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
Hauptverfasser: Maiuri, F., Iaconetta, G., Divitiis, O. de
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container_title Minimally invasive neurosurgery
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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.
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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. 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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. 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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. 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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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