Percutaneous transthoracic fenestration of an intramedullary neurenteric cyst in the thoracic spine with intraoperative magnetic resonance image navigation and thoracoscopy.
Neurenteric cysts are rare congenital cysts typically located in the anterior cervical or thoracic spinal canal. The authors report on their experience with the successful treatment of a midthoracic neurenteric cyst in an 8-year-old boy. Percutaneous fenestration via a transthoracic, transvertebral approach with combined thorascopy and intraoperative MR imaging guidance was used, and the cyst showed lasting shrinkage. The authors discuss this minimally invasive technique and its limitations.
Takahashi
Shinobu
S
Department of Orthopaedic Surgery, Shiga University of Medical Science, Shiga, Japan. ts@belle.shiga-med.ac.jp
Morikawa
Shigehiro
S
Saruhashi
Yasuo
Y
Matsusue
Yoshitaka
Y
Kawakami
Mamoru
M
D002648:Child; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009436:Neural Tube Defects / Q000473:pathology* / Q000601:surgery*; D038361:Neuronavigation; D013396:Suction / Q000379:methods; D013904:Thoracic Vertebrae; D013906:Thoracoscopy