19 Harley St, London, W1G 9QJ, UK

[Surgery strategy about C1-2 dumbbell tumor]

OBJECTIVE: To study the operation of C1-2 dumbbell-shaped tumor, and its effect on the cervical spine stability. METHODS: Different surgical tumor resection was selected according to the tumor size and the invasion scope. Hemilaminectomy was the first choice for the resection of the tumor at intr-extraspinal canal in the conventional prone position. After the tumor was fully revealed, the epidural tumor was removed first with enough space to be vacated, then the subdural section was removed. If the tumor in the spinal canal was more than half of the spinal canal, to prevent spinal cord injury, the part of the C1-2 spinous process base should be removed to facilitate the exposure. Dural defect should be repaired and the muscle sutured to achieve anatomic reduction in order to facilitate the stability of the cervical spine. Lateral approach should be combined to resect the tumor if its total removal was impossible as the tumor had invaded the spinal canal outside over 4 cm or completely surrounded the vertebral artery. RESULTS: C1-2 dumbbell-type tumors were treated in 16 cases, of which 12 were of schwannoma, 3 of meningioma and 1 of ganglion cell tumor. Total resection was in 14 cases, and subtotal resection in 2. After operation, the symptoms of pain in the neck and upper limb muscle weakness were relieved. All the patients were followed up. The follow-up period was 3-48 months. No cervical spine instability or tumor recurrence was found. CONCLUSION: C1-2 dumbbell-shaped tumors could be well resected by poster-median hemilamiectomy approach or joint lateral approach , and the stability of cervical spine could be better maintained at the same time

Keywords : Adult,Aged,Arteries,Cervical Vertebrae,China,Female,Humans,injuries,Male,Meningioma,methods,Middle Aged,Muscle Weakness,Neck,Neurilemmoma,Neurosurgery,Neurosurgical Procedures,Pain,Patients,Prone Position,Recurrence,Retrospective Studies,Spinal Canal,Spinal Cord,Spinal Cord Injuries,Spinal Neoplasms,Spine,surgery,Time,Universities,Vertebral Artery,, Strategy,About,C12,Dumbbell,Tumor, chest pain chondritis

Date of Publication : 2011 Apr 18

Authors : Ma CC;Wang ZY;Yu T;

Organisation : Department of Neurosurgery, Peking University Third Hospital, Beijing 100191, China

Journal of Publication : Beijing Da Xue Xue Bao Yi Xue Ban

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21503131

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Surgery strategy about C1-2 dumbbell tumor | Occipital neuralgia pain pattern

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810