Comparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.

This prospective study compares different clinical characteristics and outcomes of patients with two types of sacral extradural spinal meningeal cysts (SESMC) undergoing different means of surgical excision. Using the relationship between the cysts and spinal nerve roots fibers (SNRF) as seen under...

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Autores principales:	Jian-Jun Sun, Zhen-Yu Wang, Mario Teo, Zhen-Dong Li, Hai-Bo Wu, Ru-Yu Yen, Mei Zheng, Qing Chang, Isabelle Yisha Liu
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3a0b230a42dc4944933d9a394f1699cb
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spelling	oai:doaj.org-article:3a0b230a42dc4944933d9a394f1699cb2021-11-18T08:40:17ZComparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.1932-620310.1371/journal.pone.0083964https://doaj.org/article/3a0b230a42dc4944933d9a394f1699cb2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24386317/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203This prospective study compares different clinical characteristics and outcomes of patients with two types of sacral extradural spinal meningeal cysts (SESMC) undergoing different means of surgical excision. Using the relationship between the cysts and spinal nerve roots fibers (SNRF) as seen under microscope, SESMCs were divided into two types: cysts with SNRF known as Tarlov cysts and cysts without. The surgical methods were tailored to the different types of SESMCs. The improved Japanese Orthopedic Association (IJOA) scoring system was used to evaluate preoperative and postoperative neurological function of the patients. Preoperative IJOA scores were 18.5 ± 1.73, and postoperative IJOA scores were 19.6 ± 0.78. The difference between preoperative and postoperative IJOA scores was statistically significant (t = -4.52, p = 0.0001), with a significant improvement in neurological function after surgery. Among the improvements in neurological functions, the most significant was sensation (z=-2.74, p=0.006), followed by bowel/bladder function (z=-2.50, p=0.01). There was a statistically significant association between the types of SESMC and the number (F=12.57, p=0.001) and maximum diameter (F=8.08, p=0.006) of the cysts. SESMC with SNRF are often multiple and small, while cysts without SNRF tend to be solitary and large. We advocate early surgical intervention for symptomatic SESMCs in view of significant clinical improvement postoperatively.Jian-Jun SunZhen-Yu WangMario TeoZhen-Dong LiHai-Bo WuRu-Yu YenMei ZhengQing ChangIsabelle Yisha LiuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 12, p e83964 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jian-Jun Sun Zhen-Yu Wang Mario Teo Zhen-Dong Li Hai-Bo Wu Ru-Yu Yen Mei Zheng Qing Chang Isabelle Yisha Liu Comparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.
description	This prospective study compares different clinical characteristics and outcomes of patients with two types of sacral extradural spinal meningeal cysts (SESMC) undergoing different means of surgical excision. Using the relationship between the cysts and spinal nerve roots fibers (SNRF) as seen under microscope, SESMCs were divided into two types: cysts with SNRF known as Tarlov cysts and cysts without. The surgical methods were tailored to the different types of SESMCs. The improved Japanese Orthopedic Association (IJOA) scoring system was used to evaluate preoperative and postoperative neurological function of the patients. Preoperative IJOA scores were 18.5 ± 1.73, and postoperative IJOA scores were 19.6 ± 0.78. The difference between preoperative and postoperative IJOA scores was statistically significant (t = -4.52, p = 0.0001), with a significant improvement in neurological function after surgery. Among the improvements in neurological functions, the most significant was sensation (z=-2.74, p=0.006), followed by bowel/bladder function (z=-2.50, p=0.01). There was a statistically significant association between the types of SESMC and the number (F=12.57, p=0.001) and maximum diameter (F=8.08, p=0.006) of the cysts. SESMC with SNRF are often multiple and small, while cysts without SNRF tend to be solitary and large. We advocate early surgical intervention for symptomatic SESMCs in view of significant clinical improvement postoperatively.
format	article
author	Jian-Jun Sun Zhen-Yu Wang Mario Teo Zhen-Dong Li Hai-Bo Wu Ru-Yu Yen Mei Zheng Qing Chang Isabelle Yisha Liu
author_facet	Jian-Jun Sun Zhen-Yu Wang Mario Teo Zhen-Dong Li Hai-Bo Wu Ru-Yu Yen Mei Zheng Qing Chang Isabelle Yisha Liu
author_sort	Jian-Jun Sun
title	Comparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.
title_short	Comparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.
title_full	Comparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.
title_fullStr	Comparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.
title_full_unstemmed	Comparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.
title_sort	comparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/3a0b230a42dc4944933d9a394f1699cb
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Comparative outcomes of the two types of sacral extradural spinal meningeal cysts using different operation methods: a prospective clinical study.

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