The Role of Intraoperative Sonography in Reducing Invasiveness During Surgery for Spinal Tumors
Abstract The authors describe the ultrasound-guided surgical approach to 20 spinal tumors (13 extramedullary and 7 intramedullary). Intraoperative sonography (IOS) is important to reduce the extent of the laminectomy and dural opening, thus avoiding useless removal of bone structures. In cases of in...
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Veröffentlicht in: | Minimally invasive neurosurgery 1997-03, Vol.40 (1), p.8-12 |
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creator | Maiuri, F. Iaconetta, G. Divitiis, O. de |
description | Abstract
The authors describe the ultrasound-guided surgical approach to 20 spinal tumors (13 extramedullary and 7 intramedullary). Intraoperative sonography (IOS) is important to reduce the extent of the laminectomy and dural opening, thus avoiding useless removal of bone structures. In cases of intramedullary tumors, IOS def ines the extent of the posterior myelotomy, the presence of syringomyelic cavities caudal and/or cranial to the tumor and the deep extension of the tumor to the anterior cord surface. For these reasons, the routine use of IOS during surgery for spinal tumors reduces the surgical invasivity of this approach. The advantages and limits of the ultrasound-guided spinal surgery and the operative ultrasonographic findings of different spinal neoplasms are discussed. |
doi_str_mv | 10.1055/s-2008-1053405 |
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The authors describe the ultrasound-guided surgical approach to 20 spinal tumors (13 extramedullary and 7 intramedullary). Intraoperative sonography (IOS) is important to reduce the extent of the laminectomy and dural opening, thus avoiding useless removal of bone structures. In cases of intramedullary tumors, IOS def ines the extent of the posterior myelotomy, the presence of syringomyelic cavities caudal and/or cranial to the tumor and the deep extension of the tumor to the anterior cord surface. For these reasons, the routine use of IOS during surgery for spinal tumors reduces the surgical invasivity of this approach. The advantages and limits of the ultrasound-guided spinal surgery and the operative ultrasonographic findings of different spinal neoplasms are discussed.</description><identifier>ISSN: 0946-7211</identifier><identifier>EISSN: 1439-2291</identifier><identifier>DOI: 10.1055/s-2008-1053405</identifier><identifier>PMID: 9138301</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves ; Child ; Child, Preschool ; Female ; Humans ; Intraoperative Period ; Laminectomy - methods ; Male ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Neoplasm Invasiveness ; Neurosurgery ; Spinal Cord Neoplasms - diagnostic imaging ; Spinal Cord Neoplasms - surgery ; Spinal Neoplasms - diagnostic imaging ; Spinal Neoplasms - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Syringomyelia - diagnostic imaging ; Treatment Outcome ; Ultrasonography</subject><ispartof>Minimally invasive neurosurgery, 1997-03, Vol.40 (1), p.8-12</ispartof><rights>Georg Thieme Verlag Stuttgart · New York</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-7354b4a891e925ad313e77faa12e22923343c60ce665458948d5e8ff763ae7863</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2008-1053405.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,776,780,3004,3005,27901,27902,54534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2628201$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9138301$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maiuri, F.</creatorcontrib><creatorcontrib>Iaconetta, G.</creatorcontrib><creatorcontrib>Divitiis, O. de</creatorcontrib><title>The Role of Intraoperative Sonography in Reducing Invasiveness During Surgery for Spinal Tumors</title><title>Minimally invasive neurosurgery</title><addtitle>Minim Invasive Neurosurg</addtitle><description>Abstract
The authors describe the ultrasound-guided surgical approach to 20 spinal tumors (13 extramedullary and 7 intramedullary). Intraoperative sonography (IOS) is important to reduce the extent of the laminectomy and dural opening, thus avoiding useless removal of bone structures. In cases of intramedullary tumors, IOS def ines the extent of the posterior myelotomy, the presence of syringomyelic cavities caudal and/or cranial to the tumor and the deep extension of the tumor to the anterior cord surface. For these reasons, the routine use of IOS during surgery for spinal tumors reduces the surgical invasivity of this approach. The advantages and limits of the ultrasound-guided spinal surgery and the operative ultrasonographic findings of different spinal neoplasms are discussed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Period</subject><subject>Laminectomy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Neoplasm Invasiveness</subject><subject>Neurosurgery</subject><subject>Spinal Cord Neoplasms - diagnostic imaging</subject><subject>Spinal Cord Neoplasms - surgery</subject><subject>Spinal Neoplasms - diagnostic imaging</subject><subject>Spinal Neoplasms - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Syringomyelia - diagnostic imaging</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>0946-7211</issn><issn>1439-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtrwkAQh5fSYq3ttbfCHkpvsfvKY4_FvgShoPa8rHGikSSb7iSC_31jDd562mF_38wwHyH3nI05C8NnDARjSdDVUrHwggy5kjoQQvNLMmRaRUEsOL8mN4g7xrjSLB6QgeYykYwPiVlugc5dAdRldFo13roavG3yPdCFq9zG23p7oHlF57Bu07zadNTeYpdXgEhfW3_8W7R-A_5AM-fpos4rW9BlWzqPt-QqswXCXf-OyPf723LyGcy-PqaTl1mQKiGbIJahWimbaA5ahHYtuYQ4zqzlArpbhJRKphFLIYpCFSZaJesQkiyLI2khTiI5Ik-nubV3Py1gY8ocUygKW4Fr0cSaMS0568DxCUy9Q_SQmdrnpfUHw5k5GjVojkZNb7RreOgnt6sS1me8V9jlj31uMbVF5m2V5njGRCQS8YcFJ6zZ5lCC2bnWd5rwv7W_lVOLIw</recordid><startdate>19970301</startdate><enddate>19970301</enddate><creator>Maiuri, F.</creator><creator>Iaconetta, G.</creator><creator>Divitiis, O. de</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970301</creationdate><title>The Role of Intraoperative Sonography in Reducing Invasiveness During Surgery for Spinal Tumors</title><author>Maiuri, F. ; Iaconetta, G. ; Divitiis, O. de</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-7354b4a891e925ad313e77faa12e22923343c60ce665458948d5e8ff763ae7863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Period</topic><topic>Laminectomy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Neoplasm Invasiveness</topic><topic>Neurosurgery</topic><topic>Spinal Cord Neoplasms - diagnostic imaging</topic><topic>Spinal Cord Neoplasms - surgery</topic><topic>Spinal Neoplasms - diagnostic imaging</topic><topic>Spinal Neoplasms - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Syringomyelia - diagnostic imaging</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maiuri, F.</creatorcontrib><creatorcontrib>Iaconetta, G.</creatorcontrib><creatorcontrib>Divitiis, O. de</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Minimally invasive neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maiuri, F.</au><au>Iaconetta, G.</au><au>Divitiis, O. de</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Role of Intraoperative Sonography in Reducing Invasiveness During Surgery for Spinal Tumors</atitle><jtitle>Minimally invasive neurosurgery</jtitle><addtitle>Minim Invasive Neurosurg</addtitle><date>1997-03-01</date><risdate>1997</risdate><volume>40</volume><issue>1</issue><spage>8</spage><epage>12</epage><pages>8-12</pages><issn>0946-7211</issn><eissn>1439-2291</eissn><abstract>Abstract
The authors describe the ultrasound-guided surgical approach to 20 spinal tumors (13 extramedullary and 7 intramedullary). Intraoperative sonography (IOS) is important to reduce the extent of the laminectomy and dural opening, thus avoiding useless removal of bone structures. In cases of intramedullary tumors, IOS def ines the extent of the posterior myelotomy, the presence of syringomyelic cavities caudal and/or cranial to the tumor and the deep extension of the tumor to the anterior cord surface. For these reasons, the routine use of IOS during surgery for spinal tumors reduces the surgical invasivity of this approach. The advantages and limits of the ultrasound-guided spinal surgery and the operative ultrasonographic findings of different spinal neoplasms are discussed.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>9138301</pmid><doi>10.1055/s-2008-1053405</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Adult Aged Biological and medical sciences Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves Child Child, Preschool Female Humans Intraoperative Period Laminectomy - methods Male Medical sciences Middle Aged Minimally Invasive Surgical Procedures - methods Neoplasm Invasiveness Neurosurgery Spinal Cord Neoplasms - diagnostic imaging Spinal Cord Neoplasms - surgery Spinal Neoplasms - diagnostic imaging Spinal Neoplasms - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Syringomyelia - diagnostic imaging Treatment Outcome Ultrasonography |
title | The Role of Intraoperative Sonography in Reducing Invasiveness During Surgery for Spinal Tumors |
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