Anterior approach to remove a pre-medullary meningioma in the cervical spine: Technical case report.

Neurochirurgie

Department of Spine Surgery, P. Hospices Civils de Lyon, Wertheimer University Hospital, Claude Bernard University of Lyon 1, Lyon, France; Laboratory of Biomechanics, Arts et Metiers ParisTech, 151, boulevard de l'Hôpital, 75013 Paris, France.

Published: October 2022

Background: Regarding their relation to the spinal cord (SC), resection of pre-medullary meningiomas may be technically challenging. Anterior approach via corpectomy represents a nice option reducing the need for mobilization of the SC.

Case Description: We describe the case of a patient presenting with a cervical meningioma, located anterior to the SC and operated on through an anterior approach. Surgery consisted of a 2-levels discectomy and C7 corpectomy, midline opening of the dura and then microsurgical resection of the tumor. After coagulation of the implantation base, the dura was then closed in a watertight fashion. Finally, the anterior column was reconstructed using a titanium mesh-cage and anterior plating.

Conclusion: In the case of cervical meningioma located anterior to the SC, anterior approach may be considered as an alternative option to remove the tumor.

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Source
http://dx.doi.org/10.1016/j.neuchi.2021.09.008DOI Listing

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