Neuroorthopedic approach to treating a patient with schwannoma and aggressive hemangioma at a single spinal motion segment: a case study

A clinical case of surgical treatment of a female patient with dumbbell schwannoma growing from the T4 nerve root and aggressive hemangioma of the T4 vertebral body and arch is presented. The open kyphoplasty through posterior approach was performed and followed by T4 laminectomy, costotransversectomy at the T4–T5 level on the left, total microsurgical resection of the tumor through right extrapleural approach, and transpedicular fixation of the T3–T5 vertebrae. There were no postoperative complications. The control computer tomography confirmed the complete removal of the tumor and the spine stability at the level of surgery.