Slynko Ievgenii*, Derkach Urii, Agboola Kayode K and Alao Oluwateniola O

Department of Spinal Cord and Spine Pathology, Romodanov’s Institute of Neurosurgery, Kyiv, Ukraine

*Corresponding Author: Slynko Ievgenii, Department of Spinal Cord and Spine Pathology, Romodanov’s Institute of Neurosurgery, Kyiv, Ukraine.

Received: February 25, 2021; Published: October 29, 2021

Abstract

Object: Still, the question about the specific treatment of patients with SNSTs of the cervical spine segment with paravertebral growth(PG) is insufficiently studied. This requires close attention and needs further improvement, which proves the relevance of the chosen topic and research area.

Solving the problem of improvement of treatment of SNSTs of cervical spine consists of evaluating the results of surgical treatment, and advanced surgical approaches used to remove these tumors.

Methods: The research is based on analysis of results from the diagnosis and surgical treatment of 65 patients who were surgically treated for (SNST) of the cervical segment with paravertebral growth. The research took place in the Department of Spine and Spinal Cord Pathology, Romodanov Institute of Neurosurgery, from the year 1999 to 2019. We collect preoperative through 15-day postoperative data (medical charts, MRI, CT, vertebral and spinal angiography, Ro-graphs) on patients at our hospital.

Results: The choice of surgical approach was made based on data of instrumental research methods and topographic - anatomical variants of tumors in detail substantiated in the developed classification. A variety of surgical approaches have been used to remove these tumors. Surgical approach used in excision of SNSTs of cervical segment with paravertebral growth are applied in the study observations: posterior - 21(32.3%); posterior-lateral - 25(38.5%); far-lateral - 4(6.1%); extreme-lateral - 3(4.6%); anterior - 12(18.5%). The assessment of the quality of life outcomes was assessed according to the ECOG - WHO scale. We substantiated the criteria that allowed to choose surgical approaches that provided optimal visual control over the course of tumor removal and the condition of surrounding tissues, namely TMO's condition at different levels and the preservation of the conditional's physiological curvature plane of the intervertebral foramina.

Conclusions: The study of the relationship between duration of history and probability of the McCormick scale of transition to another group (improvement and regression of neurological disorders) after surgery showed that the longer the history, the less likely it is to move to another group.

When analyzing the topographical and anatomical characteristics of the tumor of the spinal nerves of the cervical segment with paravertebral spread, the following distribution of location options were found: we detected 27.7% of tumor observations at the level of C1-C2 vertebrae, 41.5% - C2-C3 vertebrae, 7.7% - C3-C4 vertebrae, 4.6% - C4-C5 vertebrae, in 7.7% - C5-C6 vertebrae, 10.7% - C6-C7 vertebrae, 3% - C7-Т1 vertebrae. Dislocation of the common carotid artery by the tumor was diagnosed in 12% and 24% of the vertebral artery.

Keywords: Nerve Sheath Tumors; Cervical Spine; Paravertebral Growth

References

1. Serrano JPM., et al. “Giant dumbbell C2C3 neurofibroma invading prebulbar cistern: Case report and literature review”. Surgical Neurology International 10 (2019): 77.
2. Zhan Z., et al. “Neurofibroma and Meningioma within a Single Dumbbell-Shaped Tumor at the Same Cervical Level without Neurofibromatosis: A Case Report and Literature Review”. World Neurosurgery 130 (2019): 1-6.
3. Lavrador JP., et al. “Neurofibroma of the cervical spine in infants”. Child's Nervous System12 (2016): 2277-2279.
4. Waqar M., et al. “C2 neurofibromas in neurofibromatosis type 1: genetic and imaging characteristics. ”. Journal of Neurosurgery Spine1 (2018): 126-132.
5. Taleb FS., et al. “Surgical management of cervical spine manifestations of neurofibromatosis Type 1: long-term clinical and radiological follow-up in 22 cases”. Journal of Neurosurgery Spine3 (2011): 356-366.
6. Boumaza K., et al. “Peripheral neck nerve tumor: A 73-case study and literature review”. European Annals of Oto-rhino-laryngology, Head and Neck Diseases6 (2019): 455-460.
7. Safaee MM., et al. “Neurological outcomes and surgical complications in 221 spinal nerve sheath tumors”. Journal of Neurosurgery Spine1 (2017): 103-111.
8. Safaee M., et al. “Results of Spinal Fusion After Spinal Nerve Sheath Tumor Resection”. World Neurosurgery 90 (2016): 6-13.
9. Abe J., et al. “Surgical management of solitary nerve sheath tumors of the cervical spine: a retrospective case analysis based on tumor location and extension”. Neurologia Medico-Chirurgica (Tokyo) 54.11 (2014): 924-929.

Citation

Citation: Slynko Ievgenii., et al. “Surgical Treatment of Spinal Nerve Sheath Tumors of the Cervical Spine with Paravertebral Growth”. Acta Scientific Neurology 4.11 (2021): 19-28.

Copyright

Copyright: © 2021 Stanzin Ladol and Deepak Sharma. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.