An Extremely Giant Lumbar Schwannoma: New Classification (Kotil) and Mini-Open Microsurgical Resection
Purely extradural giant lumbar schwannomas are rare lesions. Classification of these tumors is performed according to the sizes and spills and is named the modified Sridhar's classification. The management of these tumors has traditionally been performed by combined antero-posterior large or tw...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2014-08-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-8-506.pdf |
| _version_ | 1811330869422456832 |
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| author | Kadir Kotil |
| author_facet | Kadir Kotil |
| author_sort | Kadir Kotil |
| collection | DOAJ |
| description | Purely extradural giant lumbar schwannomas are rare lesions. Classification of these tumors is performed according to the sizes and spills and is named the modified Sridhar's classification. The management of these tumors has traditionally been performed by combined antero-posterior large or two-stage exposures. This combined exposure has many disadvantages. Recent reports have demonstrated the safety and efficacy of removal of these tumors using mini-open micro surgical resection for the schwannomas, but the safety and efficacy have not been established for extremely large giant tumors. We report a case of a giant L4 dumb-bell schwannoma successfully resected through a mini-open micro surgical resection. These neoplasms can be safely and effectively treated with mini-open techniques. Reduction in blood loss, hospitalization, and tissue disruption may be potential benefits of this approach. We discuss the technical details of this surgical approach along with the limitations and possible complications. In addition, this study is included in the current schwannoma (Kotil) classification. |
| first_indexed | 2024-04-13T16:10:26Z |
| format | Article |
| id | doaj.art-e6a58b010af94e16a278e19186d797da |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-04-13T16:10:26Z |
| publishDate | 2014-08-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-e6a58b010af94e16a278e19186d797da2022-12-22T02:40:17ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462014-08-018450651110.4184/asj.2014.8.4.506655An Extremely Giant Lumbar Schwannoma: New Classification (Kotil) and Mini-Open Microsurgical ResectionKadir Kotil0Department of Neurosurgery, Istanbul Arel University, Tepekent, Istanbul, Turkey.Purely extradural giant lumbar schwannomas are rare lesions. Classification of these tumors is performed according to the sizes and spills and is named the modified Sridhar's classification. The management of these tumors has traditionally been performed by combined antero-posterior large or two-stage exposures. This combined exposure has many disadvantages. Recent reports have demonstrated the safety and efficacy of removal of these tumors using mini-open micro surgical resection for the schwannomas, but the safety and efficacy have not been established for extremely large giant tumors. We report a case of a giant L4 dumb-bell schwannoma successfully resected through a mini-open micro surgical resection. These neoplasms can be safely and effectively treated with mini-open techniques. Reduction in blood loss, hospitalization, and tissue disruption may be potential benefits of this approach. We discuss the technical details of this surgical approach along with the limitations and possible complications. In addition, this study is included in the current schwannoma (Kotil) classification.http://www.asianspinejournal.org/upload/pdf/asj-8-506.pdfExtraduralSchwannomaMicrosurgical resectionMiniopenLumbarNew classificaiton |
| spellingShingle | Kadir Kotil An Extremely Giant Lumbar Schwannoma: New Classification (Kotil) and Mini-Open Microsurgical Resection Asian Spine Journal Extradural Schwannoma Microsurgical resection Miniopen Lumbar New classificaiton |
| title | An Extremely Giant Lumbar Schwannoma: New Classification (Kotil) and Mini-Open Microsurgical Resection |
| title_full | An Extremely Giant Lumbar Schwannoma: New Classification (Kotil) and Mini-Open Microsurgical Resection |
| title_fullStr | An Extremely Giant Lumbar Schwannoma: New Classification (Kotil) and Mini-Open Microsurgical Resection |
| title_full_unstemmed | An Extremely Giant Lumbar Schwannoma: New Classification (Kotil) and Mini-Open Microsurgical Resection |
| title_short | An Extremely Giant Lumbar Schwannoma: New Classification (Kotil) and Mini-Open Microsurgical Resection |
| title_sort | extremely giant lumbar schwannoma new classification kotil and mini open microsurgical resection |
| topic | Extradural Schwannoma Microsurgical resection Miniopen Lumbar New classificaiton |
| url | http://www.asianspinejournal.org/upload/pdf/asj-8-506.pdf |
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