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Fırat Tıp Dergisi
2011, Cilt 16, Sayı 4, Sayfa(lar) 179-185
[ Turkish ] [ Tam Metin ] [ PDF ]
Spinal Tumors and Outcomes of Surgical Treatment: A Retrospective Study
Çağlar TEMİZ, Cahit KURAL, Alpaslan KIRIK, Serhat PUSAT, Halil İbrahim SEÇER, Engin GÖNÜL, Yusuf İZCİ
Gülhane Askeri Tıp Akademisi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Ankara, Türkiye

Objective: Since many years, spinal tumors became the focus of interest of neurosurgery because of low morbidity rate and successfull outcome is obtained when the early diagnosis and appropriate surgical methods are applied. In this study, we aimed to document our experience and clinical outcomes on spinal tumors over a 10-year period.

Materials and Methods: Ninety-four patients with spinal tumors who underwent surgical treatment between 1999 and 2008 are investigated retrospectively according to age and sex, presentation symptoms, neurological findings at admission, localizations, surgical techniques, resection types, pathological diagnosis, early surgical results, adjuvant therapies such as chemotherapy and radiotherapy, follow-up outcomes and surgical complications.

Results: 77.65% of all cases were primary spinal tumors and 46.8% of the cases were located extradurally. Metastatic tumors were low than the primary tumors. Epandymomas were the most common tumors primary spinal tumors and located frequently in the lumbar region. The most common metastatic tumor was the lung carcinoma. The clinical outcomes were worse in patients who had a short time period between the initiation of the symptoms and admission. Neurological improvement was better in patients who had partial neurological loss at admission when compared with the patients who had complete neurological loss. The outcomes were worse in patients with metastatic tumors and intramedullary tumors, while better outcomes were obtained in patients with meningioma, ependymoma and schwannoma.

Conclusion: Spinal tumors are the lesions which required early diagnosis and prompt surgical intervention. Intradural localization is gradually increased and primary spinal tumors get ahead of metastasis.


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