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Instrumented Fusion after Spinal Cord Tumor Resection

  • Michael A. Galgano
  • Jared S. Fridley
  • Ziya L. GokaslanEmail author
Chapter

Abstract

The indications for concomitant instrumented fusion after intradural spinal cord tumor resection is a topic that is not routinely covered when discussing the concepts of spinal biomechanics. While there is a fair amount of evidence supporting restoration or maintenance of the posterior tension band in the pediatric population after laminectomy, similar evidence is lacking in the adult population. Performing a laminectomy at 3+ levels or at a junctional level, >50% unilateral or bilateral facetectomy, C2 laminectomy, previous deformity (such as kyphosis in the cervical spine), persistence of deformity after 1 year of the original surgery, and operating on the “younger adult population” (33 +/− 4.2 years), appear to be the general indications for supplemental spinal fusion based on retrospective analyses of various case illustrations.

Keywords

Resection Instability Biomechanical stability Deformity Kyphosis Posterior tension band Facetectomy Laminectomy Supplemental spinal fusion 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Michael A. Galgano
    • 1
  • Jared S. Fridley
    • 1
  • Ziya L. Gokaslan
    • 1
    Email author
  1. 1.Department of NeurosurgeryWarren Alpert School of Medicine at Brown University, Rhode Island HospitalProvidenceUSA

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