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BACKGROUNDIntradural extramedullary (IDEM) type accounts for about two thirds of all intraspinal tumours. IDEM are mostly benign and comprise of either meningiomas or peripheral nerve sheath tumours (schwannomas and neurofibromas). Over the years, there has been improvement in medical field as in diagnosis and surgery. The purpose of this study was to determine the effects of surgery in patients with Intradural Extramedullary spinal cord tumours (IDEM). METHODS26 patients with IDEM were operated and analysed at one month and 6 months mean follow up. The patients under study reported to the OPD during 2016 to 2018. Not only the outcome was scored but also patient's demographic data, the tumours subtypes and location were also considered. RESULTSAmong the 26 cases, 11 were men and 15 were women. The mean age was 50.64 years and age range was 23 to 79 years. The symptoms shown by them were mostly of radiculopathy and myelopathy (82%). CONCLUSIONSIntradural extramedullary tumours are mostly benign in nature, radiologically detected easily by MRI and excellent results can be obtained with active surgery thus decreasing the morbidity. As per Frankel grading system, nearly 80% showed excellent results while others showed good and fair response.

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BACKGROUNDThoraco-lumbar fractures can result in instability or compression of neural structures and may be associated with disruption of the ligamentous complexes. The aim of the study was to check the surgical outcome as per the Frankel scoring. . Patients were selected among those reported to the outpatient and emergency of neurosurgery department. Total 42 cases were selected, out of which 2 cases were lost in follow up. A minimum of 6-months post-operative follow up was done. The pre-and post-operative Frankel scoring was done for various functions like motor, sensory, bowel and bladder syndrome. The collected data included patient demographic data, initial and post neurological status as per Frankel score, MRI findings, surgery performed and postoperative follow up. Patients who did not turn up for follow up are not included in the study for the outcome analysis. RESULTS1 st week decompression in incomplete paraplegic patients reported 78% cases with return of Grade 3 power while in complete paraplegic patients about 14% showed return of grade 3 power and showed no recovery when decompression done in 3 rd week. CONCLUSIONSEarlier the surgical decompression done better is the recovery of neurological and bladder/bowel function in both complete and incomplete paraplegia. Also, we found that the motor recovery continues for over 6 months after decompression.