[Total resection of aggressive hemangioma of thoracic spine: case report and literature review]. / Total'noe udalenie agressivnoi gemangiomy grudnogo otdela pozvonochnika (klinicheskoe nablyudenie i obzor literatury).

The authors report total resection of aggressive hemangioma of Th7 vertebra in a patient with severe conduction disorders in the lower extremities. Total Th7 spondylectomy (Tomita procedure) was performed. This method provided simultaneous en bloc resection of the vertebra and tumor via the same approach, eliminate spinal cord compression and perform stable circular fusion. Postoperative follow-up period was 6 months. Neurological disorders were evaluated using the Frankel scale, pain syndrome - visual analogue scale, muscle strength - MRC scale. Pain syndrome and motor disorders in the lower extremities regressed in 6 months after surgery. CT confirmed spinal fusion without signs of continued tumor growth. Literature data on surgical treatment of aggressive hemangiomas are reviewed.

[En-bloc resection of giant neuroma of thoracic spine via transthoracic extrapleural access: a case report and literature review]. / Blok-rezektsiya gigantskoi nevrinomy grudnogo otdela pozvonochnika s ispol'zovaniem transtorakal'nogo ekstraplevral'nogo dostupa: redkoe klinicheskoe nablyudenie i obzor literatury.

The authors describe surgical treatment of a patient with giant neuroma of thoracic spine. The patient underwent en-bloc resection of tumor via transthoracic extrapleural access. Technical nuances of surgery and operational capabilities of transthoracic extrapleural access for resection of neurogenic tumors of posterior mediastinum are demonstrated. Capabilities of transthoracic extrapleural access are comparable to thoracotomy. The first experience of transthoracic extrapleural access showed its effectiveness in resection of giant neuromas of thoracic spine. Indisputable advantage of this access is less surgical injury compared to thoracotomy. A brief literature review is presented.