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Related Experiment Video

Updated: Sep 21, 2025

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Functional Outcome after Spinal Meningioma Surgery.

Vincent Jecko1, Marie-Pierre Loit2,3, Deborah Houston4

  • 1Department of Neurosurgery, Pellegrin Hospital, Bordeaux, France.

Asian Spine Journal
|June 2, 2022
PubMed
Summary

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Spinal meningioma surgery generally leads to favorable functional outcomes, even for patients with severe preoperative deficits. Further research is needed to identify factors predicting functional decline and guide patient management.

Area of Science:

  • Neurosurgery
  • Oncology
  • Orthopedics

Background:

  • Spinal meningiomas are tumors that can cause significant neurological deficits.
  • Previous studies indicate functional improvement following surgical resection of spinal meningiomas.

Purpose of the Study:

  • To evaluate the functional outcome (FO) in patients undergoing surgery for spinal meningioma (SM).

Main Methods:

  • A multicenter, retrospective, analytical cohort study included 417 patients diagnosed with spinal meningioma between 1991 and 2018.
  • Surgical resection was graded using the Simpson scale, and patient outcomes were assessed using multiple validated scales (Ranawat, Nurick, Prolo, Frankel, ECOG-WHO-Zubrod).

Main Results:

  • The majority of patients (85.8%) were female, with a median age of 67.2 years.
Keywords:
Functional outcomeMeningiomaSpine

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  • Complete surgical resection was achieved in 95.5% of cases, with a low mortality rate (0.96%).
  • Neurological status improved in 76.9% of patients, while 17.5% remained unchanged and 4.4% worsened. 10.1% were not ambulant at follow-up.

    • Conclusions:

    • Spinal meningioma surgery is associated with favorable functional outcomes, even in patients with significant preoperative impairment.
    • A validated scale is required to predict worsening functional status and optimize patient management strategies.