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[Clinical classification and surgical management of cervicothoracic intraspinal lipomas].
Zhonghua Yi Xue Za Zhi. 2014 May 20; 94(19):1448-51.ZY

Abstract

OBJECTIVE

To explore the clinical classification and surgical management of cervicothoracic intraspinal lipomas.

METHODS

A total of 22 patients with cervicothoracic intraspinal lipomas were analyzed retrospectively with regards to clinical manifestations, radiographic features, intraoperative findings, surgical techniques and follow-ups.

RESULTS

Total (n = 4), subtotal (n = 7) and partial (n = 11) resection was performed. Long-term neurological outcomes were evaluated by modified McCormick classification scheme. Their symptoms improved (n = 15), unchanged (n = 3) and deteriorated (n = 4). And cervicothoracic intraspinal lipomas could be classified into extradural, transitional, chaotic and secondary intramedullary groups.

CONCLUSION

Different groups of cervicothoracic intraspinal lipomas vary in the degree of resection and surgical efficacy. Total resection may be performed on most extradural lipomas. The surgical objective of transitional lipomas is decompression. Chaotic and secondary intramedullary lipomas should target effective resection to avoid neurological function injury. Intraoperative use of laser facilitates tumor resection. Intraoperative electrophysiological monitoring protects spinal cord.

Authors+Show Affiliations

Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing 100050, China.Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing 100050, China.Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing 100050, China.Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing 100050, China.Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing 100050, China.Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing 100050, China. Email: wghwynsby@yahoo.com.

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

25143160

Citation

Liu, Dongkang, et al. "[Clinical Classification and Surgical Management of Cervicothoracic Intraspinal Lipomas]." Zhonghua Yi Xue Za Zhi, vol. 94, no. 19, 2014, pp. 1448-51.
Liu D, Han B, Kong D, et al. [Clinical classification and surgical management of cervicothoracic intraspinal lipomas]. Zhonghua Yi Xue Za Zhi. 2014;94(19):1448-51.
Liu, D., Han, B., Kong, D., Yang, J., Xu, Y., & Wang, G. (2014). [Clinical classification and surgical management of cervicothoracic intraspinal lipomas]. Zhonghua Yi Xue Za Zhi, 94(19), 1448-51.
Liu D, et al. [Clinical Classification and Surgical Management of Cervicothoracic Intraspinal Lipomas]. Zhonghua Yi Xue Za Zhi. 2014 May 20;94(19):1448-51. PubMed PMID: 25143160.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Clinical classification and surgical management of cervicothoracic intraspinal lipomas]. AU - Liu,Dongkang, AU - Han,Bo, AU - Kong,Desheng, AU - Yang,Jun, AU - Xu,Yulun, AU - Wang,Guihuai, PY - 2014/8/22/entrez PY - 2014/8/22/pubmed PY - 2015/1/30/medline SP - 1448 EP - 51 JF - Zhonghua yi xue za zhi JO - Zhonghua Yi Xue Za Zhi VL - 94 IS - 19 N2 - OBJECTIVE: To explore the clinical classification and surgical management of cervicothoracic intraspinal lipomas. METHODS: A total of 22 patients with cervicothoracic intraspinal lipomas were analyzed retrospectively with regards to clinical manifestations, radiographic features, intraoperative findings, surgical techniques and follow-ups. RESULTS: Total (n = 4), subtotal (n = 7) and partial (n = 11) resection was performed. Long-term neurological outcomes were evaluated by modified McCormick classification scheme. Their symptoms improved (n = 15), unchanged (n = 3) and deteriorated (n = 4). And cervicothoracic intraspinal lipomas could be classified into extradural, transitional, chaotic and secondary intramedullary groups. CONCLUSION: Different groups of cervicothoracic intraspinal lipomas vary in the degree of resection and surgical efficacy. Total resection may be performed on most extradural lipomas. The surgical objective of transitional lipomas is decompression. Chaotic and secondary intramedullary lipomas should target effective resection to avoid neurological function injury. Intraoperative use of laser facilitates tumor resection. Intraoperative electrophysiological monitoring protects spinal cord. SN - 0376-2491 UR - https://www.unboundmedicine.com/medline/citation/25143160/[Clinical_classification_and_surgical_management_of_cervicothoracic_intraspinal_lipomas]_ L2 - http://journal.yiigle.com/LinkIn.do?linkin_type=pubmed&issn=0376-2491&year=2014&vol=94&issue=19&fpage=1448 DB - PRIME DP - Unbound Medicine ER -