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Journal of Neurology and Neurorehabilitation Research | Volume 4

September 03-04, 2019 | London, UK

Spine and Spinal Disorders

International Conference on

J Neurol Neurorehabil Res, Volume 4

Spinal Benign Tumors treated by full Endoscopy

Marcio R R da Cunha

Trauma Centre, Brazil

ercutaneous endoscopic technique has been used to

treat disk herniation and spinal stenosis, so far we have

very few reports to treat benign spinal tumors treated by

this minimally invasive treatment. We would like to present

some cases of lumbar benign spinal tumors removed by

full endoscopic interlaminar approach. We´ve described 04

cases of benign lumbar spinal tumors, that were treated by

full endoscopy in a period of two years. The patients had no

major neurological signals, only back pain associated or not

with radicular symptoms. The M.R.I demonstrated small

lesions in the lumbar field measuring from 1,0 cm to 4,0 cm.

We've performed all the procedures with a single skin incision

less than o8 mm, placing the working canula between the

interlaminar bone window, according to the level related

to the lesion , making a enlargement under assistance of

diamondburr toexpose the ligamentumflavumfromthebase

to the tip of the ascending facet to make a good exposition of

the surgical area. After opening the ligamentun flavum, the

tumors were totally removed piecemeal under endoscopic

guidance. The procedure lasted less than three hours

with no support in intensive care unit and the pathological

examination confirmed: 01 case of angiolipoma, 02 cases of

Schwannoma and one case of neurinoma. All the patients had

a hospital discharge less than twelve hours after the surgical

procedure with no neurological signs and using minor pain

killer to control the back pain. After one week he could return

to his work under the support of physiotherapy rehabilitation.

Even though we don´t have so much papers about this

surgical practice, we think that is a feasible treatment

bringing all the benefits of the minimally invasive approach

pointed in many papers. Off course is necessary to develop

more proper endoscopic tools to accelerate the surgical time.