The surgical management of intraspinal enterogenous cysts

Abstract

Objective To analyze and summarize the method and technique of surgical management of intraspinal enterogenous cysts.Methods The surgical approach and manipulation,surgical results of 20cases of intraspinal enterogenous cysts were summarized retrospectively,which were treated in Department of Neurosurgery,Huashan hospital from Jan.2006 to Nov.2010.Results Of all 20 cases of intraspinal enterogenous cysts,total removal was achieved in 18cases,partial removal was achieved in 2 cases;Symptoms and signs improved in 19 cases,ipsilateral lower extremity strength decreased in one case.Seventeen cases were followed up clinically with average interval 31.2 months. Sixteen of the followed patients have got somewhat improved in symptom and sign.No recurrence was found on MRI image in fifteen cases with lesion total removal,whereas 2 recurrence in 2 cases with partial removal.Conclusions It is proper surgical approach and correct manipulation that are crucial to total removal and heal intraspinal enterogenous cysts. Key words: Vertebral canal; Enterogenous cysts; Surgical procedures,operative