- St. George’s University, School of Medicine, Great River, New York, United States.
- Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, New York, United States.
- Department of Neurosurgery, University of North Carolina, Chapel Hill, New York, United States.
Correspondence Address:
Disep I. Ojukwu, St. George’s University, School of Medicine, Great River, New York, United States.
DOI:10.25259/SNI_921_2023
Copyright: © 2024 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.How to cite this article: Disep I. Ojukwu1, Brandon M. Wilkinson2, Timothy Dawson1, Michael A. Galgano2,3. Surgical technique: Posterior retropleural thoracotomy for resection of a T10 dumbbell schwannoma. 19-Jan-2024;15:15
How to cite this URL: Disep I. Ojukwu1, Brandon M. Wilkinson2, Timothy Dawson1, Michael A. Galgano2,3. Surgical technique: Posterior retropleural thoracotomy for resection of a T10 dumbbell schwannoma. 19-Jan-2024;15:15. Available from: https://surgicalneurologyint.com/?post_type=surgicalint_articles&p=12717
Abstract
Background: Myelopathy and nerve root dysfunction resulting from the imperceptible growth of intraspinal schwannomas have been well documented.[
Case Description: Here, we provide a two-dimensional intraoperative video demonstrating the technical nuances concerning maximally safe resection of a partially cystic thoracic dumbbell schwannoma having extraspinal extension with associated bony remodeling of the T10 vertebral body and neural foramen in a middle-aged male. A posterolateral approach with T8–T12 fusion, retropleural thoracotomy, facetectomies, and pediculectomies allowed for gross total resection. No intraoperative or postoperative complications were observed, and the parietal pleura was kept intact throughout the surgery. In addition, the patient continued to have improved symptoms and was ambulatory at 6-month follow-up.
Conclusion: Gross total resection of a partially cystic thoracic dumbbell schwannoma was achieved without complications. Our use of a preoperative three-dimensional reconstruction for surgical planning,[
Keywords: Intradural tumors, Intraoperative surgical video, Spine neurosurgery, Thoracic dumbbell schwannomas, Vertebral column schwannomas
Video 1
Annotations[1-6]
00:00 – Clinical presentation. 00:19 – Pre-operative imaging. 00:43 – Key surgical steps. 00:48 – Surgical details. 04:28 – Post-operative imaging. 04:35 – Post-operative course.
Ethical approval
Institutional Review Board approval is not required.
Declaration of patient consent
Patient’s consent not required as patient’s identity is not disclosed or compromised.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
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