Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty

We report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10–11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through...

Full description

Bibliographic Details
Main Authors: Mamer Soriano Rosario, Hideki Murakami, Satoshi Kato, Moriyuki Fujii, Noritaka Yonezawa, Hiroyuki Tsuchiya
Format: Article
Language:English
Published: SAGE Publishing 2017-02-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/2309499017691003
id doaj-d7ce93e0a9e149c59e640462338cb0a8
record_format Article
spelling doaj-d7ce93e0a9e149c59e640462338cb0a82020-11-25T03:16:58ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902017-02-012510.1177/2309499017691003Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplastyMamer Soriano Rosario0Hideki Murakami1Satoshi Kato2Moriyuki Fujii3Noritaka Yonezawa4Hiroyuki Tsuchiya5 Department of Orthopaedics, East Avenue Medical Center, East Avenue, Diliman, Quezon City 1101, Metro Manila, Philippines Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, JapanWe report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10–11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through a recapping T-saw laminoplasty of T10 was done, and histopathology findings revealed a diagnosis of neurofibroma. Solitary spinal neurofibroma is one of the rarest tumors involving the spinal cord and is very adherent for the lack of a well-defined capsule, requiring careful dissection under microscope magnification for successful en bloc resection. Recapping T-saw laminoplasty affords both maximal exposure and anatomic reconstruction postextirpation, avoiding most postoperative spinal complications.https://doi.org/10.1177/2309499017691003
collection DOAJ
language English
format Article
sources DOAJ
author Mamer Soriano Rosario
Hideki Murakami
Satoshi Kato
Moriyuki Fujii
Noritaka Yonezawa
Hiroyuki Tsuchiya
spellingShingle Mamer Soriano Rosario
Hideki Murakami
Satoshi Kato
Moriyuki Fujii
Noritaka Yonezawa
Hiroyuki Tsuchiya
Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty
Journal of Orthopaedic Surgery
author_facet Mamer Soriano Rosario
Hideki Murakami
Satoshi Kato
Moriyuki Fujii
Noritaka Yonezawa
Hiroyuki Tsuchiya
author_sort Mamer Soriano Rosario
title Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty
title_short Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty
title_full Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty
title_fullStr Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty
title_full_unstemmed Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty
title_sort solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping t-saw laminoplasty
publisher SAGE Publishing
series Journal of Orthopaedic Surgery
issn 2309-4990
publishDate 2017-02-01
description We report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10–11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through a recapping T-saw laminoplasty of T10 was done, and histopathology findings revealed a diagnosis of neurofibroma. Solitary spinal neurofibroma is one of the rarest tumors involving the spinal cord and is very adherent for the lack of a well-defined capsule, requiring careful dissection under microscope magnification for successful en bloc resection. Recapping T-saw laminoplasty affords both maximal exposure and anatomic reconstruction postextirpation, avoiding most postoperative spinal complications.
url https://doi.org/10.1177/2309499017691003
work_keys_str_mv AT mamersorianorosario solitarythoracicintramedullaryspinalneurofibromamicrosurgicallyextirpatedviarecappingtsawlaminoplasty
AT hidekimurakami solitarythoracicintramedullaryspinalneurofibromamicrosurgicallyextirpatedviarecappingtsawlaminoplasty
AT satoshikato solitarythoracicintramedullaryspinalneurofibromamicrosurgicallyextirpatedviarecappingtsawlaminoplasty
AT moriyukifujii solitarythoracicintramedullaryspinalneurofibromamicrosurgicallyextirpatedviarecappingtsawlaminoplasty
AT noritakayonezawa solitarythoracicintramedullaryspinalneurofibromamicrosurgicallyextirpatedviarecappingtsawlaminoplasty
AT hiroyukitsuchiya solitarythoracicintramedullaryspinalneurofibromamicrosurgicallyextirpatedviarecappingtsawlaminoplasty
_version_ 1724633885084483584