperitoneal approach was applied in one case. The tumors were completely excised in all cases. The mean follow-up period was 38.5 months (range: 20-68).Conclusion:Giant spinal schwannomas exhibit unique diagnostic and surgical factors. The selection of an appropriate approach significantly influences the success of the treatment.

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