Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty: A case report. (20th February 2017)

• Record Type: Journal Article
• Authors: Rosario, Mamer Soriano; Murakami, Hideki; Kato, Satoshi; Fujii, Moriyuki; Yonezawa, Noritaka; Tsuchiya, Hiroyuki
• Is Part Of: Journal of orthopaedic surgery. Volume 25:Number 1(2017)
• Publication Date: 2017-02-20
• Subjects: microsurgical extirpation -- recapping T-saw laminoplasty -- solitary intramedullary neurofibroma -- spinal cord tumor; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic surgery; Periodicals; 617.3
• DOI: 10.1177/2309499017691003
• Languages: English
• ISSNs: 1022-5536

Abstract

We report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10–11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through a recapping T-saw laminoplasty of T10 was done, and histopathology findings revealed a diagnosis of neurofibroma. Solitary spinal neurofibroma is one of the rarest tumors involving the spinal cord and is very adherent for the lack of a well-defined capsule, requiring careful dissection under microscope magnification for successful en bloc resection. Recapping T-saw laminoplasty affords both maximal exposure and anatomic reconstruction postextirpation, avoiding most postoperative spinal complications.