ArticleWorld journal of clinical cases2024
Safety and efficacy of posterior approach for resection of spinal meningioma: Impact of dural attachment location.
Article in World journal of clinical cases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Analysis of the efficacy and postoperative complications of thoracoscopic resection through the transthoracic posterior approach of thoracic paravertebral dumbbell-shaped schwannoma.American journal of cancer research · 2026Article
- Surgical outcomes of ventrally located cervical spinal meningiomas.Spinal cord · 2025Article
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3 authors.
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Abstract
backgroundSpinal meningiomas (SMs) are common benign tumors that are typically treated with surgical resection. The choice of surgical approach may vary depending on the location of dural attachment of the SM, with a posterior approach being the traditional preference. However, there is limited research available on the impact of dural attachment location on outcomes following posterior approach for SM resection.
aimTo investigate the outcomes of posterior approach for SM resection, and compare the results among different dural attachment location subgroups.
methodsBetween January 2013 and February 2023, a total of 34 SM patients were included in the study. Various clinical and radiologic features, functional states before and after surgery, operating time, intraoperative blood loss, tumor recurrence, and perioperative complications were assessed and compared.
resultsThe average age of the included 34 patients' (10 males and 24 females) age was 62.09 years. Mean follow-up duration was 22.65 months. The location of SM was the thoracic spine in 32 cases, with only 2 in the cervical spine. On average, intraoperative blood loss was 520.59 mL, and operating time was 176.76 minutes. Thirty three cases had successful outcomes while only 1 experienced an unexpected outcome. The tumor recurrence rate was 2.9%. After surgery, there were 3 cases of cerebral spinal fluid leakage, 1 case of pneumonia, and 1 case of urinary tract infection. Dural attachments were predominantly found dorsal or dorsolateral (13 cases), followed by ventral or ventrolateral (14 cases), and lateral (7 cases). The outcomes among these subgroups were similar.
conclusionThe posterior approach for SM resection is safe and effective, yielding comparable surgical and neurological outcomes regardless of the dural attachment location.
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