Use of Wiltse approach in lumbar plexus schwannoma: A technical note

Surg Neurol Int. 2023 Mar 31:14:118. doi: 10.25259/SNI_1019_2022. eCollection 2023.

Abstract

Background: Lumbar plexus schwannomas are a rare occurrence in neurosurgery, with few reported cases and no standard surgical approach. This study describes a successful surgical resection with no complications using the Wiltse approach.

Methods: Patient presented with an intra-psoas tumor suggesting schwannoma. We described the surgical technique involved step by step.

Results: The patient recovered from the surgery with no complications. The anatomopathological examination confirmed the schwannoma diagnosis. The post operatory magnetic resonance imaging showed complete resection.

Conclusion: This study shows that the use of Wiltse approach, mainly used for classical herniated disc extraforaminal, can be used successfully on Lumbar plexus schwannomas.

Keywords: Intra-psoas schwannomas; Lumbar plexus schwannomas; Wiltse approach.