Postalci Lutfu, Tugcu Bekir, Gungor Abuzer, Guclu Gucluhan
Bakırkoy Psychiatric Hospital, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2011;21(4):449-53.
Surgical removal of spinal meningiomas is usually not difficult. In neurosurgical practice, their locations and growing patterns may affect surgical results. Ventrally located and en plaque meningiomas may not be removed totally. The aim of this study was to present the results of surgery in cases with spinal meningiomas, and reveal the factors affecting outcome.
There were 46 cases operated between January 1995 and December 2009 in single clinic. There were 33 female and 13 male patients. The mean age was 52. All patients underwent microsurgical resection using posterior approach.
Total resection was obtained in 38 patients (82%). Twenty-eight (61%) patients experienced clinical improvement after surgery. The tumor was completely dorsal to the spinal cord in 30 cases, dorsolateral in nine and ventral to the spinal cord in seven cases. We experienced eight recurrences (17%). Recurrences were seen most commonly seen in ventrally located tumors (62%).
Complete resection of spinal meningiomas seems to produce a good clinical outcome. Recently, advances in microneurosurgery and neuroimaging techniques have resulted in decreases in morbidity and recurrence rates in spinal meningiomas.
脊髓脑膜瘤的手术切除通常并不困难。在神经外科实践中，其位置和生长方式可能会影响手术效果。位于腹侧且呈扁平状生长的脑膜瘤可能无法完全切除。本研究的目的是展示脊髓脑膜瘤病例的手术结果，并揭示影响预后的因素。
1995年1月至2009年12月间，在单一诊所对46例患者进行了手术。其中女性33例，男性13例。平均年龄为52岁。所有患者均采用后入路进行显微手术切除。
38例患者（82%）实现了全切。28例（61%）患者术后临床症状改善。肿瘤完全位于脊髓背侧的有30例，位于背外侧的有9例，位于脊髓腹侧的有7例。我们观察到8例复发（17%）。复发最常见于位于腹侧的肿瘤（62%）。
脊髓脑膜瘤的全切似乎能带来良好的临床预后。近年来，显微神经外科和神经影像技术的进步已使脊髓脑膜瘤的发病率和复发率有所降低。
