Surgical considerations of spinal ependymomas in the pediatric population

Wesley Hsu, Gustavo Pradilla, Shlomi Constantini, George I. Jallo

Research output: Contribution to journalReview article

Abstract

Objectives: The objective of this manuscript is to discuss current management strategies regarding pediatric patients with intramedullary spinal cord ependymomas. Spinal ependymoma is the second most common spinal cord tumor in children. The clinical evaluation of these patients, operative techniques, postoperative management considerations, and long-term outcomes are discussed. Introduction: The gold standard for the treatment of spinal ependymoma continues to be gross total resection. Patients with residual tumor postoperatively may benefit from adjuvant radiation therapy. Intraoperative monitoring is critical to minimize permanent postoperative neurologic deficit. Conclusion: Patients requiring multilevel laminectomy may benefit from concomitant laminoplasty or instrumented fusion to avoid progressive spinal column deformity.

Original languageEnglish (US)
Pages (from-to)1253-1259
Number of pages7
JournalChild's Nervous System
Volume25
Issue number10
DOIs
StatePublished - Oct 1 2009

Keywords

  • Child/children
  • Ependymoma
  • Intramedullary
  • Spinal cord tumor
  • Surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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