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Microsurgical treatment for spinal tumours
1Department of Neurosurgery, National Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore 308433.
Singapore Medical Journal
|January 29, 2005
Summary
Microsurgical excision of spinal cord tumors is effective. Patient outcomes improve with shorter symptom duration and complete tumor removal, highlighting key factors for successful spinal tumor treatment.
Area of Science:
- Neurosurgery
- Oncology
- Spinal Surgery
Background:
- Spinal tumors can be surgically removed, but outcomes vary.
- Identifying factors influencing surgical success is crucial for patient management.
Purpose of the Study:
- To re-evaluate factors impacting outcomes after microsurgical excision of spinal tumors.
- To determine the correlation between pre-operative and operative variables and post-operative results.
Main Methods:
- Retrospective study of 93 patients undergoing microsurgical excision of spinal cord tumors (1992-2002).
- Inclusion of magnetic resonance imaging and histological confirmation for all cases.
- Analysis of patient demographics, tumor characteristics, and post-operative follow-up data.
Main Results:
- Complete excision achieved in 72 patients; incomplete in 15.
- Post-operative improvement observed in 43% immediately, 25.4% within 6 months, and 14% after 6 months.
- Symptom duration and completeness of excision significantly correlated with improved outcomes (p<0.05).
Conclusions:
- Microsurgical excision of spinal tumors is a safe and effective treatment modality.
- Shorter symptom duration and achieving complete tumor resection are critical determinants of favorable post-operative outcomes.