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Background
Spinal cord cavernomas are rare, and progressive growth can lead to neurologic deterioration. Complete microsurgical resection using the OmniGuide® fiber-optic CO
2
laser is safe, precise, and can prevent further neurological deterioration. We describe the process, risks, and benefits associated with this approach.
Methods
Once the cavernoma is isolated, the CO
2
laser enables the surgeon to incise and photocoagulate with the same instrument, increasing the accuracy and potentially reducing the procedure’s duration. The spinal cord and surrounding tissue are protected from the laser by cerebrospinal fluid and cottonoid pledges.
Conclusions
The fiber-optic CO
2
laser is safe and effective when resecting spinal cord cavernomas. Personal experience, coupled with recent literature, brings us to this conclusion.