Department of Neurosurgery, Rush University Medical Center, Chicago, IL 60612, USA.
Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Neurosurg Clin N Am. 2020 Apr;31(2):221-229. doi: 10.1016/j.nec.2019.11.002. Epub 2020 Jan 22.
Traditional surgical techniques for benign intradural and paraspinal nerve sheath tumors often consisted of open posterior approaches. However, these were limited by the morbidity of open surgery. In addition, iatrogenic instability is often required for total resection of larger or laterally located tumors, thus necessitating the use of additional hardware for spinal fusion. Advances in surgical techniques and technologies have allowed for a plethora of minimally invasive approaches throughout the cervical, thoracic, and lumbar regions. These approaches and their particular applications for the resection of benign peripheral nerve sheath tumors are described, with special attention to modern surgical strategies.
传统的用于良性硬脊膜内和脊柱旁神经鞘瘤的手术技术通常包括开放性后路入路。然而,这些方法受到开放性手术的发病率的限制。此外,对于较大或侧向定位的肿瘤的全切除往往需要医源性不稳定,因此需要额外的硬件进行脊柱融合。手术技术和技术的进步使得在颈椎、胸椎和腰椎区域有大量的微创方法成为可能。本文描述了这些方法及其在切除良性周围神经鞘瘤方面的特定应用,特别关注现代手术策略。