Frontiers in Surgery, 2023 · DOI: 10.3389/fsurg.2022.945857 · Published: April 20, 2023
This study focuses on a surgical technique to remove cervical dumbbell neuromas, which are tumors extending both inside and outside the spinal canal, through an enlarged intervertebral foramen (the opening between vertebrae). The approach involves exposing the tumor and removing it through the enlarged foramen without cutting any bone structures, aiming to preserve spinal stability and avoid damage to critical structures like the spinal cord and vertebral artery. The study reviews the outcomes of 34 patients who underwent this procedure, assessing the effectiveness of tumor removal, preservation of neurological function, and maintenance of spinal stability.
The enlarged intervertebral foramen approach offers a less invasive alternative to traditional methods, potentially reducing morbidity and preserving spinal stability.
The tumor classification system aids in preoperative planning, allowing surgeons to tailor their approach based on the tumor's specific characteristics and location.
Careful dissection and preservation of neural structures, guided by electrophysiological monitoring, can minimize the risk of neurological deficits and improve patient outcomes.