Papp Zoltán
Országos Idegsebészeti Tudományos Intézet, Budapest.
Ideggyogy Sz. 2009 Jul 30;62(7-8):265-70.
One third of the primary spinal tumours are neurinomas. These tumours most often located intraduraly-extramedullary, but 15-25 percent of the cases, the tumour extends to the paraspinal region through the neuroforamina. Spinal manifestation of Schwann-cell tumours, usually neurofibromas, can be seen in neurofibromatosis. 31 years old female patient, suffering from NF1 was operated on with a Th 3-6 and Th 10-11 dumbbell tumours. At the first step the tumour mass, located in the spinal canal, was resected through a partial hemilaminectomy. At the second operation the extraspinal tumour was resected through a minimal invasive paraspinal approach. The author present the combined use of minimal invasive spine surgical technics and discuss the benefits and disadvantages of these approaches, compared to the standard surgical procedures.
原发性脊柱肿瘤中有三分之一是神经鞘瘤。这些肿瘤最常位于硬脊膜内髓外，但在15% - 25%的病例中，肿瘤通过神经孔延伸至椎旁区域。施万细胞瘤的脊柱表现，通常是神经纤维瘤，可见于神经纤维瘤病。一名31岁患有神经纤维瘤病1型（NF1）的女性患者接受了胸3 - 6和胸10 - 11哑铃状肿瘤的手术。第一步，通过部分半椎板切除术切除位于椎管内的肿瘤块。第二次手术通过微创椎旁入路切除椎体外肿瘤。作者介绍了微创脊柱手术技术的联合应用，并讨论了与标准手术程序相比，这些方法的优缺点。
