Safety and efficacy of posterior approach for resection of spinal meningioma:Impact of dural attachment location  

作　　者：Hong Chen Ya-Ni Fu Chu-Di Fu 

机构地区：[1]Department of Orthopedics,The 903rd Hospital of Joint Logistic Support Force of People’s Liberation Army,Hangzhou 310000,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2024年第36期6905-6915,共11页世界临床病例杂志（英文）

摘　　要：BACKGROUND Spinal meningiomas(SMs)are common benign tumors that are typically treated with surgical resection.The choice of surgical approach may vary depending on the location of dural attachment of the SM,with a posterior approach being the traditional preference.However,there is limited research available on the impact of dural attachment location on outcomes following posterior approach for SM resection.The average age of the included 34 patients’(10 males and 24 females)age was 62.09 years.Mean follow-up duration was 22.65 months.The location of SM was the thoracic spine in 32 cases,with only 2 in the cervical spine.On average,intraoperative blood loss was 520.59 mL,and operating time was 176.76 minutes.Thirty three cases had successful outcomes while only 1 experienced an unexpe-cted outcome.The tumor recurrence rate was 2.9%.After surgery,there were 3 cases of cerebral spinal fluid leakage,1 case of pneumonia,and 1 case of urinary tract infection.Dural attachments were predominantly found dorsal or dorso-lateral(13 cases),followed by ventral or ventrolateral(14 cases),and lateral(7 cases).The outcomes among these subgroups were similar.CONCLUSION The posterior approach for SM resection is safe and effective,yielding comparable surgical and neurological outcomes regardless of the dural attachment location.

关 键 词：Spinal meningioma Posterior approach Dural attachment OUTCOMES COMPLICATIONS RECURRENCE 

分 类 号：R739.45[医药卫生—肿瘤]