脊髄髄膜腫の手術成績
脊髄髄膜腫の手術成績より摘出におけるアプローチについて報告する.対象は8例,観察期間は1~10年である.アプローチは,5例は両側,2例は片側,1例は両側椎弓・椎間関節・椎弓根切除+後方固定で,全例で完全に摘出でき,SimpsonIIで終了した.合併症は片側椎弓切除の1例に棘突起骨折を認め,全例で再発はない.脊髄髄膜腫の治療の主体は手術であり,腫瘍を確実に摘出でき硬膜の処置が可能な適切なアプローチの選択が重要である....
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Published in | Journal of Spine Research Vol. 11; no. 7; pp. 943 - 948 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | Japanese |
Published |
一般社団法人 日本脊椎脊髄病学会
20.07.2020
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Subjects | |
Online Access | Get full text |
ISSN | 1884-7137 2435-1563 |
DOI | 10.34371/jspineres.2020-0702 |
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Abstract | 脊髄髄膜腫の手術成績より摘出におけるアプローチについて報告する.対象は8例,観察期間は1~10年である.アプローチは,5例は両側,2例は片側,1例は両側椎弓・椎間関節・椎弓根切除+後方固定で,全例で完全に摘出でき,SimpsonIIで終了した.合併症は片側椎弓切除の1例に棘突起骨折を認め,全例で再発はない.脊髄髄膜腫の治療の主体は手術であり,腫瘍を確実に摘出でき硬膜の処置が可能な適切なアプローチの選択が重要である. |
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AbstractList | 脊髄髄膜腫の手術成績より摘出におけるアプローチについて報告する.対象は8例,観察期間は1~10年である.アプローチは,5例は両側,2例は片側,1例は両側椎弓・椎間関節・椎弓根切除+後方固定で,全例で完全に摘出でき,SimpsonIIで終了した.合併症は片側椎弓切除の1例に棘突起骨折を認め,全例で再発はない.脊髄髄膜腫の治療の主体は手術であり,腫瘍を確実に摘出でき硬膜の処置が可能な適切なアプローチの選択が重要である. |
Author | 小野寺, 英孝 榊原, 陽太郎 川口, 公悠樹 宮北, 康二 中村, 歩希 佐瀬, 泰玄 |
Author_xml | – sequence: 1 fullname: 佐瀬, 泰玄 organization: 聖マリアンナ医科大学横浜市西部病院脳神経外科 – sequence: 1 fullname: 宮北, 康二 organization: 国立がん研究センター脳脊髄腫瘍科 – sequence: 1 fullname: 川口, 公悠樹 organization: 聖マリアンナ医科大学横浜市西部病院脳神経外科 – sequence: 1 fullname: 小野寺, 英孝 organization: 聖マリアンナ医科大学横浜市西部病院脳神経外科 – sequence: 1 fullname: 中村, 歩希 organization: 聖マリアンナ医科大学横浜市西部病院脳神経外科 – sequence: 1 fullname: 榊原, 陽太郎 organization: 聖マリアンナ医科大学横浜市西部病院脳神経外科 |
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References | 10) Saito T, Arizono T, Maeda T, et al: A novel technique for surgical resection of spinal meningioma. Spine. 2001; 26: 1805-1808 2) Riad H, Knafo S, Segnarbieux F, et al: Spinal meningiomas: surgical outcome and literature review. Neurochirurgie. 2013; 59: 30-34 7) King AT, Sharr MM, Gullan RW, et al: Spinal meningiomas: a 20-year review. Br J Neurosurg. 1998; 12: 521-526 8) Nakamura M, Tsuji O, Fujiyoshi K, et al: Long-term surgical outcomes of spinal meningiomas. Spine. 2012; 37: E617-623 6) Kim CH, Chung CK, Lee SH, et al: Long-term recurrence rates after the removal of spinal meningiomas in relation to Simpson grades. Eur Spine J. 2016; 25: 4025-4032 1) Souweidane MM, Benjamin V: Spinal cord meningiomas. Neurosurg Clin N Am. 1994; 5: 283-291 3) Levy WJ Jr, Bay J, Dohn D: Spinal cord meningioma. J Neurosurg. 1982; 57: 804-812 9) Notani N, Miyazaki M, Kanezaki S, et al: Surgical management of ventrally located spinal meningiomas via posterior approach. Eur J Orthop Surg Traumatol. 2017; 27: 181-186 11) Pompili A, Caroli F, Crispo F, et al: Unilateral Laminectomy Approach for the Removal of Spinal Meningiomas and Schwannomas: Impact on Pain, Spinal Stability, and Neurologic Results. World Neurosurg. 2016; 85: 282-291 5) Simpson D: The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry. 1957; 20: 22-39 12) Takami T, Naito K, Yamagata T, et al: Posterolateral approach for spinal intradural meningioma with ventral attachment. J Craniovertebr Junction Spine. 2015; 6: 173-178 13) Steck JC, Dietze DD, Fessler RG: Posterolateral approach to intradural extramedullary thoracic tumors. J Neurosurg. 1994; 81: 202-205 4) Tola S, De Angelis M, Bistazzoni S, et al: Hemilaminectomy for spinal meningioma: A case series of 20 patients with a focus on ventral- and ventrolateral lesions. Clin Neurol Neurosurg. 2016; 148: 35-41 |
References_xml | – reference: 9) Notani N, Miyazaki M, Kanezaki S, et al: Surgical management of ventrally located spinal meningiomas via posterior approach. Eur J Orthop Surg Traumatol. 2017; 27: 181-186 – reference: 13) Steck JC, Dietze DD, Fessler RG: Posterolateral approach to intradural extramedullary thoracic tumors. J Neurosurg. 1994; 81: 202-205 – reference: 6) Kim CH, Chung CK, Lee SH, et al: Long-term recurrence rates after the removal of spinal meningiomas in relation to Simpson grades. Eur Spine J. 2016; 25: 4025-4032 – reference: 11) Pompili A, Caroli F, Crispo F, et al: Unilateral Laminectomy Approach for the Removal of Spinal Meningiomas and Schwannomas: Impact on Pain, Spinal Stability, and Neurologic Results. World Neurosurg. 2016; 85: 282-291 – reference: 3) Levy WJ Jr, Bay J, Dohn D: Spinal cord meningioma. J Neurosurg. 1982; 57: 804-812 – reference: 4) Tola S, De Angelis M, Bistazzoni S, et al: Hemilaminectomy for spinal meningioma: A case series of 20 patients with a focus on ventral- and ventrolateral lesions. Clin Neurol Neurosurg. 2016; 148: 35-41 – reference: 10) Saito T, Arizono T, Maeda T, et al: A novel technique for surgical resection of spinal meningioma. Spine. 2001; 26: 1805-1808 – reference: 12) Takami T, Naito K, Yamagata T, et al: Posterolateral approach for spinal intradural meningioma with ventral attachment. J Craniovertebr Junction Spine. 2015; 6: 173-178 – reference: 1) Souweidane MM, Benjamin V: Spinal cord meningiomas. Neurosurg Clin N Am. 1994; 5: 283-291 – reference: 7) King AT, Sharr MM, Gullan RW, et al: Spinal meningiomas: a 20-year review. Br J Neurosurg. 1998; 12: 521-526 – reference: 8) Nakamura M, Tsuji O, Fujiyoshi K, et al: Long-term surgical outcomes of spinal meningiomas. Spine. 2012; 37: E617-623 – reference: 2) Riad H, Knafo S, Segnarbieux F, et al: Spinal meningiomas: surgical outcome and literature review. Neurochirurgie. 2013; 59: 30-34 – reference: 5) Simpson D: The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry. 1957; 20: 22-39 |
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Snippet | 脊髄髄膜腫の手術成績より摘出におけるアプローチについて報告する.対象は8例,観察期間は1~10年である.アプローチは,5例は両側,2例は片側,1例は両側椎弓・椎間関... |
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