TITLE:
Surgical Outcomes of Spinal Tumour: Experiences of 48 Cases at Referral Neurosurgery Hospital in Bangladesh
AUTHORS:
Shamsuzzaman Mondle, Joynul Islam, Hafizur Rashid, A. T. M. Ashadullah, Fazle Elahi, Bayazidur Rahman, Kazi Hafiz Uddin, Abdullah Yusuf
KEYWORDS:
Spinal Tumour, Schwannoma, Spinal Surgery
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.6 No.3,
July
29,
2016
ABSTRACT: Background: Spinal
tumour has a great morbidity. Objective: The purpose of the present study was
to see the outcome of the spinal tumour surgery. Methodology: Patients with
spinal tumor have undergone surgery in neurospine unit of National Institute of
Neurosciences and Hospital, Dhaka, Bangladesh from May 2013 to March 2015 for a
period of 23(twenty three) months. Plain X-ray and MRI were done in all cases.
All patients have undergone surgery through posterior midline approach. They
were evaluated preoperatively and at discharge usually on 10th postoperative day after stitch removal and advised to attend in follow up
clinic after 2 months of surgery. Result: 50 - 59 years age group was observed
as most vulnerable for tumor occurrence (23 cases, 47.9%). The male female
ratio was 1:1.3. The highest number (28 cases, 58.4%) of tumor was observed in
thoracic region but the highest variety was schwannoma (33 cases, 68.7%).
Initial presentation of patients was pain (32 cases, 66.7%), motor disturbances
(9 cases 18.7%), sensory disturbances (5 cases 10.4%) and sphincter
disturbances (2 cases 4.2%). Symptomatic improvement was in 44 (91.7%) patients
whereas improvement in Frankel Scale was observed in 10 (20.8%) patients during
follow up. 4 (8.4%) patients deteriorated and there was no death in this
series. Conclusion: In conclusion, majority of the spinal tumour patients are
presented with schwannoma with good symptomatic improvement.