Abstract
In oder to reduce surgical trauma to the lumbar spine during a multilevel laminectomy
procedure we performed a multilevel, bilateral and interlaminar approach, with microsurgical
and endoscopic techiques for removal of a large ependymoma of the lumbar spine in
a 33-year-old female patient. Complete tumor removal has been achieved, while at the
same time, the major elements that form the posterior spinal column could be preserved.
The follow-up time is 4 years.
Key words
Spinal Cord Ependymoma - Lumbar Spine Tumors - Interlaminar Surgery - Endoscope-Assisted
Microneurosurgery
References
- 1 Augustus A W, Manohar M P. Clinical Biomechanics of the Spine, 2nd eds. Philadelphia,
New York: Lippincot Raven Publishers 1990: 342-362
- 2
Davis C, Barnard R O.
Malignant behavior of myxopapillary ependymoma.
J Neurosurg.
1985;
62
925-929
- 3
Ilgren E B, Stiller C A, Hughes J T. et al .
Ependymomas: A clinical and pathologic study: Part 2. Survival features.
Clin Neuropathol.
1984;
3
122-127
- 4 Kernohan J W, Sayre G P. Tumors of the central nervous system. Fascicle 35. Washington
DC: Armed Forces Institute of Pathology 1952
- 5
Papagelopoulo P J, Peterson H A, Ebershold M J, Emmanuel P R, Choudury S N, Quast L M.
Spinal column deformity and instability after lumbar or thoracolumbar laminectomy
for intraspinal tumors in children and young adults.
Spine.
1997;
22
442-451
- 6 Sloof J L, Kernohan J W, MacCarth C S. Primary intramedullary tumors of the spinal
cord and filum terminale. Philadelphia:WB Saunders 1964
- 7
Sonnelamd P RL, Scheithauer B W, Onofrio B M.
Myxopapillary ependymoma: A clinicopathologic and immunocytochemical study of 77 cases.
Cancer.
1985;
56
883-893
J. Burtscher, M. D.
Department of Neurosurgery · University Hospital Innsbruck ·
Anichstr. 35 ·
6020 Innsbruck ·
Austria
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eMail: johannes.burtscher@uibk.ac.at