Microneurosurgery For High Cervical Intraspinal Tumors

Objective: To explore microneurosurgical technique to treat high cervical intraspinal tumors.Methods: The clinical data of 50 patients with high cervical intraspinal tumors,of whom,26 underwent half laminectomy and resection of the tumors and 24 the laminectomy,resection of the tumors and internal fixation,from January,2010 to December,2016,were analyzed retrospectively.Results: The postoperative pathological examination showed that of these 50 patients,23 had neurilemmomas,16 spinal meningiomas,8 ependymomas,2 astrocytomas and 1 hemangioblastoma.Total resection of the tumors was achieved in 42 patients and subtotal resection in 8.The postoperative complications occurred in 7 patients,of whom,6 were cured and 1 died.No tumor recurrence was observed and spinal stability is good in 49 patients who were followed up from 3 months to 3 years.The postoperative quality of life was improved in 39 cases,unchanged in 7 and decreased in 3 during the following up according to activities of daily living test.Conclusions: The curative effects of microneurosurgery on the patients with high cervical intraspinal tumors are good,but the surgical procedure should be selected according to the location of the intraspinal tumors in order to maintain the stability of the cervical spine.