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Labzina E.E.

Novosibirsk National Research State University

Kubetsky Yu.E.

Federal Center of Neurosurgery

Kosimshoev M.A.

Federal Center of Neurosurgery

Rzaev D.A.

Federal Neurosurgery Center;
Novosibirsk National Research State University;
Novosibirsk State Medical University

Stepanenko V.V.

St. Petersburg City Multi-field Hospital No. 2

Postoperative complications following resection of extramedullary tumors of the craniovertebral junction region

Authors:

Labzina E.E., Kubetsky Yu.E., Kosimshoev M.A., Rzaev D.A., Stepanenko V.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2026;90(1): 14‑20

DOI: 10.17116/neiro20269001114

Read: 438 times

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Table of contents

POSTOPERATIVE COMPLICATIONS FOLLOWING RESECTION OF EXTRAMEDULLARY TUMORS OF THE CRANIOVERTEBRAL JUNCTION REGION
POSTOPERATIVE COMPLICATIONS FOLLOWING RESECTION OF EXTRAMEDULLARY TUMORS OF THE CRANIOVERTEBRAL JUNCTION REGION

To cite this article:

Labzina EE, Kubetsky YuE, Kosimshoev MA, Rzaev DA, Stepanenko VV. Postoperative complications following resection of extramedullary tumors of the craniovertebral junction region. Burdenko's Journal of Neurosurgery. 2026;90(1):14‑20. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20269001114

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Surgical treatment of extramedullary tumors of the craniovertebral junction (CVJ) remains a difficult task due to adjacent important neurovascular structures. International data indicate high incidence of postoperative complications following surgical intervention alone.

OBJECTIVE. T

O analyze postoperative complications following resection of CVJ extramedullary tumors.

MATERIAL AND METHODS

A retrospective study of treatment outcomes in 64 patients with CVJ tumors was performed between 2013 and 2024. Neurological status in pre- and postoperative period was assessed depending on location, histological variant of tumor and surgical approach. Surgical, neurological and somatic complications were specified.

RESULTS

Postoperative complications occurred in 23 (38%) patients. For meningiomas, complications occurred in 38.4% of cases, for schwannomas — in 23.5%, for neurofibromas — in 57.1% of cases. Lateral and median approaches had similar complication rates (35.7% and 33.3%, respectively). Surgical complications occurred in 11 (21.8%) patients, and infectious complications were the most common (meningitis in 6 (9.3%) patients). Neurological complications were detected in 13 (20.3%) patients, and dysfunction of bulbar nerves prevailed (7 (10.9%) patients). Somatic postoperative complications occurred in 8 (12.5%) patients, fatal outcomes — in 1 (1.5%) case.

CONCLUSION

Our results demonstrate high incidence of postoperative complications after surgical treatment of extramedullary CVJ tumors.

Keywords:

postoperative complications
craniovertebral junction
craniovertebral meningiomas

Authors:

Labzina E.E.

Novosibirsk National Research State University

Kubetsky Yu.E.

Federal Center of Neurosurgery

Kosimshoev M.A.

Federal Center of Neurosurgery

Rzaev D.A.

Federal Neurosurgery Center;
Novosibirsk National Research State University;
Novosibirsk State Medical University

Stepanenko V.V.

St. Petersburg City Multi-field Hospital No. 2

Received:

05.05.2025

Accepted:

26.11.2025

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References:

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