Intradural Spinal Tumors-Evaluation of Postoperative Outcomes Evaluating Intramedullary and Extramedullary Tumors from a Single Establishment’s Expertise.
World Neurosurg. 2018 Jan;109:e229-e232
Authors: Ng Z, Ng S, Nga V, Teo Ok, Lwin S, Ning C, Yeo TT
BACKGROUND: Intradural spinal tumors are uncommon and will be labeled into extramedullary or intramedullary. They generally current with signs similar to intractable again ache or neurologic deficits. We retrospectively reviewed 91 circumstances of intradural spinal tumors that underwent surgical procedure in our establishment from 2011 to 2016 and assessed their medical outcomes. Nearly all of intradural tumors have been extramedullary (89%), and the commonest pathology was schwannoma (38.5%) adopted by meningioma (29.7%). Evaluating extramedullary versus intramedullary tumors, each teams skilled comparable enchancment in neurologic standing submit surgical procedure (92.6% vs. 90%, P = zero.77). We achieved gross whole resection within the majority of sufferers with each extramedullary and intramedullary tumors (65.four% vs. 70%, P = zero.91). Sufferers youthful than 65 years (odds ratio [OR] four.40, confidence interval [CI] zero.72-26.9, P = zero.11) and those that had full resection of tumor (OR 2.92, CI zero.61-14.zero, P = zero.18) have been related to larger odds of improved medical outcomes, however the outcomes weren’t statistically vital. The usage of intraoperative neurophysiologic monitoring was not related to improved neurologic outcomes in contrast with circumstances the place it was not used (OR zero.56, CI zero.10-Three.05, P = zero.50).
PMID: 28974413 [PubMed – indexed for MEDLINE]