Clinical StudiesSurgical Management of Dumbbell Tumors of the Cervical SpineMcCormick, Paul C. M.D. Author Information Columbia Presbyterian Medical Center, The Neurological Institute, New York, New York Received, April 24, 1995. Accepted, July 12, 1995. Reprint requests: Paul C. McCormick, M.D., The Neurological Institute, 710 West 168th Street, New York, NY 10032. Neurosurgery 38(2):p 294-300, February 1996. Buy Abstract TWELVE PATIENTS WITH benign dumbbell tumors of the cervical spine were treated surgically between March 1991 and July 1994. Gross total resection was achieved in 11 patients, using a single-stage modified posterior midline exposure with laminectomy and complete unilateral facetectomy. This exposure provides contiguous intraspinal, foraminal, and extraforaminal access that extends up to 4 cm from the lateral dural margin. The surgical considerations of these tumors, including the surgical technique, potential spinal instability, vertebral artery, and risk of nerve root injury, are presented. Copyright © by the Congress of Neurological Surgeons
