Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Intramedullary spinal cord tumors (IMSCTs) are rare neoplasms presenting considerable technical challenges in treatment. This study presents cases of IMSCTs, focusing on clinical presentation, histological characteristics, preoperative outcomes and long‐term survival in surgically managed patients. A retrospective analysis identified patients who underwent surgery for primary IMSCTs at an Indian tertiary care center. Data on baseline neurological status, demographics, functional deficits, neuraxial location, operative details and tumor histology were collected. Preoperative outcomes included csomplications postoperative, discharge disposition, length of stay, readmission and reparation. The study comprised 45 patients (mean age 33.8±18.57 years, 57% male). Ependymomas, astrocytomas and hemangioblastomas were the most common tumors. Ependymomas and hemangioblastomas were more frequent in the cervical cord, while astrocytomas were evenly distributed between cervical and thoracic cords. Clinical presentation, functional status and short‐term postoperative outcomes were generally consistent across tumor types, although thoracic cord tumors had worse American Spinal Injury Association (ASIA) grades than cervical tumors. Patients with high‐grade ependymomas and astrocytomas had worse long‐term survival compared to those with low‐grade lesions (p<0.05). Neuraxial location, extent of resection and postoperative survival varied significantly among different tumor pathologies. However, preoperative outcomes did not differ significantly, indicating that operative nuances, rather than pathology, may primarily influence short‐term clinical outcomes, while long‐term survival is more impacted by tumor pathology.
How to cite this article:
Ambuj Kumar Soni, Aman Agarwal, Ranjeet Kumar Jha and Abhinav Junwal. Analysis of Perioperative Outcomes Following Surgery for Pathological Intra Medullary Spinal Cord Tumors.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.288.292
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.288.292