Posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how I do it

BACKGROUND: Surgical exposure of lower cervical and upper thoracic intradural extramedullary lesions located along the ventral medulla are among the most complexes to address in spinal surgery, and their surgical removal carries a high risk. METHODS: We describe the surgical steps of a posterolatera...

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Autores principales: Cristaldi, P. M. F., Parlangeli, A., Nicoli, D., Incerti, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2022
Materias:
How I Do it - Spine - Other
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840581/
https://www.ncbi.nlm.nih.gov/pubmed/36414756
http://dx.doi.org/10.1007/s00701-022-05424-2
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author Cristaldi, P. M. F.
Parlangeli, A.
Nicoli, D.
Incerti, M.
author_facet Cristaldi, P. M. F.
Parlangeli, A.
Nicoli, D.
Incerti, M.
author_sort Cristaldi, P. M. F.
collection PubMed
description BACKGROUND: Surgical exposure of lower cervical and upper thoracic intradural extramedullary lesions located along the ventral medulla are among the most complexes to address in spinal surgery, and their surgical removal carries a high risk. METHODS: We describe the surgical steps of a posterolateral transpedicular approach for resection of an intradural extramedullary lesion located anterolaterally at C7-T1 level. CONCLUSIONS: A posterolateral transpedicular approach is a safe and efficient surgical corridor to explore the ventral spinal cord and to have a direct access to lower cervical-upper thoracic lesions without the extensive manipulation of the spinal cord and the spine instability. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-022-05424-2.
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spelling pubmed-98405812023-01-16 Posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how I do it Cristaldi, P. M. F. Parlangeli, A. Nicoli, D. Incerti, M. Acta Neurochir (Wien) How I Do it - Spine - Other BACKGROUND: Surgical exposure of lower cervical and upper thoracic intradural extramedullary lesions located along the ventral medulla are among the most complexes to address in spinal surgery, and their surgical removal carries a high risk. METHODS: We describe the surgical steps of a posterolateral transpedicular approach for resection of an intradural extramedullary lesion located anterolaterally at C7-T1 level. CONCLUSIONS: A posterolateral transpedicular approach is a safe and efficient surgical corridor to explore the ventral spinal cord and to have a direct access to lower cervical-upper thoracic lesions without the extensive manipulation of the spinal cord and the spine instability. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-022-05424-2. Springer Vienna 2022-11-22 2023 /pmc/articles/PMC9840581/ /pubmed/36414756 http://dx.doi.org/10.1007/s00701-022-05424-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle How I Do it - Spine - Other
Cristaldi, P. M. F.
Parlangeli, A.
Nicoli, D.
Incerti, M.
Posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how I do it
title Posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how I do it
title_full Posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how I do it
title_fullStr Posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how I do it
title_full_unstemmed Posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how I do it
title_short Posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how I do it
title_sort posterolateral transpedicular approach for ventrally seated cervicothoracic spinal cord lesions: how i do it
topic How I Do it - Spine - Other
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840581/
https://www.ncbi.nlm.nih.gov/pubmed/36414756
http://dx.doi.org/10.1007/s00701-022-05424-2
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