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Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty.
J Orthop Surg (Hong Kong). 2017 01; 25(1):2309499017691003.JO

Abstract

We report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10-11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through a recapping T-saw laminoplasty of T10 was done, and histopathology findings revealed a diagnosis of neurofibroma. Solitary spinal neurofibroma is one of the rarest tumors involving the spinal cord and is very adherent for the lack of a well-defined capsule, requiring careful dissection under microscope magnification for successful en bloc resection. Recapping T-saw laminoplasty affords both maximal exposure and anatomic reconstruction postextirpation, avoiding most postoperative spinal complications.

Authors+Show Affiliations

1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan. 2 Department of Orthopaedics, East Avenue Medical Center, East Avenue, Diliman, Quezon City 1101, Metro Manila, Philippines.1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28219304

Citation

Rosario, Mamer Soriano, et al. "Solitary Thoracic Intramedullary Spinal Neurofibroma Microsurgically Extirpated Via Recapping T-saw Laminoplasty." Journal of Orthopaedic Surgery (Hong Kong), vol. 25, no. 1, 2017, p. 2309499017691003.
Rosario MS, Murakami H, Kato S, et al. Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty. J Orthop Surg (Hong Kong). 2017;25(1):2309499017691003.
Rosario, M. S., Murakami, H., Kato, S., Fujii, M., Yonezawa, N., & Tsuchiya, H. (2017). Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty. Journal of Orthopaedic Surgery (Hong Kong), 25(1), 2309499017691003. https://doi.org/10.1177/2309499017691003
Rosario MS, et al. Solitary Thoracic Intramedullary Spinal Neurofibroma Microsurgically Extirpated Via Recapping T-saw Laminoplasty. J Orthop Surg (Hong Kong). 2017;25(1):2309499017691003. PubMed PMID: 28219304.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty. AU - Rosario,Mamer Soriano, AU - Murakami,Hideki, AU - Kato,Satoshi, AU - Fujii,Moriyuki, AU - Yonezawa,Noritaka, AU - Tsuchiya,Hiroyuki, PY - 2017/2/22/entrez PY - 2017/2/22/pubmed PY - 2018/9/1/medline KW - microsurgical extirpation KW - recapping T-saw laminoplasty KW - solitary intramedullary neurofibroma KW - spinal cord tumor SP - 2309499017691003 EP - 2309499017691003 JF - Journal of orthopaedic surgery (Hong Kong) JO - J Orthop Surg (Hong Kong) VL - 25 IS - 1 N2 - We report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10-11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through a recapping T-saw laminoplasty of T10 was done, and histopathology findings revealed a diagnosis of neurofibroma. Solitary spinal neurofibroma is one of the rarest tumors involving the spinal cord and is very adherent for the lack of a well-defined capsule, requiring careful dissection under microscope magnification for successful en bloc resection. Recapping T-saw laminoplasty affords both maximal exposure and anatomic reconstruction postextirpation, avoiding most postoperative spinal complications. SN - 2309-4990 UR - https://www.unboundmedicine.com/medline/citation/28219304/Solitary_thoracic_intramedullary_spinal_neurofibroma_microsurgically_extirpated_via_recapping_T_saw_laminoplasty_ L2 - https://journals.sagepub.com/doi/10.1177/2309499017691003?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -