APPLICATION OF MODIFIED LADDER LAMINECTOMY IN SPINAL CORD TUMOR REMOVAL

Abstract

Spinal cord tumors are one of the most pressing problems in neurosurgery. 
Spinal cord tumors account for 2% of all neoplasms and 3% of nervous system pathology in 
adults[V.V. Stupak, S.V. Shabanov, I.V. Pendyurin, S.S. RabinovichResults of surgical 
treatment of patients with extramedullary hourglass tumors]. Most often, spinal cord tumors are 
observed in the socially active group of people aged 30–50 years, which determines the greater 
relevance of this problem.[V.V. Stupak, S.V. Shabanov, I.V. Pendyurin, S.S. RabinovichResults 
of surgical treatment of patients with extramedullary hourglass tumors]. Standardization of 
neurological examination and formulation of neurological conclusion in spinal trauma is a 
pressing issue in neurotraumatology, neurosurgery and neurooncology.Improvements in 
diagnostic methods and visualization of spinal cord structures, the development of microsurgical 
techniques and minimally invasive approaches have made it possible to significantly expand the 
indications for surgery and improve treatment results. But even differentiated choice of surgical 
approaches is required, which should ensure optimal visual control over the progress of tumor 
removal and the state of nerve structures with minimal displacement of the spinal cord.Thus, the 
search for new solutions and tactical and technical approaches in the treatment of spinal cord 
tumors, in particular intramedullary spinal cord tumors, has not lost its significance and is a 
subject for discussion in neurosurgical communities.