Syringopleural Shunt Insertion Using a Minimally Invasive Approach: Technical Note, Case Series, and Review of the Literature
Objective Syringomyelia is a rare neurosurgical condition that could benefit from insertion of a syringopleural shunt in selected symptomatic cases. Treatment of syringomyelia through minimally invasive intervention is an attractive alternative to open approach. The objective of this report is to de...
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| Format: | Article |
| Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2021-10-01
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| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2021-00115.pdf |
| _version_ | 1797951549347987456 |
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| author | Kaiyun Yang Yosef Ellenbogen Chirayu Bhatt Majid Aljoghaiman Nirmeen Zagzoog Kesava Reddy |
| author_facet | Kaiyun Yang Yosef Ellenbogen Chirayu Bhatt Majid Aljoghaiman Nirmeen Zagzoog Kesava Reddy |
| author_sort | Kaiyun Yang |
| collection | DOAJ |
| description | Objective Syringomyelia is a rare neurosurgical condition that could benefit from insertion of a syringopleural shunt in selected symptomatic cases. Treatment of syringomyelia through minimally invasive intervention is an attractive alternative to open approach. The objective of this report is to demonstrate the technical aspect, assess the feasibility, outcomes, and complications of syringopleural shunt insertion through minimally invasive surgical (MIS) approach. Methods Single-center retrospective chart review was done on patients with syringomyelia who underwent insertion of syringopleural shunts using the Metrx QuadrantTM retractor system from January 1, 2008 to April 1, 2020. A technical report of the steps of the surgical intervention is also described. Results Ten procedures were performed on 9 patients with a mean follow-up of 7.2 years. The etiologies of syringomyelia included post-traumatic, Chiari malformation, idiopathic, and diastematomyelia. All patients underwent correction of underlying etiologies prior to insertion of syringopleural shunts. Six patients (67%) had sustained neurological improvement, and 3 (33%) had halted progression of myelopathy. One patient was admitted for urgent removal of newly inserted syringopleural shunt due to immediate postoperative neurological decline and subsequently returned to their neurological baseline. The remaining eight patients were discharged on the same day of surgery. Conclusion Minimally invasive techniques have not been widely utilized in the treatment of syringomyelia. Our case series presents a novel, minimally invasive technique for the insertion of a syringopleural shunt, with reduced hospital stay and durable outcomes. Further, our series demonstrates that this technique is feasible and safe in appropriately selected patients. |
| first_indexed | 2024-04-10T22:32:19Z |
| format | Article |
| id | doaj.art-d1ae9f180a8f4026b57bcbc4a6ac8a17 |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-04-10T22:32:19Z |
| publishDate | 2021-10-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-d1ae9f180a8f4026b57bcbc4a6ac8a172023-01-17T04:35:08ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432021-10-016211512110.21182/jmisst.2021.00115112Syringopleural Shunt Insertion Using a Minimally Invasive Approach: Technical Note, Case Series, and Review of the LiteratureKaiyun Yang0Yosef Ellenbogen1Chirayu Bhatt2Majid Aljoghaiman3Nirmeen Zagzoog4Kesava Reddy5 Division of Neurosurgery; Department of Surgery, McMaster University, Hamilton, Ontario, Canada Division of Neurosurgery; Department of Surgery, McMaster University, Hamilton, Ontario, Canada University of Ottawa; Faculty of Medicine, Ottawa, Ontario, Canada Division of Neurosurgery; Department of Surgery, McMaster University, Hamilton, Ontario, Canada Division of Neurosurgery; Department of Surgery, McMaster University, Hamilton, Ontario, Canada Division of Neurosurgery; Department of Surgery, McMaster University, Hamilton, Ontario, CanadaObjective Syringomyelia is a rare neurosurgical condition that could benefit from insertion of a syringopleural shunt in selected symptomatic cases. Treatment of syringomyelia through minimally invasive intervention is an attractive alternative to open approach. The objective of this report is to demonstrate the technical aspect, assess the feasibility, outcomes, and complications of syringopleural shunt insertion through minimally invasive surgical (MIS) approach. Methods Single-center retrospective chart review was done on patients with syringomyelia who underwent insertion of syringopleural shunts using the Metrx QuadrantTM retractor system from January 1, 2008 to April 1, 2020. A technical report of the steps of the surgical intervention is also described. Results Ten procedures were performed on 9 patients with a mean follow-up of 7.2 years. The etiologies of syringomyelia included post-traumatic, Chiari malformation, idiopathic, and diastematomyelia. All patients underwent correction of underlying etiologies prior to insertion of syringopleural shunts. Six patients (67%) had sustained neurological improvement, and 3 (33%) had halted progression of myelopathy. One patient was admitted for urgent removal of newly inserted syringopleural shunt due to immediate postoperative neurological decline and subsequently returned to their neurological baseline. The remaining eight patients were discharged on the same day of surgery. Conclusion Minimally invasive techniques have not been widely utilized in the treatment of syringomyelia. Our case series presents a novel, minimally invasive technique for the insertion of a syringopleural shunt, with reduced hospital stay and durable outcomes. Further, our series demonstrates that this technique is feasible and safe in appropriately selected patients.http://www.jmisst.org/upload/pdf/jmisst-2021-00115.pdfsyringomyeliaventriculo-peritoneal shuntminimally invasive surgery |
| spellingShingle | Kaiyun Yang Yosef Ellenbogen Chirayu Bhatt Majid Aljoghaiman Nirmeen Zagzoog Kesava Reddy Syringopleural Shunt Insertion Using a Minimally Invasive Approach: Technical Note, Case Series, and Review of the Literature Journal of Minimally Invasive Spine Surgery and Technique syringomyelia ventriculo-peritoneal shunt minimally invasive surgery |
| title | Syringopleural Shunt Insertion Using a Minimally Invasive Approach: Technical Note, Case Series, and Review of the Literature |
| title_full | Syringopleural Shunt Insertion Using a Minimally Invasive Approach: Technical Note, Case Series, and Review of the Literature |
| title_fullStr | Syringopleural Shunt Insertion Using a Minimally Invasive Approach: Technical Note, Case Series, and Review of the Literature |
| title_full_unstemmed | Syringopleural Shunt Insertion Using a Minimally Invasive Approach: Technical Note, Case Series, and Review of the Literature |
| title_short | Syringopleural Shunt Insertion Using a Minimally Invasive Approach: Technical Note, Case Series, and Review of the Literature |
| title_sort | syringopleural shunt insertion using a minimally invasive approach technical note case series and review of the literature |
| topic | syringomyelia ventriculo-peritoneal shunt minimally invasive surgery |
| url | http://www.jmisst.org/upload/pdf/jmisst-2021-00115.pdf |
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