The surgical management of intraspinal enterogenous cysts

Objective To study the diagnosis,image investigation and the effection of microsurgical treatment of intraspinal enterogenous cyst.Methods We retrospectively analyzed clinical manifestations,characteristics of imaging,operative approach and treatment effect of 18 cases which were confirmed for intraspinal enterogenous cyst.Results MRI was done in 18 cases preoperative patients as the routine examination.Among 18 cases,16 cases could be confirmed preoperatively; highly suspected in 2 cases.Complete resection under the microscope is 17 cases,and vertebral fusion surgery was also done in 2 cases,and all of cases recovered well.Conclusions The clinical manifestations and characteristics of imaging of enterogenous cyst were typical.Microsurgical technique is proper surgical approach which is crucial to total remove and heal intraspinal enterogenous cysts.Tumor invasion of the vertebral body,pedicle or affected intervertebral joint cases more than two segments,after subtotal lesions,corresponding vertebral fixation should be performed in order to maintain the stability of the spine. Key words: Spinal canal;  Cyst;  Microsurgery