Surgical results of intramedullary spinal cord tumor with spinal cord monitoring to guide extent of resection.

作者: Yukihiro Matsuyama , Yoshihito Sakai , Yoshito Katayama , Shiro Imagama , Zenya Ito

DOI: 10.3171/2009.2.SPINE08698

关键词: EpendymomaSpinal cord tumorSpinal cordMedicineSurgerySpinal Cord NeoplasmCentral nervous system diseaseHemangioblastomaAstrocytomaBiopsy

摘要: Object The authors investigated the outcome of intramedullary spinal cord tumor surgery, focusing on effect preoperative neurological status postoperative mobility and extent excision guided by intraoperative monitoring prospectively. Methods Intramedullary surgery was performed in 131 patients between 1997 2007. compared pre- examined type 106 these patients. A modified McCormick Scale (Grades I–V) used to assess ambulatory ability (I = normal ambulation; II mild motor sensory deficit, independent without external aid; III with IV care required; V wheelchair required). classified into 4 levels: total resection, subtotal partial biopsy. Results consisted 47 females 59 males, whose average age 42.5 years (range 6–75 years). mean follow-up period 7...

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