ArticleLangenbeck's archives of surgery2025
Long-segment intraspinal schwannomas resection: What is the minimum number of laminectomy levels required?
Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesIn canonical knowledge, long-segment intraspinal schwannomas (SCHs) require laminectomies at all involved levels for complete exposure. To evaluate a minimally invasive, limited-exposure strategy for gross total resection (GTR) of multi-level intraspinal SCHs.
methodsA retrospective analysis was conducted on 11 patients with intraspinal SCHs involving ≥ 3 vertebral segments who underwent laminectomy confined to critical vertebrae, achieving gross total resection without full exposure of all involved levels. The surgical approach involved focused laminectomy targeting critical vertebrae, intracapsular decompression, and meticulous microsurgical dissection. Follow-up included clinical assessments and MRI evaluations at 3 months and 1-year post-surgery.
resultsThe cohort comprised 4 females and 7 males, with a median age of 50 years. Lesions were predominantly located in the cervical spine. Ten cases exhibited cystic lesions, while one presented a fully solid tumor. The average surgical time was 119 ± 15.6 minutes. Laminectomy was performed within 2 levels (6 cases) or 1 level (5 cases). All patients achieved complete symptom resolution at discharge, with no perioperative complications. During a mean follow-up of 23.5 ± 13.0 months, no cases of postoperative spinal instability or tumor recurrence were identified.
conclusionFor long-segment intraspinal SCHs, particularly cystic lesions, minimizing the number of laminectomy levels to achieve GTR is technically feasible and clinically safe.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.