Total resection of cervical ventral intramedullary cavernous hemangiomas with an anterior corpectomy

Narihito Nagoshi, Ken Ishii, Kaori Kameyama, Osahiko Tsuji, Eijiro Okada, Nobuyuki Fujita, Mitsuru Yagi, Morio Matsumoto, Masaya Nakamura, Koota Watanabe

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: Intramedullary lesions and tumors are generally accessed by a posterior approach. However, if the lesion is located on the ventral side of the spinal cord, a posterior resection with myelotomy poses technical difficulties. We report two cases of complete resection of a cervical ventral intramedullary cavernous hemangioma using an anterior approach. Case Report: Two cases of intramedullary cavernous hemangioma located on the ventral side of the spinal cord were successfully treated by total resection with anterior cervical corpectomy followed by anterior spinal fusion with an autologous bone strut from the iliac crest. In both cases, the postoperative course was uneventful, and there was no neurological deficit. Bony fusion was achieved, and there was no recurrence or complication during a follow-up period of at least two years. Conclusions: Here, we describe an anterior approach for total resection of cavernous hemangiomas on the ventral side of the cervical spinal cord. Outcomes were stable two years after the operations. Although the method should be assessed with more patients and a longer follow-up time, this anterior approach may be useful for the radical resection of a vascular malformation or tumor.

Original languageEnglish
Pages (from-to)331-334
Number of pages4
JournalSpine Surgery and Related Research
Volume2
Issue number4
DOIs
Publication statusPublished - 2018 Jan 1

Keywords

  • Anterior approach
  • Cavernous hemangiomas
  • Intramedullary lesions
  • Surgical outcomes
  • Ventral side of spinal cord

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Orthopedics and Sports Medicine

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