Abstract
Background: Spinal tumour has a great morbidity. Objective: The purpose of the present study was to see the outcome of the spinal tumour surgery. Methodology: Patients with spinal tumor have undergone surgery in neurospine unit of National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from May 2013 to March 2015 for a period of 23(twenty three) months. Plain X-ray and MRI were done in all cases. All patients have undergone surgery through posterior midline approach. They were evaluated preoperatively and at discharge usually on 10th postoperative day after stitch removal and advised to attend in follow up clinic after 2 months of surgery. Result: 50 - 59 years age group was observed as most vulnerable for tumor occurrence (23 cases, 47.9%). The male female ratio was 1:1.3. The highest number (28 cases, 58.4%) of tumor was observed in thoracic region but the highest variety was schwannoma (33 cases, 68.7%). Initial presentation of patients was pain (32 cases, 66.7%), motor disturbances (9 cases 18.7%), sensory disturbances (5 cases 10.4%) and sphincter disturbances (2 cases 4.2%). Symptomatic improvement was in 44 (91.7%) patients whereas improvement in Frankel Scale was observed in 10 (20.8%) patients during follow up. 4 (8.4%) patients deteriorated and there was no death in this series. Conclusion: In conclusion, majority of the spinal tumour patients are presented with schwannoma with good symptomatic improvement.
Highlights
Spinal tumor is an important inclusion in the complete differential diagnosis for any patient presenting with myelopathy, radiculopathy, neck pain and back pain
Among female maximum were in the thoracic region tumour which was 18 cases followed by 4 cases in cervical region
Majority tumour found in thoracic region which was 10 cases followed by 5 cases in cervical region (Table 2)
Summary
Spinal tumor is an important inclusion in the complete differential diagnosis for any patient presenting with myelopathy, radiculopathy, neck pain and back pain. Patient with spinal lesions is usually present with any of the three main symptoms: pain both local and radicular, motor disturbances like limb weakness and spasticity and sensory disturbances [6]. Methodology: Patients with spinal tumor have undergone surgery in neurospine unit of National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from May 2013 to March 2015 for a period of 23(twenty three) months. All patients have undergone surgery through posterior midline approach. They were evaluated preoperatively and at discharge usually on 10th postoperative day after stitch removal and advised to attend in follow up clinic after 2 months of surgery. Result: 50 59 years age group was observed as most vulnerable for tumor occurrence (23 cases, 47.9%). Conclusion: In conclusion, majority of the spinal tumour patients are presented with schwannoma with good symptomatic improvement
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