Hemorrhagic Spinal Schwannoma in Thoracolumbar Area with Total Paraplegia

Figure 2

Intraoperative pictures: the exposure of the spine using a posterior approach. Durotomy was performed from thoracal T10 to lumbar L1. The intradural tumor mass can be seen in (a). Tumor was then exsanguinated and evacuated. The tumor specimens were covered in blood and rich in vessels (b). We can see the empty space in dura, which was previously filled with the tumor. Dura was then closed with polypropylene suture 6.0 (c and d). The pedicle screw and rod system was implanted only on the left side to strengthen the spine after laminectomy in four levels.

(a)

(b)

(c)

(d)

(e)