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Wang R, Chen CM, Li F, Jiang YW, Chen Y, Zheng SX, Zhuang YD, Zhou MC, Shi SS, Yang WZ. [Percutaneous full-endoscopic removalof lumbar dumbbell tumors viatransforaminal approach]. Zhonghua Yi Xue Za Zhi 2020; 100:286-290. [PMID: 32075357 DOI: 10.3760/cma.j.issn.0376-2491.2020.04.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Objective: To investigate the novel application and effectof Percutaneous Full-Endoscopic transforaminal approach for lumbar dumbbell tumors. Methods: A retrospective analysis of 12 cases of lumbar dumbbell tumors was conducted by Percutaneous full-endoscopic transforaminal approach in the Department of Neurosurgery, Fujian Medical University Union Hospital from Feb, 2018 to Jul, 2019. According to Eden classification, 5 cases in type Ⅲ and 7 cases in type Ⅳ. The Japanese Orthopaedic Association (JOA) score and Pain Visual analogue Scale (VAS) were used to compare the recovery of neurological function before and after surgery. Results: All the 12 tumors were completely removed in one stage. The pathological reports were all schwannomas (WHO grade Ⅰ). The VAS scores were significantly decreased compared with preoperative ones (P<0.001). The JOA scores were significantly improved without obvious complications and spinal instability. Median length of follow-up was 14 months with a range of 4 months to 20 months, there is no tumor recurrence and spinal instability. Conclusion: In the treatment of lumbar dumbbell spinal tumor, the full endoscopic transforaminal approach is a novel, safe and effective surgical procedure which removes the tumors intra-foramen and extra-foramen with less damage of spine, smaller possibility of instability and faster recovery.
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Affiliation(s)
- R Wang
- Department of Neurosurgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou350000, China
| | - C M Chen
- Department of Neurosurgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou350000, China
| | - F Li
- Department of Neurosurgery, Affiliated Union Hospital Pingtan Branch, Fujian Medical University, Fuzhou 350000, China
| | - Y W Jiang
- Department of Neurosurgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou350000, China
| | - Y Chen
- Department of Neurosurgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou350000, China
| | - S X Zheng
- Department of Neurosurgery, Affiliated Union Hospital West Branch, Fujian Medical University, Fuzhou 350000, China
| | - Y D Zhuang
- Department of Neurosurgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou350000, China
| | - M C Zhou
- Department of Neurosurgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou350000, China
| | - S S Shi
- Department of Neurosurgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou350000, China
| | - W Z Yang
- Department of Neurosurgery, Affiliated Union Hospital, Fujian Medical University, Fuzhou350000, China
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