Technical note–in situ laminotomy: preserving posterior tension band in surgery of pediatric multilevel spinal tumor
Background Laminotomy has been introduced in surgical practice to reduce complications of laminectomy after surgery of tumors in the spinal canal. However, the posterior ligament complex, which is routinely interrupted to remove the laminoplasty segment and gain access to the spinal canal, has a ten...
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Veröffentlicht in: | Child's nervous system 2023-06, Vol.39 (6), p.1641-1646 |
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creator | Frassanito, Paolo Noya, Carolina Ducoli, Giorgio Massimi, Luca Bianchi, Federico Verdolotti, Tommaso Tamburrini, Gianpiero |
description | Background
Laminotomy has been introduced in surgical practice to reduce complications of laminectomy after surgery of tumors in the spinal canal. However, the posterior ligament complex, which is routinely interrupted to remove the laminoplasty segment and gain access to the spinal canal, has a tendency not to heal and can lead to progressive kyphosis and collapse.
Case presentation
A 5-month-old boy affected by a thoracolumbar extradural tumor extending along seven spinal levels was operated on. The tumor was exposed and completely resected by a one-piece laminotomy with preservation of the integrity of the posterior tension band at both extremities. After 1-year radiological examination ruled out spinal deformity.
Conclusion
The technique herein presented, which we named in situ laminotomy, allows to fully preserve the posterior tension band without reducing the exposure of the spinal canal in multilevel tumors. Additionally, the technique makes also the reconstruction of the spine elements very easy and rapid. However, longer follow-up is necessary to prove the effectiveness of this procedure in preventing long-term deformity and instability. |
doi_str_mv | 10.1007/s00381-023-05863-x |
format | Article |
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Laminotomy has been introduced in surgical practice to reduce complications of laminectomy after surgery of tumors in the spinal canal. However, the posterior ligament complex, which is routinely interrupted to remove the laminoplasty segment and gain access to the spinal canal, has a tendency not to heal and can lead to progressive kyphosis and collapse.
Case presentation
A 5-month-old boy affected by a thoracolumbar extradural tumor extending along seven spinal levels was operated on. The tumor was exposed and completely resected by a one-piece laminotomy with preservation of the integrity of the posterior tension band at both extremities. After 1-year radiological examination ruled out spinal deformity.
Conclusion
The technique herein presented, which we named in situ laminotomy, allows to fully preserve the posterior tension band without reducing the exposure of the spinal canal in multilevel tumors. Additionally, the technique makes also the reconstruction of the spine elements very easy and rapid. However, longer follow-up is necessary to prove the effectiveness of this procedure in preventing long-term deformity and instability.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-023-05863-x</identifier><identifier>PMID: 36757431</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Case Report ; Child ; Humans ; Infant ; Laminectomy - methods ; Male ; Medicine ; Medicine & Public Health ; Neurosciences ; Neurosurgery ; Spinal Canal - surgery ; Spinal Cord Neoplasms - complications ; Spinal Cord Neoplasms - diagnostic imaging ; Spinal Cord Neoplasms - surgery ; Spinal Neoplasms - complications ; Spinal Neoplasms - diagnostic imaging ; Spinal Neoplasms - surgery ; Spine - surgery</subject><ispartof>Child's nervous system, 2023-06, Vol.39 (6), p.1641-1646</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c398t-d15bdf1902970d5bac31b02ce123f765d297c7c9289e7b0a167d48ee999d3cf23</cites><orcidid>0000-0003-0071-3126</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00381-023-05863-x$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-023-05863-x$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36757431$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frassanito, Paolo</creatorcontrib><creatorcontrib>Noya, Carolina</creatorcontrib><creatorcontrib>Ducoli, Giorgio</creatorcontrib><creatorcontrib>Massimi, Luca</creatorcontrib><creatorcontrib>Bianchi, Federico</creatorcontrib><creatorcontrib>Verdolotti, Tommaso</creatorcontrib><creatorcontrib>Tamburrini, Gianpiero</creatorcontrib><title>Technical note–in situ laminotomy: preserving posterior tension band in surgery of pediatric multilevel spinal tumor</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>Background
Laminotomy has been introduced in surgical practice to reduce complications of laminectomy after surgery of tumors in the spinal canal. However, the posterior ligament complex, which is routinely interrupted to remove the laminoplasty segment and gain access to the spinal canal, has a tendency not to heal and can lead to progressive kyphosis and collapse.
Case presentation
A 5-month-old boy affected by a thoracolumbar extradural tumor extending along seven spinal levels was operated on. The tumor was exposed and completely resected by a one-piece laminotomy with preservation of the integrity of the posterior tension band at both extremities. After 1-year radiological examination ruled out spinal deformity.
Conclusion
The technique herein presented, which we named in situ laminotomy, allows to fully preserve the posterior tension band without reducing the exposure of the spinal canal in multilevel tumors. Additionally, the technique makes also the reconstruction of the spine elements very easy and rapid. However, longer follow-up is necessary to prove the effectiveness of this procedure in preventing long-term deformity and instability.</description><subject>Case Report</subject><subject>Child</subject><subject>Humans</subject><subject>Infant</subject><subject>Laminectomy - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Spinal Canal - surgery</subject><subject>Spinal Cord Neoplasms - complications</subject><subject>Spinal Cord Neoplasms - diagnostic imaging</subject><subject>Spinal Cord Neoplasms - surgery</subject><subject>Spinal Neoplasms - complications</subject><subject>Spinal Neoplasms - diagnostic imaging</subject><subject>Spinal Neoplasms - surgery</subject><subject>Spine - surgery</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9UcFu1DAQtRCILgs_wAH5yCVlbCdxzAWhCgpSJS7lbDnOZOsqsYPtrLo3_oE_5EvwsqWCC6fRzLz3ZvQeIS8ZnDMA-SYBiI5VwEUFTdeK6u4R2bBalFY08JhsgDdtJaGGM_IspVsA1nRcPSVnopWNrAXbkP012hvvrJmoDxl_fv_hPE0ur3QysyujMB_e0iViwrh3fkeXkDJGFyLN6JMLnvbGD_TIWuMO44GGkS44OJOjs3Rep-wm3ONE0-J8OZPXOcTn5MlopoQv7uuWfP344friU3X15fLzxfurygrV5WpgTT-MTAFXEoamN1awHrhFxsUo22Yocyut4p1C2YNhrRzqDlEpNQg7crEl7066y9rPOFj0OZpJL9HNJh50ME7_u_HuRu_CXjPgvFXFzC15fa8Qw7cVU9azSxanyXgMa9JcyrpTHWuOUH6C2hhSijg-3GGgj4npU2K6JKZ_J6bvCunV3x8-UP5EVADiBEhl5YvD-jassTiZ_if7C_m2p0Y</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Frassanito, Paolo</creator><creator>Noya, Carolina</creator><creator>Ducoli, Giorgio</creator><creator>Massimi, Luca</creator><creator>Bianchi, Federico</creator><creator>Verdolotti, Tommaso</creator><creator>Tamburrini, Gianpiero</creator><general>Springer Berlin Heidelberg</general><scope>C6C</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><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0071-3126</orcidid></search><sort><creationdate>20230601</creationdate><title>Technical note–in situ laminotomy: preserving posterior tension band in surgery of pediatric multilevel spinal tumor</title><author>Frassanito, Paolo ; Noya, Carolina ; Ducoli, Giorgio ; Massimi, Luca ; Bianchi, Federico ; Verdolotti, Tommaso ; Tamburrini, Gianpiero</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-d15bdf1902970d5bac31b02ce123f765d297c7c9289e7b0a167d48ee999d3cf23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Case Report</topic><topic>Child</topic><topic>Humans</topic><topic>Infant</topic><topic>Laminectomy - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Spinal Canal - surgery</topic><topic>Spinal Cord Neoplasms - complications</topic><topic>Spinal Cord Neoplasms - diagnostic imaging</topic><topic>Spinal Cord Neoplasms - surgery</topic><topic>Spinal Neoplasms - complications</topic><topic>Spinal Neoplasms - diagnostic imaging</topic><topic>Spinal Neoplasms - surgery</topic><topic>Spine - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frassanito, Paolo</creatorcontrib><creatorcontrib>Noya, Carolina</creatorcontrib><creatorcontrib>Ducoli, Giorgio</creatorcontrib><creatorcontrib>Massimi, Luca</creatorcontrib><creatorcontrib>Bianchi, Federico</creatorcontrib><creatorcontrib>Verdolotti, Tommaso</creatorcontrib><creatorcontrib>Tamburrini, Gianpiero</creatorcontrib><collection>Springer Nature OA Free Journals</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frassanito, Paolo</au><au>Noya, Carolina</au><au>Ducoli, Giorgio</au><au>Massimi, Luca</au><au>Bianchi, Federico</au><au>Verdolotti, Tommaso</au><au>Tamburrini, Gianpiero</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Technical note–in situ laminotomy: preserving posterior tension band in surgery of pediatric multilevel spinal tumor</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>39</volume><issue>6</issue><spage>1641</spage><epage>1646</epage><pages>1641-1646</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Background
Laminotomy has been introduced in surgical practice to reduce complications of laminectomy after surgery of tumors in the spinal canal. However, the posterior ligament complex, which is routinely interrupted to remove the laminoplasty segment and gain access to the spinal canal, has a tendency not to heal and can lead to progressive kyphosis and collapse.
Case presentation
A 5-month-old boy affected by a thoracolumbar extradural tumor extending along seven spinal levels was operated on. The tumor was exposed and completely resected by a one-piece laminotomy with preservation of the integrity of the posterior tension band at both extremities. After 1-year radiological examination ruled out spinal deformity.
Conclusion
The technique herein presented, which we named in situ laminotomy, allows to fully preserve the posterior tension band without reducing the exposure of the spinal canal in multilevel tumors. Additionally, the technique makes also the reconstruction of the spine elements very easy and rapid. However, longer follow-up is necessary to prove the effectiveness of this procedure in preventing long-term deformity and instability.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36757431</pmid><doi>10.1007/s00381-023-05863-x</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-0071-3126</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Case Report Child Humans Infant Laminectomy - methods Male Medicine Medicine & Public Health Neurosciences Neurosurgery Spinal Canal - surgery Spinal Cord Neoplasms - complications Spinal Cord Neoplasms - diagnostic imaging Spinal Cord Neoplasms - surgery Spinal Neoplasms - complications Spinal Neoplasms - diagnostic imaging Spinal Neoplasms - surgery Spine - surgery |
title | Technical note–in situ laminotomy: preserving posterior tension band in surgery of pediatric multilevel spinal tumor |
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