Peculiarities of treatment of patients with tumors of cervical spinal nerves with paravertebral spread

Abstract

Позитивні результати хірургічного лікування пухлин спинномозкових нервів шийного відділу хребта з паравертебральним ростом пояснюється вибором адекватного хірургічного доступу, використанням інтраопераційних методів для покращення візуалізації пухлини, нервових структур, судин.

The expected response to surgical treatment in patients with peripheral nerve sheath tumors depends on many factors: localization, directions of neoplasm extension, radical nature of the treatment and the histological variant of the tumor. The tumors of the spinal nerves are quite common and form up to the 48% of all tumors of the spinal localization. The overwhelming majority of such tumors leads to the compression of the spinal cord and its nerveroots, and to considerable neurological symptomatology. Determining the tactics of surgery and the choice of surgical access is an important component for achieving long remission. The choice of an adequate approach makes it possible to totally remove the tumor, reduces the time of intervention, blood loss, injuries to the nervous structures during removal of the tumor.