Cargando…
Unilateral Biportal Endoscopic Tumor Removal and Percutaneous Stabilization for Extradural Tumors: Technical Case Report and Literature Review
BACKGROUND: Extradural spinal tumors arise from soft or bony tissues in the spine and account for majority of spinal tumors. Interest in the unilateral biportal endoscopic (UBE) technique is rising, because it can easily decompress the bony spinal canal and accommodate all open surgical instruments...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987199/ https://www.ncbi.nlm.nih.gov/pubmed/35402480 http://dx.doi.org/10.3389/fsurg.2022.863931 |
_version_ | 1784682687737364480 |
---|---|
author | Kim, Seung-kook Bendardaf, Riyad Ali, Murtaza Kim, Hyun-a Heo, Eun-jung Lee, Su-chan |
author_facet | Kim, Seung-kook Bendardaf, Riyad Ali, Murtaza Kim, Hyun-a Heo, Eun-jung Lee, Su-chan |
author_sort | Kim, Seung-kook |
collection | PubMed |
description | BACKGROUND: Extradural spinal tumors arise from soft or bony tissues in the spine and account for majority of spinal tumors. Interest in the unilateral biportal endoscopic (UBE) technique is rising, because it can easily decompress the bony spinal canal and accommodate all open surgical instruments under endoscopic guidance. However, reports of this technique have been limited to certain diseases. This study first demonstrates the UBE technique for extradural tumor biopsy and removal, and percutaneous stabilization in a 72-year-old female patient with dramatic symptom improvement. METHODS: We used the UBE technique for decompression and the percutaneous screw fixation technique for stabilization in a patient with an extradural mass compressing the thecal sac and destroying the posterior element. Under endoscopic guidance, a unilateral approach was used, and decompression and flavectomy were performed bilaterally. After decompression, tumor removal and biopsy were performed using various forceps and biopsy needles. After confirming sufficient spinal canal decompression, the screw was placed percutaneously. We evaluated the technical process of the procedure, the patient's pre- and postoperative pain (using the visual analog scale), and operative radiology and pathologic results. RESULTS: Postoperative pain and disability improved clinically, and spinal alignment stabilized radiologically. As the pathology findings confirmed an aneurysmal bone cyst, the treatment was completed without adjuvant therapy. CONCLUSIONS: We treated an unstable spine due to an extradural tumor with the UBE and percutaneous screw techniques. |
format | Online Article Text |
id | pubmed-8987199 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-89871992022-04-08 Unilateral Biportal Endoscopic Tumor Removal and Percutaneous Stabilization for Extradural Tumors: Technical Case Report and Literature Review Kim, Seung-kook Bendardaf, Riyad Ali, Murtaza Kim, Hyun-a Heo, Eun-jung Lee, Su-chan Front Surg Surgery BACKGROUND: Extradural spinal tumors arise from soft or bony tissues in the spine and account for majority of spinal tumors. Interest in the unilateral biportal endoscopic (UBE) technique is rising, because it can easily decompress the bony spinal canal and accommodate all open surgical instruments under endoscopic guidance. However, reports of this technique have been limited to certain diseases. This study first demonstrates the UBE technique for extradural tumor biopsy and removal, and percutaneous stabilization in a 72-year-old female patient with dramatic symptom improvement. METHODS: We used the UBE technique for decompression and the percutaneous screw fixation technique for stabilization in a patient with an extradural mass compressing the thecal sac and destroying the posterior element. Under endoscopic guidance, a unilateral approach was used, and decompression and flavectomy were performed bilaterally. After decompression, tumor removal and biopsy were performed using various forceps and biopsy needles. After confirming sufficient spinal canal decompression, the screw was placed percutaneously. We evaluated the technical process of the procedure, the patient's pre- and postoperative pain (using the visual analog scale), and operative radiology and pathologic results. RESULTS: Postoperative pain and disability improved clinically, and spinal alignment stabilized radiologically. As the pathology findings confirmed an aneurysmal bone cyst, the treatment was completed without adjuvant therapy. CONCLUSIONS: We treated an unstable spine due to an extradural tumor with the UBE and percutaneous screw techniques. Frontiers Media S.A. 2022-03-24 /pmc/articles/PMC8987199/ /pubmed/35402480 http://dx.doi.org/10.3389/fsurg.2022.863931 Text en Copyright © 2022 Kim, Bendardaf, Ali, Kim, Heo and Lee. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Surgery Kim, Seung-kook Bendardaf, Riyad Ali, Murtaza Kim, Hyun-a Heo, Eun-jung Lee, Su-chan Unilateral Biportal Endoscopic Tumor Removal and Percutaneous Stabilization for Extradural Tumors: Technical Case Report and Literature Review |
title | Unilateral Biportal Endoscopic Tumor Removal and Percutaneous Stabilization for Extradural Tumors: Technical Case Report and Literature Review |
title_full | Unilateral Biportal Endoscopic Tumor Removal and Percutaneous Stabilization for Extradural Tumors: Technical Case Report and Literature Review |
title_fullStr | Unilateral Biportal Endoscopic Tumor Removal and Percutaneous Stabilization for Extradural Tumors: Technical Case Report and Literature Review |
title_full_unstemmed | Unilateral Biportal Endoscopic Tumor Removal and Percutaneous Stabilization for Extradural Tumors: Technical Case Report and Literature Review |
title_short | Unilateral Biportal Endoscopic Tumor Removal and Percutaneous Stabilization for Extradural Tumors: Technical Case Report and Literature Review |
title_sort | unilateral biportal endoscopic tumor removal and percutaneous stabilization for extradural tumors: technical case report and literature review |
topic | Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8987199/ https://www.ncbi.nlm.nih.gov/pubmed/35402480 http://dx.doi.org/10.3389/fsurg.2022.863931 |
work_keys_str_mv | AT kimseungkook unilateralbiportalendoscopictumorremovalandpercutaneousstabilizationforextraduraltumorstechnicalcasereportandliteraturereview AT bendardafriyad unilateralbiportalendoscopictumorremovalandpercutaneousstabilizationforextraduraltumorstechnicalcasereportandliteraturereview AT alimurtaza unilateralbiportalendoscopictumorremovalandpercutaneousstabilizationforextraduraltumorstechnicalcasereportandliteraturereview AT kimhyuna unilateralbiportalendoscopictumorremovalandpercutaneousstabilizationforextraduraltumorstechnicalcasereportandliteraturereview AT heoeunjung unilateralbiportalendoscopictumorremovalandpercutaneousstabilizationforextraduraltumorstechnicalcasereportandliteraturereview AT leesuchan unilateralbiportalendoscopictumorremovalandpercutaneousstabilizationforextraduraltumorstechnicalcasereportandliteraturereview |