title: Solitary thoracic intramedullary spinal neurofibroma microsurgically extirpated via recapping T-saw laminoplasty.
abstract: We report the case of a 40-year-old female presenting with back pain that was complicated by a solitary intramedullary spinal cord mass at the T10-11 levels, confirmed by magnetic resonance imaging and computed tomography myelography. Microsurgical en bloc extirpation of the tumor approached through a recapping T-saw laminoplasty of T10 was done, and histopathology findings revealed a diagnosis of neurofibroma. Solitary spinal neurofibroma is one of the rarest tumors involving the spinal cord and is very adherent for the lack of a well-defined capsule, requiring careful dissection under microscope magnification for successful en bloc resection. Recapping T-saw laminoplasty affords both maximal exposure and anatomic reconstruction postextirpation, avoiding most postoperative spinal complications.
authors.affiliation: 1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.|2 Department of Orthopaedics, East Avenue Medical Center, East Avenue, Diliman, Quezon City 1101, Metro Manila, Philippines.
authors.forename: Mamer Soriano
authors.initials: MS
authors.lastname: Rosario
authors.affiliation: 1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Murakami
authors.affiliation: 1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kato
authors.affiliation: 1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.
authors.forename: Moriyuki
authors.initials: M
authors.lastname: Fujii
authors.affiliation: 1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.
authors.forename: Noritaka
authors.initials: N
authors.lastname: Yonezawa
authors.affiliation: 1 Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa, Ishikawa 920-8640, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tsuchiya
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D065406:Laminoplasty / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008866:Microsurgery / Q000379:methods*; D009192:Myelography; D009455:Neurofibroma / Q000175:diagnosis / Q000601:surgery*; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013904:Thoracic Vertebrae; D014057:Tomography, X-Ray Computed
keywords: microsurgical extirpation; recapping T-saw laminoplasty; solitary intramedullary neurofibroma; spinal cord tumor