Posterior approach to ventrally located spinal meningiomas.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Spyridon VoulgarisDimitrios Pahaturidis

Abstract

For the resection of anteriorly located meningiomas, various approaches have been used. Posterior approach is less invasive and demanding; however, it has been associated with increased risk of spinal cord injury. We evaluated ten consecutive patients that underwent surgery for spinal meningiomas. All patients were preoperative assessed by neurological examination, computed tomography and magnetic resonance imaging. All tumors were ventrally located and removed via a posterior approach. Transcranial motor-evoked potentials (TcMEPs), somatosensory-evoked potential (SSEP) and free running electromyography (EMG) were monitored intraoperative. Postoperative all patients had regular follow-up examinations. There were four males and six females. The mean age was 68.2 years (range 39-82 years). In nine out of ten cases, the tumor was located in the thoracic spine. A case of a lumbar meningioma was recorded. The most common presenting symptom was motor and sensory deficits and unsteady gait, whereas no patient presented with paraplegia. All meningiomas were operated using a microsurgical technique via a posterior approach. During the operation, free running EMG monitoring prompted a surgical alert in case of irritation, whereas TcMEP a...Continue Reading

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Citations

Dec 15, 2010·Neurology India·George FotakopoulosSpyridon Voulgaris
Jan 14, 2011·Clinical Neurology and Neurosurgery·George A AlexiouAthanasios P Kyritsis
Dec 20, 2015·Journal of Neurosurgery. Spine·Paul M ForemanMark N Hadley
Jun 3, 2015·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Sergio PaoliniVincenzo Esposito
Dec 22, 2014·World Neurosurgery·Harrison J WestwickMohammed F Shamji
Sep 28, 2016·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Naoki NotaniHiroshi Tsumura
Jun 25, 2017·World Neurosurgery·Han Soo Chang
Nov 7, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Chi Heon KimYunhee Choi
Nov 13, 2018·Operative Neurosurgery·George A Alexiou, Spyridon Voulgaris

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