An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation)
https://doi.org/10.29413/ABS.2020-5.6.18
Abstract
The article describes the treatment of a 20-year-old patient with a spinal hourglass schwannoma (neurinoma) in the thoracic spine, growing from the right Th3 spinal root, spreading into the thoracic cavity and compressing the apex of the right lung. The introduction presents the frequency of occurrence of such neoplasms among all spinal cord tumors. Complaints, neurological symptoms, neoplasm diagnosis methods and its clinical and radiological manifestations are presented. The article describes stages and techniques of total surgical removal of the spinal hourglass schwannoma through the posterior paravertebral minimally invasive approach without opening the pleural cavity and with using neurophysiological monitoring of spinal cord function performed at the Neurosurgical Clinic of the Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan. The data of histological examination and MRI control in the early postoperative period are presented. The follow-up was carried out at 6 and 12 months after surgical treatment. The publications describing the surgical treatment of paravertebral tumors through different approaches, the technique of their removal, possible complications and methods of their prevention are analyzed, and the classification according to Eden (1941), which characterizes the type of tumor growth, is presented.
About the Authors
I. A. Vasilyev
Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan
Russian Federation
Russian Federation
Cand. Sc. (Med.), Research Officer at the Department of Neurosurgery, Neurosurgeon at the Neurosurgical Unit N 1
http://orcid.org/0000-0001-6118-5570
Frunze str. 17, Novosibirsk 630091, Russian Federation
I. V. Pendyurin
Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan
Russian Federation
Cand. Sc. (Med.), Head of the Neurosurgical Unit N 1, Neurosurgeon
Frunze str. 17, Novosibirsk 630091, Russian Federation
Russian Federation
Cand. Sc. (Med.), Head of the Neurosurgical Unit N 1, Neurosurgeon
Frunze str. 17, Novosibirsk 630091, Russian Federation
A. V. Buzunov
Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan
Russian Federation
Cand. Sc. (Med.), Research Officer at the Department of Pediatric Orthopaedics
Frunze str. 17, Novosibirsk 630091, Russian Federation
Russian Federation
Cand. Sc. (Med.), Research Officer at the Department of Pediatric Orthopaedics
Frunze str. 17, Novosibirsk 630091, Russian Federation
S. V. Tsvetkovskiy
Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan
Russian Federation
Cand. Sc. (Biol.), Leading Research Officer at the Department of Neurosurgery
Frunze str. 17, Novosibirsk 630091, Russian Federation
Russian Federation
Cand. Sc. (Biol.), Leading Research Officer at the Department of Neurosurgery
Frunze str. 17, Novosibirsk 630091, Russian Federation
E. V. Stupak
Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan
Russian Federation
Junior Research Officer at the Department of Neurosurgery, Neurosurgeon at the Neurosurgical Unit N 1
Frunze str. 17, Novosibirsk 630091, Russian Federation
Russian Federation
Junior Research Officer at the Department of Neurosurgery, Neurosurgeon at the Neurosurgical Unit N 1
Frunze str. 17, Novosibirsk 630091, Russian Federation
V. V. Stupak
Novosibirsk Research Institute of Traumatology and Orthopaedics named after Ya.L. Tsivyan
Russian Federation
Dr. Sc. (Med.), Professor, Neurosurgeon, Head of the Department of Neurosurgery
Frunze str. 17, Novosibirsk 630091, Russian Federation
Russian Federation
Dr. Sc. (Med.), Professor, Neurosurgeon, Head of the Department of Neurosurgery
Frunze str. 17, Novosibirsk 630091, Russian Federation
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Review
For citations:
Vasilyev I.A., Pendyurin I.V., Buzunov A.V., Tsvetkovskiy S.V., Stupak E.V., Stupak V.V. An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation). Acta Biomedica Scientifica. 2020;5(6):157-164. (In Russ.) https://doi.org/10.29413/ABS.2020-5.6.18
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