Resection of thoracic dumbbell neurinomas: Single postero-lateral approach or combined posterior and transthoracic approach?

Surgical management of intradural extramedullary tumors located anteriorly to the spinal cord

“…To overcome that difficulty, anterior 11,12 and combined approaches have been described in the literature, especially for thoracic spine schwannomas with intrathoracic extensions. 13 Jenny et al 14 have employed a transthoracic, transvertebral approach for successful removal of an anteriorly placed, calcified meningioma; Dickman and Apfelbaum 15 employed a similar anterior thoracoscopic approach for removal of a schwannoma, while O'Toole and McCormick 16 reported a complete resection of a ventral schwannoma via an anterior cervical corpectomy with reconstruction. However, the use of anterior approaches is usually associated with a significant increase in the morbidity of the procedure, when compared to pure posterior midline approaches.…”

Surgical Outcome of a Posterior Approach for Large Ventral Intradural Extramedullary Spinal Cord Tumors

“…1 Surgical removal is necessary in most cases but the choice of optimal surgical approach is up to the discretion of the individual surgeon. 2 In general, the location and size of the tumor, spinal stability, and control of the spinal cord and blood vessels should be taken into consideration. 2 The location of the tumor may be the most important factor in deciding on the surgical approach, 3 for which there are several options: ventral, dorsal or combined.…”

Hemilaminectomy for spinal meningioma: A case series of 20 patients with a focus on ventral- and ventrolateral lesions

“…Roux et al report an incidence of 39% for ventral meningiomas (16), while Yoon et al report 13% (17), and Solero et al report 15% (6). Surgical excision of ventral-and ventrolateral tumors is challenging, requiring meticulous microsurgical technique, which unfortunately demands a long learning curve (18)(19)(20)(21)(22).…”