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3
rd
International Conference on
Health Care and
Health Management
Joint Event
&
November 04-05, 2019 | Prague, Czech Republic
6
th
International Conference on
Neuroscience and
Neurological Disorders
Journal of Neurology and Clinical Neuroscience | Volume 3
Spinal benign tumors treated By full endoscopy interlaminar approach
Márcio Robertti Ramalho Da Cunha
Freie Universitat, Germany
P
ercutaneous endoscopic technique has been used to
treat disk herniation and spinal stenosis, so far we have
very few reports to treat benign spinal tumors treated by
this minimally invasive treatment. We would like to present
some cases of lumbar benign spinal tumors removed by
full endoscopic approach. We´ve described 04 cases of
benign lumbar spinal tumors, that were treated by full
endoscopy in a period of two years. The patients had no
major neurological signals, only back pain associated or not
with radicular symptoms. The M.R.I demonstrated small
lesions in the lumbar field measuring from 1,0cm to 4,0cm.
We've performed all the procedures with a single skin incision
less than 08mm, placing the working canula between the
interlaminar bone window, according to the level related
to the lesion, making a enlargement under assistance of
diamond burr to expose the ligamentum flavum from
the base to the tip of the ascending facet to make a good
exposition of the surgical area. After opening the ligamentous
flavum, the tumors were totally removed piecemeal under
endoscopic guidance. The procedures lasted less than
three hours with no support in intensive care unit and the
pathological examination confirmed : 01 case of angiolipoma,
02 cases of Schwannoma and one case of neurinoma. All the
patients had a hospital discharge less than twelve hours after
the surgical procedure with complete relief of neurological
symptoms and using minor pain killer to control the back
pain. After one week he could return to his work under the
support of physiotherapy rehabilitation. Even though we
don´t have so much papers about this surgical practice, we
think that is a feasible treatment bringing all the benefits of
the minimally invasive approach pointed in many papers. Of
course is necessary to develop more proper endoscopic tools
to accelerate the surgical time.
e
:
maramalho65@gmail.com