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- Title
Intramedullary Spinal Cord Lesions: A Single-Center Experience.
- Authors
Jecko, Vincent; Roblot, Paul; Mongardi, Lorenzo; Ollivier, Morgan; Piccoli, Natalia Delgado; Charleux, Thomas; Wavasseur, Thomas; Gimbert, Edouard; Liguoro, Dominique; Chotard, Guillaume; Vignes, Jean-Rodolphe
- Abstract
Objective: Spinal cord tumors constitute a small part of spinal surgery owing to their rarity. This retrospective study describes their current management. Methods: Forty-eight patients were treated for an intramedullary tumor between 2014 and 2020 at a single institution. Patients’ files were retrospectively studied. We detailed clinical status according to neurological deficit and ambulatory ability using the modified McCormick Scale, radiological features like number of levels, associated syringomyelia, surgical technique with or without intraoperative electrophysiological monitoring, pathological findings, and postoperative outcome. Results: The median age of this population was 43 years, including 5 patients under 18 years. The median delay before first neurosurgical contact was 3 months after the first clinical complaint. Treatment was gross total resection in 43.8%, subtotal resection in 50.0%, and biopsy in 6.2%. A laminectomy was performed for all the patients except 2 operated using the laminoplasty technique. Pathological findings were ependymoma in 43.8%, hemangioblastoma in 20.8%, and pilocytic astrocytoma in 10.4%. Six patients were reoperated for a tumor recurrence less than 2 years after the first surgical resection. One patient was reoperated for a postoperative cervical kyphosis. Conclusion: Intramedullary tumors are still a challenging disease and they are treated by various surgical techniques. They must be managed in a specialized center including a trained surgical, radiological, electrophysiological, and pathological team. Arthrodesis must be discussed before performing extensive laminectomy to avoid postoperative kyphosis.
- Subjects
SPINAL surgery; SPINAL cord tumors; INTRAMEDULLARY fracture fixation; EPENDYMOMA; ASTROCYTOMAS; HEMANGIOBLASTOMAS
- Publication
Neurospine, 2022, Vol 19, Issue 1, p108
- ISSN
2586-6583
- Publication type
Article
- DOI
10.14245/ns.2143190.595