JBJS case connector · 2026
Navigation-Guided Resection of a Cystic Schwannoma with Spinopelvic Fixation in Acute Cauda Equina Syndrome: A Case Report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Kothari Ajay, Aiyer Siddharth, Shah Parth K, Sancheti Parag
Аннотация
CASE: A 45-year-old female patient presented with acute perianal numbness, severe back pain, and bilateral radiculopathy. Magnetic resonance imaging revealed a large cystic lesion involving the L5-S1 vertebrae with compression of the thecal sac. Given the erosion of the L5 pedicle and sacral involvement, navigation-guided tumor resection with L4-S2 alar-iliac fixation and L4-5 transforaminal lumbar interbody fusion was performed. Intraoperative O-arm navigation ensured accurate resection and safe instrumentation despite distorted anatomy. Postoperatively, the patient had significant pain relief and neurological improvement at 1 year.
CONCLUSION: Navigation-assisted resection with spinopelvic fixation is a safe and effective approach in complex schwannomas with bony erosion, ensuring maximal decompression, accurate instrumentation, and durable stability.
CONCLUSION: Navigation-assisted resection with spinopelvic fixation is a safe and effective approach in complex schwannomas with bony erosion, ensuring maximal decompression, accurate instrumentation, and durable stability.