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Objectives: The purpose of this study was to compare the radiological and clinical results of transpedicular decompression in spinal TB (also known as Pott's spine) patients who had anterior reconstruction using a polyetheretherketone (PEEK) or mesh cage with those who did not. Little study has been conducted on the long-term effects of transpedicular decompression with and without global reconstruction in Pott's spine. PEEK cages for Pott's spine have also not been shown effective. Methods: This Multicenter study was conducted in the department of neurosurgery MMC Mardan between May 2019 and May 2022. Patients who had surgery for Pott's spine and satisfied the inclusion criteria were retrospectively examined using data from hospital records and an imaging database collected. Results: One hundred and fifteen patients were involved in the research, and their mean age was 45.0617.01 years (55 males, 60 females). These individuals showed improvements on the Visual Analog Scale, the Oswestry Disability Index, and the Cobb angle, all statistically significant improvements (p 0.002). The Cobb angle was corrected more in patients who received anterior reconstruction after surgery (p = 0.041), but they also experienced more blood loss (p = 0.03).

Objective: This study aims to identify the key factors influencing functional outcomes in patients with surgically treated space-occupying spinal meningiomas (SM), specifically focusing on the role of intraoperative neuromonitoring in determining these outcomes. Methodology: This retrospective analysis included a substantial number of patients. We conducted a comprehensive examination of pre- and postoperative records, surgical reports, and radiographic data to assess population trends, symptom duration, histology, co-morbidities, surgical approach, and neurological function. Results: Among the total of 55 patients, 48 (86.7%) were women and 7 (13.3%) were men. Laminectomy and hemi-laminectomy were the most commonly performed surgical techniques. The thoracic spine was the primary location for spinal meningiomas. The most prevalent symptoms included sensory abnormalities, gait issues, motor deficits, and radiating pain. In most of the cases total resection was performed. After treatment, most patients experienced complete healing and good functional recovery.

Objective: to evaluate the appearance, improvement, and complication rates of surgically removed spinal tumors. Material and Methods: After obtaining the ethics committee's approval, this multicenter study continued from Jan 2020 to Jan 2021 at the Department of Neurosurgery mmc Mardan. This research covered all instances of spinal tumors that were surgically removed during this time. Recurrent spinal tumors and metastatic spinal cancers admitted for conservative or palliative care were excluded from this investigation. A neurological state comparison at six months with preoperative status is recorded. Version 26 of Spss software is used to evaluate data. Results: 27 female and 20 male patients totaling 47, were operated on during this time. In our research, intradural extra medullary lesions, which affected 18 patients (38.29%) the most, were followed by epidural lesions, which involved 13 patients (27.65%). Nine patients (19.14%) had an intradural intramedullary lesion. Pain in the form of backache, radiculopathy, and radiculomyelopathy (30 patients, 63.8%) is the most typical manifestation of these malignancies. The second joint Presentation is a motor impairment shown as a weakness (27 cases, 58.51%). CSF leak occurs in 05 individuals, with the most common postoperative consequence (7.44%). 75.5% of patients get good from a decent symptom result (36). There is evidence of neurological dysfunction in 3 cases (5.31%). Conclusion: The preferred course of therapy for spinal tumors is microsurgical excision with acceptable morbidity and successful surgical findings. Keywords: Spinal tumors, Microsurgical treatment,

Background: Although glioblastoma (GB) is kept up to date, rate of progress is nearly unavoidable. Earlier researches put forward the endurance advantages with removal of GB; but comparatively a small number of literatures have assessed the role of operative intervention in glioblastoma management. Objective: The aim of this research is to assess the results of surgical resections in patients with glioblastoma. Methods: Study conducted in Bacha Khan Medical College, Mardan Medical Complex Records were retrospectively identified and reviewed for all individuals that went through gliolastoma biopsy or its removal between Oct 2017 and Dec 2020 to identify 50 progressive GB patients. The Kaplan-Meier method produced median survival and 95 percent CI. The Cox Proportional Risks model was used for the multivarian analysis, which conducted for age, Karnofsky score, extent of resection, and tumor site and tumor multifocality of survival after the advancement of disease. Results: Patients with progressing illness received first recorded resection. The median survival after progression was 12.8 and 7.0 months for patients who had not received resections at this time. In multivariable analyses, KPS 0.70 (HR 0.438), and surgical intervention were linked with better survival after advancement of glioblastoma. Recommendations: In the circumstance of present maximum non-operative treatment, operative intervention for advancing glioblastoma is effective in controlling the symptoms but however, the survival of the patients is limited. Further research is required to determine if any, the role of surgical intervention may prolong post-progressive endurance in progressive GB individuals.