Abstract
(1) Background: spinal tumors not only causes structural problem but also it affects body functionality, too. Surgery has a key role in management of patients with spinal tumor. The aim of this study is that to observe their clinical profile, functional outcomes and prognostic factors. (2) Methods: 20 retrospectively consecutive patients with spinal tumors operated over a period of 2 years were analyzed. (3) Results: nine (45%) were intradural and 11(55%) were extradural. Mean age at surgery was 45.05 years (range 20–80 years). The common clinical features were pain, limb weakness and autonomic involvement. Schwannoma was common in intradural extramedullary group whereas astrocytoma and ependymoma was common in intramedullary group. In this case, 16 (80%) patients had improvement following surgery and 4 (20%) remained the same, none had deterioration. Common complications were persistent pain (1 case) and autonomic involvement (1 case). (4) Conclusion: spinal tumors need early exploration and excision and usually patients recover well without any residual effect.
Highlights
Surgical outcome of spinal tumors varies depending on a number of factors such as site of tumor, extent of compression, the histological characteristics of tumor and patient’s age, comorbidity, tumor extension, involvement of neighboring structures, etc
Schwannoma was common in intradural extramedullary group whereas astrocytoma and ependymoma was common in intramedullary group
Primary spinal tumors account for 4–10% of all central nervous system tumors and are based on their location as intramedullary (IMSCT), IDEM and extradural [4]
Summary
Surgical outcome of spinal tumors varies depending on a number of factors such as site of tumor, extent of compression, the histological characteristics of tumor and patient’s age, comorbidity, tumor extension, involvement of neighboring structures, etc. Benign and malignant neoplasms can arise from intraspinal structures such as meninges, spinal cord, nerve roots, blood vessels and other tissues. According to their location, spinal tumors are usually classified as extradural and intradural, some can be both inside and outside the dura. Space occupying lesions in the spinal canal causes compression of the structures with consequent neurological deficits. The presence of a tumor interferes with the normal movements of the cord, which occur during movements of the spinal column. Clinical presentation usually relates to pain, varying degrees of motor and sensory deficits as well as bowel, occasionally bladder symptoms, which may be due to either mass effect or neurological compression [3]
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