SURGICAL TREATMENT OF PRIMARY SPINAL TUMORS: TACTICS AND RESULTS

Abstract

b. To study the efficacy of differentiated surgical treatment for primary spinal neoplasms based on estimation of clinical condition of a patient, survival rate, and early postoperative complications. Material and Methods . Surgery was performed in 55 out of 68 patients with primary spinal tumors involved in the study. The primary examination included CT and MRI study of the affected area of the spine. In some cases, a biopsy was performed. Results . According to histological structure, spinal tumors were identified as aggressive hemangioma, chondrosarcoma, aneuyrismal bone cyst, plasmocytoma, chordoma, giant-cell tumor, or eosinophilic granuloma. Neurological status was characterized by local pain in 18 (38 %), and by pain combined with nerve conduction disorders in 20 (40 %) patients. In accordance with the spine instability neoplastic score (SINS), most patients had stable destructions of vertebra. Evaluation of neurological status did not reveal severe deficiency: 65 % of patients had grade D or E on Frankel scale. Conclusion . Patients with tumors of the spine require careful choice of a multidisciplinary treatment. Increasing the life expectancy of patients with malignant tumors and improving the quality of life in patients with tumors of different histological structure are decisive factors in the choice of tactics and dictate the variability of approaches to treatment.