Postoperative complications following resection of extramedullary tumors of the craniovertebral junction region
Журнал: Вопросы нейрохирургии имени Н.Н. Бурденко. 2026;90(1):14-20.
DOI: 10.17116/neiro20269001114
Read: 1789 раз
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
Дата поступления: 05.05.2025
Дата принятия в печать: 26.11.2025
Дата публикации: 11.02.2026
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