title: Percutaneous transthoracic fenestration of an intramedullary neurenteric cyst in the thoracic spine with intraoperative magnetic resonance image navigation and thoracoscopy.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, Shiga University of Medical Science, Shiga, Japan. ts@belle.shiga-med.ac.jp
authors.forename: Shinobu
authors.initials: S
authors.lastname: Takahashi
authors.forename: Shigehiro
authors.initials: S
authors.lastname: Morikawa
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Saruhashi
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Matsusue
authors.forename: Mamoru
authors.initials: M
authors.lastname: Kawakami
mesh_terms: 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