Surgical treatment of spinal extradural arachnoid cysts in the thoracolumbar spine

Haruki Funao, Masaya Nakamura, Naobumi Hosogane, Kota Watanabe, Takashi Tsuji, Ken Ishii, Michihiro Kamata, Yoshiaki Toyama, Kazuhiro Chiba, Morio Matsumoto

研究成果: Article

30 引用 (Scopus)

抄録

BACKGROUND: Because an idiopathic spinal extradural arachnoid cyst (SEAC) is rare, its optimal surgical treatment remains controversial. OBJECTIVE: To evaluate the results of surgical treatments for SEACs and to clarify features of the disease associated with poor outcomes. METHODS: Twelve patients with SEACs who underwent surgery at our hospital between 1988 and 2008 were examined retrospectively. The mean follow-up period was 4.7 years. Total resection of the cyst was performed in 7 patients and closure of the dural defect without cyst resection in 5 patients. Surgical outcomes were evaluated with regard to the duration of symptoms, the size of the cyst, and the surgical procedure used. RESULTS: Neurological recovery was observed in all patients, and there was no recurrence. Poor outcomes were observed in patients with a long duration of symptoms (>1 year, P < .01) and large cyst size (>5 vertebrae, P < .05). The surgical procedure had no significant association with the postoperative neurological recovery. However, there was a significant difference in the degree of the mean postoperative kyphotic angle between the patients treated by total resection of the cyst (9.7 degrees) and those treated by closure of the dural defect without cyst resection through selective laminectomy (2.2 degrees) (P < .01). CONCLUSION: There was no significant difference in postoperative neurological recovery between the 2 surgical procedures. However, closure of the dural defect without cyst resection was less invasive, preventing postoperative kyphotic deformity of the thoracolumbar spine.

元の言語English
ページ(範囲)278-284
ページ数7
ジャーナルNeurosurgery
71
発行部数2
DOI
出版物ステータスPublished - 01-08-2012
外部発表Yes

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Arachnoid Cysts
Cysts
Spine
Therapeutics
Laminectomy
Recurrence

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

これを引用

Funao, H., Nakamura, M., Hosogane, N., Watanabe, K., Tsuji, T., Ishii, K., ... Matsumoto, M. (2012). Surgical treatment of spinal extradural arachnoid cysts in the thoracolumbar spine. Neurosurgery, 71(2), 278-284. https://doi.org/10.1227/NEU.0b013e318257bf74
Funao, Haruki ; Nakamura, Masaya ; Hosogane, Naobumi ; Watanabe, Kota ; Tsuji, Takashi ; Ishii, Ken ; Kamata, Michihiro ; Toyama, Yoshiaki ; Chiba, Kazuhiro ; Matsumoto, Morio. / Surgical treatment of spinal extradural arachnoid cysts in the thoracolumbar spine. :: Neurosurgery. 2012 ; 巻 71, 番号 2. pp. 278-284.
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abstract = "BACKGROUND: Because an idiopathic spinal extradural arachnoid cyst (SEAC) is rare, its optimal surgical treatment remains controversial. OBJECTIVE: To evaluate the results of surgical treatments for SEACs and to clarify features of the disease associated with poor outcomes. METHODS: Twelve patients with SEACs who underwent surgery at our hospital between 1988 and 2008 were examined retrospectively. The mean follow-up period was 4.7 years. Total resection of the cyst was performed in 7 patients and closure of the dural defect without cyst resection in 5 patients. Surgical outcomes were evaluated with regard to the duration of symptoms, the size of the cyst, and the surgical procedure used. RESULTS: Neurological recovery was observed in all patients, and there was no recurrence. Poor outcomes were observed in patients with a long duration of symptoms (>1 year, P < .01) and large cyst size (>5 vertebrae, P < .05). The surgical procedure had no significant association with the postoperative neurological recovery. However, there was a significant difference in the degree of the mean postoperative kyphotic angle between the patients treated by total resection of the cyst (9.7 degrees) and those treated by closure of the dural defect without cyst resection through selective laminectomy (2.2 degrees) (P < .01). CONCLUSION: There was no significant difference in postoperative neurological recovery between the 2 surgical procedures. However, closure of the dural defect without cyst resection was less invasive, preventing postoperative kyphotic deformity of the thoracolumbar spine.",
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Funao, H, Nakamura, M, Hosogane, N, Watanabe, K, Tsuji, T, Ishii, K, Kamata, M, Toyama, Y, Chiba, K & Matsumoto, M 2012, 'Surgical treatment of spinal extradural arachnoid cysts in the thoracolumbar spine', Neurosurgery, 巻. 71, 番号 2, pp. 278-284. https://doi.org/10.1227/NEU.0b013e318257bf74

Surgical treatment of spinal extradural arachnoid cysts in the thoracolumbar spine. / Funao, Haruki; Nakamura, Masaya; Hosogane, Naobumi; Watanabe, Kota; Tsuji, Takashi; Ishii, Ken; Kamata, Michihiro; Toyama, Yoshiaki; Chiba, Kazuhiro; Matsumoto, Morio.

:: Neurosurgery, 巻 71, 番号 2, 01.08.2012, p. 278-284.

研究成果: Article

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T1 - Surgical treatment of spinal extradural arachnoid cysts in the thoracolumbar spine

AU - Funao, Haruki

AU - Nakamura, Masaya

AU - Hosogane, Naobumi

AU - Watanabe, Kota

AU - Tsuji, Takashi

AU - Ishii, Ken

AU - Kamata, Michihiro

AU - Toyama, Yoshiaki

AU - Chiba, Kazuhiro

AU - Matsumoto, Morio

PY - 2012/8/1

Y1 - 2012/8/1

N2 - BACKGROUND: Because an idiopathic spinal extradural arachnoid cyst (SEAC) is rare, its optimal surgical treatment remains controversial. OBJECTIVE: To evaluate the results of surgical treatments for SEACs and to clarify features of the disease associated with poor outcomes. METHODS: Twelve patients with SEACs who underwent surgery at our hospital between 1988 and 2008 were examined retrospectively. The mean follow-up period was 4.7 years. Total resection of the cyst was performed in 7 patients and closure of the dural defect without cyst resection in 5 patients. Surgical outcomes were evaluated with regard to the duration of symptoms, the size of the cyst, and the surgical procedure used. RESULTS: Neurological recovery was observed in all patients, and there was no recurrence. Poor outcomes were observed in patients with a long duration of symptoms (>1 year, P < .01) and large cyst size (>5 vertebrae, P < .05). The surgical procedure had no significant association with the postoperative neurological recovery. However, there was a significant difference in the degree of the mean postoperative kyphotic angle between the patients treated by total resection of the cyst (9.7 degrees) and those treated by closure of the dural defect without cyst resection through selective laminectomy (2.2 degrees) (P < .01). CONCLUSION: There was no significant difference in postoperative neurological recovery between the 2 surgical procedures. However, closure of the dural defect without cyst resection was less invasive, preventing postoperative kyphotic deformity of the thoracolumbar spine.

AB - BACKGROUND: Because an idiopathic spinal extradural arachnoid cyst (SEAC) is rare, its optimal surgical treatment remains controversial. OBJECTIVE: To evaluate the results of surgical treatments for SEACs and to clarify features of the disease associated with poor outcomes. METHODS: Twelve patients with SEACs who underwent surgery at our hospital between 1988 and 2008 were examined retrospectively. The mean follow-up period was 4.7 years. Total resection of the cyst was performed in 7 patients and closure of the dural defect without cyst resection in 5 patients. Surgical outcomes were evaluated with regard to the duration of symptoms, the size of the cyst, and the surgical procedure used. RESULTS: Neurological recovery was observed in all patients, and there was no recurrence. Poor outcomes were observed in patients with a long duration of symptoms (>1 year, P < .01) and large cyst size (>5 vertebrae, P < .05). The surgical procedure had no significant association with the postoperative neurological recovery. However, there was a significant difference in the degree of the mean postoperative kyphotic angle between the patients treated by total resection of the cyst (9.7 degrees) and those treated by closure of the dural defect without cyst resection through selective laminectomy (2.2 degrees) (P < .01). CONCLUSION: There was no significant difference in postoperative neurological recovery between the 2 surgical procedures. However, closure of the dural defect without cyst resection was less invasive, preventing postoperative kyphotic deformity of the thoracolumbar spine.

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