Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 7, 2022; 10(1): 62-70
Published online Jan 7, 2022. doi: 10.12998/wjcc.v10.i1.62
Surgical resection of intradural extramedullary tumors in the atlantoaxial spine via a posterior approach
Di-Hua Meng, Jia-Qi Wang, Kun-Xue Yang, Wei-You Chen, Cheng Pan, Hua Jiang
Di-Hua Meng, Jia-Qi Wang, Kun-Xue Yang, Wei-You Chen, Cheng Pan, Hua Jiang, Department of Spine Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Province, China
Author contributions: Jiang H conceived, supervised the study and performed critical revision of the manuscript; Meng DH and Wang JQ were involved in the data search and selection of data; Yang KX, Pan C and Chen WY analyzed and interpreted the data and drafted the manuscript; All authors read and approved the final manuscript.
Supported by the National Natural Science Foundation of China, No. 81860406; Guangxi Natural Science Foundation, No. 2018GXNSFAA281127; and Medical Excellence Award Funded by the Creative Research Development Grant from The First Affiliated Hospital of Guangxi Medical University.
Institutional review board statement: The histological study of surgical samples was approved by the Ethics Committee of the First Affiliated Hospital of Guangxi Medical University (No. 2020-KY-NSFC-025).
Informed consent statement: Written consent was obtained from each participant.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hua Jiang, MD, PhD, Professor, Department of Spine Surgery, the First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning 530021, Guangxi Province, China. drjianghua@163.com
Received: May 3, 2021
Peer-review started: May 3, 2021
First decision: October 16, 2021
Revised: October 30, 2021
Accepted: November 19, 2021
Article in press: November 19, 2021
Published online: January 7, 2022
Processing time: 241 Days and 5.5 Hours
Core Tip

Core Tip: This retrospective study investigated the safety and efficacy of atlantoaxial intradural extramedullary (IDEM) tumor resection using a one-stage posterior approach. Statistically significant differences were noted between the preoperative Japanese Orthopedic Association (JOA) score and Nurick grade and those at the last follow-up (JOA: 11.2 ± 1.1 vs 15.6 ± 1.0; Nurick grade: 2.3 ± 0.9 vs 1.2 ± 0.4; all P < 0.05). No mortalities, severe complications or tumor recurrence were observed during the follow-up period. Total resection of atlantoaxial IDEM tumors is feasible and effective via a posterior approach.