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Surgical Outcome of Intradural Spinal Tumors
1Dr Md Kamrul Ahsan, Associate Professor of Spinal Surgery, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh.
Mymensingh Medical Journal : MMJ
|September 11, 2016
Summary
Surgically treating 63 intradural spinal tumors significantly improved patient pain and neurological function. Aggressive surgical excision is key for better outcomes, though intramedullary tumors require tailored approaches.
Area of Science:
- Neurosurgery
- Spinal Oncology
- Neurology
Background:
- Intradural spinal tumors are surgically treated to alleviate symptoms and improve outcomes.
- Understanding tumor location and histopathology is crucial for surgical planning.
Purpose of the Study:
- To analyze the outcomes of surgically treated intradural spinal tumors.
- To evaluate the effectiveness of surgical intervention on pain and neurological function.
- To identify complications and factors influencing outcomes.
Main Methods:
- Retrospective analysis of 63 surgically treated intradural spinal tumors.
- Data collected included tumor location, histopathology, preoperative symptoms, and postoperative outcomes.
- Pain assessed using Visual Analogue Scale (VAS), neurological function by Nurick's grade.
Main Results:
- Most common tumors were schwannoma (47.7%) and meningiomas (22.3%), predominantly in the thoracic spine (50.79%).
- Significant reduction in VAS pain scores (8.0 to 1.2) and improvement in Nurick's grade (3.0 to 1.0) were observed.
- Neurological deficits improved within 8 weeks postoperatively in most cases, and within 1 year in all cases.
Conclusions:
- Aggressive surgical excision of intradural spinal tumors leads to significant pain reduction and neurological improvement.
- Outcomes are generally favorable, with most patients experiencing recovery.
- Intramedullary tumors necessitate a tailored approach, prioritizing maximum safe resection or biopsy.
