Complete removal of the spinal nerve sheath tumors. Surgical technics and results from a series of 30 patients.
OBJECTIVE
Observe whether a microsurgical gross total removal (GTR) of a spinal nerve sheath tumors (SNSTs) is safe and decreases the tumor recurrence.


METHODS
We identify 30 patients with 44 SNSTs.


RESULTS
We operated upon 15 males and 15 females patients; mean age 40 years. GTR was achieved in 29 (96.6%) instances. Surgical mortality was 3.3% and the recurrence rate was 3.3%. The median follow-up time was 6.2 years.


CONCLUSIONS
The surgical approach used in this group of patients afford that the great majority of tumors could be totally removed with low mortality and low recurrence rates, proving to be safe and effective.
Departamento de Neurocirurgia, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brazil.
Rudi Lenck
RL
Fernandes
Departamento de Neurocirurgia, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brazil.
José Carlos
JC
Lynch
Departamento de Neurocirurgia, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brazil.
Leonardo
L
Welling
Rede D'Or São Luiz, Rio de Janeiro, RJ, Brazil.
Mariangela
M
Gonçalves
Departamento de Neurocirurgia, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brazil.
Rodrigo
R
Tragante
Departamento de Neurocirurgia, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brazil.
Vicente
V
Temponi
Departamento de Neurocirurgia, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brazil.
Celestino
C
Pereira
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D042282:Microdissection / Q000379:methods; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D018317:Nerve Sheath Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D009442:Neurilemmoma / Q000000981:diagnostic imaging / Q000601:surgery*; D009455:Neurofibroma / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D015203:Reproducibility of Results; D013125:Spinal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D013126:Spinal Nerve Roots / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult