Surgically Treated Primary Spinal Cord Neoplasms in Southeastern Nigeria

Abstract

Background:Primary spinal cord tumors are not as frequently encountered as their cranial counterparts. They could present in such an indolent manner that requires a reasonable index of suspicion for their diagnosis to be considered.Objective:The objective of this study is to analyze the incidence and pattern of primary spinal cord and appendage neoplasms in patients surgically treated in our institution over a decade of practice.Materials and Methods:A retrospective review of clinical, radiological, and histopathology profiles of patients surgically treated for primary spinal cord tumor from 2006 to 2016 was carried out. Retrieved data were analyzed using SPSS version 21.Results:Out of 472 spine procedures were performed within the study period 17 (3.6%) cases of histologically proven primary spinal cord tumors were identified. The age of patients ranged between 17 and 77 years with a mean age was 45 years. The male: female ratio was 1:1.1. Motor deficit and pain were the most common presenting symptoms seen in 35.3% and 29.4% of patients, respectively. Meningiomas are the most common histological diagnosis (70.6%), distantly followed by Schwannoma (17.6%). The most common location of the tumors was intradural extramedullary (70.6%). All patients had gross total resection of tumor with no perioperative mortality.Conclusion:Meningioma is the most common surgically treated primary spinal cord tumor in our setting. Surgery is associated with good outcome.

Radiologic–Histopathologic correlation of adult spinal tumors: A retrospective study

“…-Uncommonly signal; T2WI -T2-weighted image; T1WI -T1-weighted images; MRI -Magnetic resonance imaging; FLAIR -Fluid-attenuated inversion recovery determining characteristics, indicating that a spinal lesion is an arteriovenous malformation. [1] Through a review of the literature and our experience, in Table 5, we summarized some important radiologic features of our most common spinal lesions on MRIs which can guide doctors to correct diagnosis.…”

“…[3] Despite that most primary spinal cord tumors are histopathologically similar to primary intracranial tumors, spinal cord tumors are 10 times less commonly seen. [1] As the clinical presentation could be nonspecific, the patients may present with serious radicular or local pain and motor dysfunction. [4,5] Therefore, most of the patients are wrongly diagnosed with degenerative spinal disease, cervical spondylopathy, or intervertebral disk herniation.…”

Intradural extramedullary spinal masses treated at the Wits teaching hospitals between 2014 - 2017

“…[2][3][4] The frequency of IDEM tumours as a subset of all spinal tumours varies widely in the literature, as does the relative prevalence of the different types of tumour within this group. 2,[4][5][6] Our patients do, on average, present late. This could be due to the socio-economic challenges prevalent in the demographic of patients that access public hospitals.…”

“…In several instances, we found that the cord was sufficiently mobilised laterally even by tumours that originate ventrally, allowing laminectomy based surgery from a posterior approach. 5 Where this is not the case, however, then more anterior approaches are called into play; these include the anterior cervical corpectomy and fusion, as well as the costotransversectomy and transthoracic approaches to the thoracic spine. These approaches require a higher skill set and equipment than does a laminectomy.…”

Spinal tümörler nedeniyle ameliyat edilen 101 hastanın retrospektif kohort analizi: Tek merkez deneyimi

“…Decompressive laminectomy is one of the most used approaches in the treatment of spinal tumors. Several recent studies have shown that laminoplasty is superior to decompressive laminectomy in terms of prognosis and outcomes [25,26]. Instability may occur during the surgical treatment of spinal tumors and methods requiring stabilization should be used [27][28][29].…”