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Background: Spinal tumors comprise some of the neurological disorders that affect the spine. Primary tumors originate from the spine while metastatic tumors are related to the tumors of near or distant organs. This results in a variety of locations of the affected spinal cord, diagnosis, treatment, and surgical procedures performed in patients. Data and research on the profile of spinal tumor patients are still rare in Indonesia. Methods: This study was conducted using secondary data with a retrospective descriptive method. Data were collected for 2015–2021 using total sampling technique from medical records of 122 patients with spinal tumors in The Neurosurgery Department, Dr. Hasan Sadikin General Hospital, Bandung. Results: The highest incidence rate in spinal tumor patients occurred in female patients (59.9%) and in the age group of 40–60 years (47.5%), with the most common location of the affected spinal cord on the level of the thoracic spine (65.5%). The majority of patients was diagnosed with schwannoma dd meningioma (27.1%). The most widely performed surgical procedure and treatment was laminectomy tumor removal (43.4%). The peak age was between 40 and 60 years old, with schwannoma dd meningioma as the most common diagnosis and type, while the majority of metastatic tumors occurred in more than 60 years old. The thoracic spine was found to be the most frequent location of the affected spinal cord. Conclusion: Further evaluation of management and follow-up studies need to be done to improve the implementation of treatment for patients and optimize patient’s quality of life.

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Schwannoma is a tumor that comes from neural crest-derived Schwann cells. It comprises about 25%–30% of all spinal tumors. Giant invasive schwannoma of the spine is a neoplasm that extends in two or more levels of vertebrae, makes an erosion of vertebral bodies, and extends also into the extraspinal space. We report a case of giant invasive lumbosacral spinal schwannoma, clinical pictures, surgical procedures, and outcomes. A 25-year-old female came to our hospital with weakness of both lower extremities with progressive pin-and-needle sensation in both legs, followed by numbness that gets worsened for the past 2 years ago. Physical examination revealed paresthesia at dermatome L4, L5, S1 on both sides and physiological reflexes diminished on both sides. Motor examination showed decreasing activities of knee extension, ankle dorsiflexion, great toe extension, and ankle plantar flexion on both sides. Contrast lumbosacral magnetic resonance imaging showed hypointense and hyperintense lesion at L2–L3–L5–S1 extending to corpus L4 that enhanced with contrast administration on T1- and T2-weighted image. Myelogram showed obliteration of subarachnoid cerebro-spinal fluid (CSF) space. The patient underwent tumor resection and posterior stabilization. 90% of the tumor was resected. Good result was achieved after surgery. Surgery is the gold standard for this tumor, the goal of which is decompression of the nerve. Because of extensions of this tumor, careful preoperative planning and careful resection are very important. Gross total removal should improve neurological deficits. Further follow-up is required.