RESULTS OF SURGICAL TREATMENT IN PATIENTS WITH EXTRAMEDULLARY DUMBBELL-SHAPED TUMORS
https://doi.org/10.14531/ss2014.4.65-71
Abstract
Objective. To analyze long-term clinical results of using neodymium laser for surgical treatment of patients with spinal dumbbell-shaped tumors.
Materials and Methods. Clinical material is based on results of surgical treatment in 83 patients (49 females and 34 males) with dumbbell-shaped tumors. The patients were divided into two groups depending on the tumor resection technology: 57 patients (control group) were operated on using conventional neurosurgical technique, and 26 (study group) - using laser radiation with a wavelength of 1.064 mkm.
Results. In the study group good long-term results were achieved in 10 patients (38.5 %), satisfactory - in 12 (46.1 %), and poor - in 4 (15.4 %). In the group of conventional technology of the tumor removal, good results were achieved in 10 patients (17.5%), satisfactory - in 27 (47.4 %) and poor - in 20 (35.1 %).
Conclusion: The use of a neodymium laser for removal of dumbbell-shaped tumors allows achieving higher levels of radical resection with a possibility of one-stage removal of intracanal and paravertebral fragments of the tumor with minimally injurious exposure of the spinal cord and its roots. Hir. Pozvonoc. 2014; (3):65-71.
About the Authors
Vyacheslav Vladimirovich Stupak
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Sergey Veniaminovich Shabanov
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Ivan Viktorovich Pendyurin
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
Samuil Semyonovich Rabinovich
Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan
Russian Federation
Russian Federation
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Review
For citations:
Stupak V.V., Shabanov S.V., Pendyurin I.V., Rabinovich S.S. RESULTS OF SURGICAL TREATMENT IN PATIENTS WITH EXTRAMEDULLARY DUMBBELL-SHAPED TUMORS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2014;(4):65-71. (In Russ.) https://doi.org/10.14531/ss2014.4.65-71
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