title: Minimally invasive surgery for synchronous, same-level lumbar intradural-extramedullary neoplasm and acute disc herniation.
abstract: Schwannomas are the most common intradural-extramedullary spinal tumors, with an estimated incidence of 3 to 10 cases per 100,000 people. With continued advances in minimally invasive surgery (MIS) over recent years, MIS techniques have been utilized by spine surgeons in the resection of intradural spinal neoplasms with favorable surgical results and clinical outcomes. This video demonstrates a rare case of symptomatic, synchronous, same-level lumbar intradural-extramedullary neoplasm and acute disc herniation, both of which were successfully treated using a single MIS approach. Surgical pearls and nuances are discussed to better delineate technique and minimize potential complications. The video can be found here: http://youtu.be/78ibbicBRUk.
authors.affiliation: Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois.
authors.forename: Lee A
authors.initials: LA
authors.lastname: Tan
authors.forename: Manish K
authors.initials: MK
authors.lastname: Kasliwal
authors.forename: Joshua
authors.initials: J
authors.lastname: Wewel
authors.forename: Ricardo B V
authors.initials: RB
authors.lastname: Fontes
authors.forename: John E
authors.initials: JE
authors.lastname: O'Toole
mesh_terms: D006801:Humans; D007405:Intervertebral Disc Displacement / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009442:Neurilemmoma / Q000150:complications / Q000601:surgery*; D013125:Spinal Neoplasms / Q000150:complications / Q000601:surgery*
keywords: disc herniation; intradural-extramedullary; minimally invasive; schwannoma; spinal tumor; video