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Surgical Management of Intraosseous Neurofibroma in Cervical Spine: A Case Report
Chizuo Iwai1, Satoshi Nozawa1, Kazunari Fushimi2
1Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Case:
A 30-year-old man had cervical radiculomyelopathy and neck pain caused by a massive intraosseous neurofibroma (IONF) originating from the C6 vertebrae. We performed posterior tumor resection with spinal instrumentation and fusion from C3 to T2 and a follow-up resection procedure of the remaining C6 anterior tumor, sacrificing the affected vertebral artery (VA), which accordingly required bypass surgery at 2 months recovery. Reconstruction using a titanium mesh cage was successfully performed. There were no local recurrences at 2 years postoperatively.
Conclusions:
Total tumor resection split into 2 stages with sacrifice of the affected VA is a feasible option for treatment of IONF.
