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

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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

Fingerprint

Cavernous Hemangioma
Spinal Cord
Spinal Fusion
Vascular Malformations
Neoplasms
Bone and Bones
Recurrence

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

Cite this

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title = "Total resection of cervical ventral intramedullary cavernous hemangiomas with an anterior corpectomy",
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.",
keywords = "Anterior approach, Cavernous hemangiomas, Intramedullary lesions, Surgical outcomes, Ventral side of spinal cord",
author = "Narihito Nagoshi and Ken Ishii and Kaori Kameyama and Osahiko Tsuji and Eijiro Okada and Nobuyuki Fujita and Mitsuru Yagi and Morio Matsumoto and Masaya Nakamura and Koota Watanabe",
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T1 - Total resection of cervical ventral intramedullary cavernous hemangiomas with an anterior corpectomy

AU - Nagoshi, Narihito

AU - Ishii, Ken

AU - Kameyama, Kaori

AU - Tsuji, Osahiko

AU - Okada, Eijiro

AU - Fujita, Nobuyuki

AU - Yagi, Mitsuru

AU - Matsumoto, Morio

AU - Nakamura, Masaya

AU - Watanabe, Koota

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

AB - 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.

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KW - Cavernous hemangiomas

KW - Intramedullary lesions

KW - Surgical outcomes

KW - Ventral side of spinal cord

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