IR@PKUHSC  > 北京大学第三临床医学院  > 骨科
学科主题临床医学
Results of Surgical Treatment of Cervical Dumbbell Tumors Surgical Approach and Development of an Anatomic Classification System
Jiang, Liang; Lv, Yang; Liu, Xiao Guang; Ma, Qing Jun; Wei, Feng; Dang, Geng Ting; Liu, Zhong Jun
关键词Dumbbell Tumor Cervical Spine Classification Approach
刊名SPINE
2009-05-20
DOI10.1097/BRS.0b013e3181a27a32
34期:12页:1307-1314
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Orthopedics
研究领域[WOS]Neurosciences & Neurology ; Orthopedics
关键词[WOS]NERVE SHEATH TUMORS ; OF-THE-LITERATURE ; INTRADURAL TUMORS ; SPINE ; NEURINOMAS ; SCHWANNOMA ; SERIES ; ROOTS ; RECONSTRUCTION ; EXPERIENCE
英文摘要

Study Design. A retrospective study of a new classification and surgical approach of cervical dumbbell tumors.

Objective. To evaluate PUTH classification. Summary of Background Data. The high recurrence rate and postoperative deformity are unsolved problems. Asazuma′s landmark classification could not cover all cases and could not provide clear suggestion for the surgical approach. The ideal classification should be comprehensive, easily understood and of practical value.

Methods. PUTH classification for cervical dumbbell tumors includes 7 categories ( types 1-7) and 2 foraminal modifiers. Posterior approach is appropriate for type 1, 2 and 5 tumors, anterior and anterolateral approach is an ideal choice for type 4 and 6 tumors. Type 7 tumors need combined anterior and posterior approach.

Results. Forty-four consecutive patients with cervical dumbbell tumor were surgically treated. The pathology included schwannoma in 31 cases, neurofibroma in 9 and ganglioneuroma in 4. Based on PUTH classification, type 3 was diagnosed in 13 cases, type 5 in 17, type 6 in 8, and type 7 in 6. Tumors were unilateral in 41 cases, and bilateral in 3 cases. Five were tumor revision cases. Thirty patients underwent posterior approach, 7 had anterior approach, 1 had anterolateral approach, and 6 had combined approach. Gross total resection was achieved in all the patients. Tumors involved nerve roots were transected in 12 cases. Single vertebral artery was ligated in 3. The complications included cerebrospinal fluid leakage in 18 cases, esophagus injury in 1, Horner syndrome in 1, dysphagia in 2, dyspnea in 1 and deep infection in 1. Thirty-six cases (81.1%) had an average 61-month follow-up. Recurrence was found in only one case (2.8%).

Conclusion. PUTH classification covers all tumor types and is easier to remember. It is practical and useful for determining the surgical approach. The recurrence rate decreases significantly after radial tumor resection. Revision surgeries are associated with more complications.

语种英语
WOS记录号WOS:000266220500012
Citation statistics
Cited Times:28[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/51119
Collection北京大学第三临床医学院_骨科
作者单位Peking Univ, Hosp 3, Dept Orthopaed, Beijing 100083, Peoples R China
Recommended Citation
GB/T 7714
Jiang, Liang,Lv, Yang,Liu, Xiao Guang,et al. Results of Surgical Treatment of Cervical Dumbbell Tumors Surgical Approach and Development of an Anatomic Classification System[J]. SPINE,2009,34(12):1307-1314.
APA Jiang, Liang.,Lv, Yang.,Liu, Xiao Guang.,Ma, Qing Jun.,Wei, Feng.,...&Liu, Zhong Jun.(2009).Results of Surgical Treatment of Cervical Dumbbell Tumors Surgical Approach and Development of an Anatomic Classification System.SPINE,34(12),1307-1314.
MLA Jiang, Liang,et al."Results of Surgical Treatment of Cervical Dumbbell Tumors Surgical Approach and Development of an Anatomic Classification System".SPINE 34.12(2009):1307-1314.
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