Journal
MINIMALLY INVASIVE NEUROSURGERY
Volume 51, Issue 3, Pages 183-186Publisher
GEORG THIEME VERLAG KG
DOI: 10.1055/s-2008-1073170
Keywords
spinal dural arteriovenous fistula; minimally invasive surgery; arteriovenous malformations; surgery
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Objective and Importance: The treatment of a spinal dural arteriovenous fistula (DAVF) via a minimally invasive approach utilizing a tubular retraction system is described. Clinical Problem: Spinal dural arteriovenous fistulas are treated by either direct surgical obliteration or endovascular embolization to close the fistula. Surgical treatment traditionally requires a full or hemi-laminectomy with intra-dural exposure and obliteration of the draining vein of the fistula. Technique: Surgical treatment is performed via a targeted, minimally invasive approach to close the draining vein of the DAVF intradurally utilizing a tubular retraction system. Conclusion: Surgical treatment of spinal DAVFs can be performed in a targeted, minimally invasive manner with a short operative time and minimal tissue disruption.
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