Published online Jan 7, 2022. doi: 10.12998/wjcc.v10.i1.62
Peer-review started: May 3, 2021
First decision: October 16, 2021
Revised: October 30, 2021
Accepted: November 19, 2021
Article in press: November 19, 2021
Published online: January 7, 2022
The goal of new surgical treatments is to reduce the incidence of cerebrospinal fluid leakage and relieve injury to patients.
Total resection of atlantoaxial intradural extramedullary (IDEM) tumors is feasible and effective via a posterior approach.
A statistically significant difference was noted between the preoperative Japanese Orthopedic Association score (11.2 ± 1.1) and the score at the last final follow-up (15.6 ± 1.0) (P < 0.05). A statistically significant difference was also noted between the preoperative Nurick grade (2.3 ± 0.9) and that at the last follow-up (1.2 ± 0.4) (P < 0.05). However, no statistically significant difference was noted between the preoperative and last follow-up C1-2 Cobb angle and C2-7 Cobb angle (P > 0.05). No mortalities, severe complications or tumor recurrence were observed during the follow-up period.
This was a retrospective study of 13 patients who underwent atlantoaxial IDEM tumor resection via a posterior approach.
To investigate the efficacy of surgical resection for atlantoaxial IDEM tumors and its influencing factors.
To explore the safety and feasibility of atlantoaxial IDEM tumor resection.
IDEM tumors in the atlantoaxial spine are uncommon and present with progressive pain and neurological deficits.