Introduction: To report the treatment results of 19 patients who underwent excision of intradural extramedullary (IDEM) spinal tumors. Materials & Methods: This is a retrospective study. Patients’ records were retrieved from the electronic database of Grande International Hospital. There were 19 IDEM spinal tumors excised over a period of 6 years between January 2013 and August 2019 by a single surgeon. There were 11 (57.9%) males and 8 (42.1%) females with an average age of 48.37±21.87 years (range, 5-79 years). The mean postoperative follow-up period was 12.87±14.88 months (range, 15 days - 60 months). The histopathological findings, locations of the tumors, and clinical results were analyzed. Neurological findings were evaluated using ASIA grading system and pain was evaluated using VAS score. Results: Histopathologically the tumors were: 8 meningioma (42.1%), 4 schwannoma (21.1%), 4 neurofibroma (21.1%), 1 dermoid cyst (5.3%), 1 lipoma (5.3%), and 1 myxopapillary ependymoma (5.3%). Tumor locations were: dorsal in 10 (52.6%), lumbar in 5 (26.3%), lumbosacral in 2 (10.5%), dorsolumbar in 1 (5.3%), and cervical in 1 (5.3%) patient. Neurologic status of 7 patients was normal and 12 had neurologic involvement with 3 patients having Cauda Equina Syndrome (CES) preoperatively. At the final follow-up, 3-grade, 2-grade and 1-grade improvement in ASIA score was observed in 1, 6 and 1 cases, respectively. There was no change in the ASIA grade in 1 case. All 3 cases of CES achieved full neural recovery. Preoperative VAS score was 9.21±1.08 and improved significantly to 0.74±1.62 after surgery. Neurological improvement was seen in 91.67% with complete recovery in 75% of the cases and not a single case deteriorated neurologically post-surgery. Conclusion: Most intradural-extramedullary spinal cord tumors are mostly benign and good clinical results can be obtained when adequately treated with surgery.
Introduction: Our institution is tertiary care centre and referral centre for spine surgery. We like to share the epidemiological parameters of the case treated here. Methods: This is retrospective, descriptive study conducted from 2013 to August 2018. All the data retrieved from hospital information system of admitted patients and demographic presentations, disease pattern, region of involvement were analyzed. Result: There were a total of 698 patients. Male were 262(37.5%) and female were 436(62.5%). Age wise distribution ranged from 2 years to 85 years. Maximum numbers of patients were from 31 to 60 years (57.5%) and there were only 3% of cases less than 15 years and above 76 years. 30.2% cases were related to trauma, 29.8% of cases were related to disc pathology, followed by degenerative diseases 13%, infection 9.2%, and 5.4% were of tumors 8.7 % were cases were not classified in the above categories. There were 56.7% cases from lumbosacral region, 16.3% cases from thoracic region, 13.2% cases from cervical region, 5.7% cases were from multiple regions. 0.3% were of generalized nature which could not be classified. Conclusion: Spinal diseases are more common in female population, more frequent in third to sixth decade of life. Highest numbers of cases were from traumatic cause followed by degenerative disc diseases. Lumbosacral region is most commonly affected.
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