Spinal Cord Tumors and Its Surgical Outcomes. Our Initial Experiences in Tertiary Center in Eastern Nepal

Dahal A, Malla JJ, Neupane D, Sah RP, Singh AK, Sah B and Bhattarai S

Division of Neurosurgery, B.P. Koirala Institute of Health Sciences, Nepal

^*Correspondance to: Dahal Alok 

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Abstract:

Background: Spinal tumor has a great morbidity that does not only account for structural abnormality but also the functional ability of human body. Surgery plays a very important role in management of spinal tumor, thus providing immediate symptomatic relief to the patient. The main aim of this study is to analyze the surgical outcome of the spinal cord tumor.
Methods: The 37 patients with spinal tumor surgery in 2 years from 2020 to 2022 were reviewed prospectively in our institute BPKIHS. All patient has done X-ray and MRI. All patient underwent surgery through posterior midline approach. All were evaluated by clinical examination up to 6 months of follow up subsequently.
Results: Female population was more affected by spinal tumor in our study with age group 50 to 60 being the most predominant ones. Pain was the most common initial symptoms with 59.45% whereas spasticity being the most common sign involved (37.83%). Sphincter disturbances was noted in 5.4% being the least. Thoracic spine was the most common location with predilection of 43.24% whereas Schwannoma was the most common histopathological findings with 37.83%. Gross total resection was achieved in 26 (70.20%) and clinical improvement was seen mostly in 1 week of surgery about 54.05%. Complications was seen in 13.5% of cases as wound infection (8.1%) and (5.40%) being CSF leak.
Conclusion: Spinal tumor required early surgical intervention and excision of whole tumor such that patient will recover well from their structural and functional disability without any residual effect and with less complications.

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Cite the Article:

Dahal A, Malla JJ, Neupane D, Sah RP, Singh AK, Sah B, et al. Spinal Cord Tumors and Its Surgical Outcomes. Our Initial Experiences in Tertiary Center in Eastern Nepal. World J Surg Surgical Res. 2023; 6: 1455..