Miura T, Nakamura K, Tanaka H, Kawaguchi H, Takeshita K, Kurokawa T
Department of Orthopaedic Surgery, Faculty of Medicine, University of Tokyo, Japan.
Acta Orthop Scand. 1998 Jun;69(3):280-2. doi: 10.3109/17453679809000930.
In surgery for spinal neurinoma derived from a root, which is assumed to be important for function of the extremities, it is controversial whether the nerve root involved should be totally resected. We retrospectively reviewed the postoperative neurological deficits in 15 patients with solitary neurinoma or neurofibroma in a segment of the cervical spine (C5-C8); in all of them, both anterior and posterior roots were resected. Mean patient age was 47 (18-71) years and the mean follow-up period was 49 (9-137) months. 10 patients showed loss of motor function and 8 patients developed sensory impairment postoperatively. Most postoperative loss of motor function was recovered.
对于起源于神经根且被认为对肢体功能很重要的脊柱神经鞘瘤手术,受累神经根是否应完全切除存在争议。我们回顾性分析了15例颈椎(C5 - C8)节段孤立性神经鞘瘤或神经纤维瘤患者的术后神经功能缺损情况;所有患者的前根和后根均被切除。患者平均年龄为47(18 - 71)岁,平均随访时间为49(9 - 137)个月。10例患者术后出现运动功能丧失,8例患者出现感觉障碍。大多数术后运动功能丧失得以恢复。