Türk Nöroşirürji Dergisi 2009 , Vol 19 , Num 3
Removal of Intradural Tumors with Hemilaminectomy
Bülent TUCER
Erciyes Üniversitesi Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Kayseri, Türkiye The traditional approach to intradural spinal pathology is via total laminectomy. Total laminectomy may cause spinal instability and kyphosis due to the damage to the musculoligamentous structures and posterior bony elements. Spinal column deformity occurred in children, adolescents and young adults. The incidence of spinal deformity is higher in children than in adults. Fusion may be required to correct post-laminectomy deformity and to stabilize the spine. The most common sites of postlaminectomy deformity are the cervical and thoracic spine. Although laminoplasty decreased spinal instabilitiy and deformity, it didn't to stop. After use of operation microscope, intradural neoplasms can be safely and effectively treated with hemilaminectomy techniques. Potential reduction in blood loss, hospitalization and disruption to local tissues suggest that, in the hands of an experienced surgeon, this technique may present an alternative to traditional open tumor resection. Anahtar Kelimeler : İntradural spinal tumors, Hemilaminectomy, Instability, Surgical approach