Post-Operative Neurological Outcome of Intradural Spinal Tumors in Terms of Improvement In Mccormick’s Classification Scheme
DOI:
https://doi.org/10.37762/jgmds.8-4.249Keywords:
Post-Operative Neurological Outcome, Intradural Spinal Tumors, McCormick Classification Scheme, ImprovementAbstract
OBJECTIVES:
To determine the post-operative neurological outcome of intradural spinal tumors in terms of improvement in McCormick classification scheme.
METHODOLOGY:
Total of 95 patients diagnosed as case of intradural spinal tumor as per operational definition with any McCormick grade were analyzed. After admission and complete neurological examination, pre-operative McCormik’s grades of each patient were determined and followed for one month after surgery. During their stay they were assessed for neurological improvement as per McCormick grade.
RESULTS:
There were total 95 patients presenting in OPD with the mean age of 45±12.36 years. There were 42% male and 58% female. There were 62% patients who were improved in neurological outcome while 38% patients were not improved.
CONCLUSION:
Surgical removal of spinal tumor is beneficial to the affected individual and has positive effect on his life.
Downloads
Metrics
References
Hersh DS, Iyer RR, Garzon-Muvdi T, Liu A, Jallo GI, Groves ML. Instrumented fusion for spinal deformity after laminectomy or laminoplasty for resection of intramedullary spinal cord tumors in pediatric patients. Neurosurg Focus. 2017;43(4):E12 DOI: https://doi.org/10.3171/2017.7.FOCUS17329
Kheirkhah P, Denyer S, Bhimani AD, Arnone GD, Esfahani DR, Aguilar T, et al. Magnetic drug targeting: a novel treatment for intramedullary spinal cord tumors. Sci Rep. 2018;8(1):1-9 DOI: https://doi.org/10.1038/s41598-018-29736-5
Wilkinson BM, Galgano M. Instrumentation following intradural tumor resection: a case analyses and literature review. Surg Neurol Int. 2020;11 DOI: https://doi.org/10.25259/SNI_96_2020
Yousaf A, Usman M, Akram MN. Positive predictive value of magnetic resonance imaging in intradural spinal tumors taking histopathology as gold standard. Pak J Neurol Surg. 2020;24(1):82-6 DOI: https://doi.org/10.36552/pjns.v24i1.418
Haider A, Khanzada K, Muner A, Khan A, Hassan M. To analyze outcome of spinal intradural extramedullary tumors: experience of Lady Reading Hospital Department of Neurosurgery B unit. J Saidu Med Coll. 2019;9(1):3-5
Alizada O, Kemerdere R, Ulu MO, Akgun MY, Isler C, Kizilkilic O, et al. Surgical management of spinal intramedullary tumors: ten-year experience in a single institution. J Clin Neurosci. 2020;73:201-8 DOI: https://doi.org/10.1016/j.jocn.2019.12.054
Pillai SS, Harishankar M. Intradural extramedullary spinal tumors–a review of modern diagnostic and treatment options and a report of a series of 40 cases. Kerala J Orthop. 2019;32(1):41-5
Behmanesh B, Gessler F, Quick-Weller J, Spyrantis A, Imöhl L, Seifert V, et al. Regional spinal cord atrophy is associated with poor outcome after surgery on intramedullary spinal cord ependymoma: a new aspect of delayed neurological deterioration. World Neurosurg. 2017;100:250-5 DOI: https://doi.org/10.1016/j.wneu.2017.01.026
Bakhshi SK, Waqas M, Shakaib B, Enam SA. Management and outcomes of intramedullary spinal cord tumors: a single center experience from a developing country. Surg Neurol Int. 2016;7(Suppl 23):S617 DOI: https://doi.org/10.4103/2152-7806.189733
Noh T, Vogt MS, Pruitt DW, Hummel TR, Mangano FT. Pediatric intramedullary spinal cord tumor outcomes using the WeeFIM scale. Child Nerv Syst. 2018;34(9):1753-8 DOI: https://doi.org/10.1007/s00381-018-3831-9
Chou SC, Kuo MF, Lai DM, Chen CM, Xiao F, Tsuang FY, et al. Contemporary management of pediatric spinal tumors: a single institute's experience in Taiwan in the modern era. J Neuro-Oncol. 2020;146(3):501-11 DOI: https://doi.org/10.1007/s11060-020-03400-3
Svoboda N, Bradac O, de Lacy P, Benes V. Intramedullary ependymoma: long-term outcome after surgery. Acta Neurochir. 2018;160(3):439-47 DOI: https://doi.org/10.1007/s00701-017-3430-7
Wild F, Hartmann C, Heissler HE, Hong B, Krauss JK, Nakamura M. Surgical treatment of spinal ependymomas: experience in 49 patients. World Neurosurg. 2018;111:703-9 DOI: https://doi.org/10.1016/j.wneu.2017.12.159
Khalid S, Kelly R, Carlton A, Wu R, Peta A, Melville P, et al. Adult intradural intramedullary astrocytomas: a multicenter analysis. J Spine Surg. 2019;5(1):19 DOI: https://doi.org/10.21037/jss.2018.12.06
Wu J, Wu Y, Xu WL, Li GY. The surgical treatment of intramedullary spinal cord tumors: a retrospective analysis of 76 patients. CNS Neurosci Ther. 2018;24(6):575 DOI: https://doi.org/10.1111/cns.12819
Ottenhausen M, Ntoulias G, Bodhinayake I, Ruppert FH, Schreiber S, Förschler A, et al. Intradural spinal tumors in adults-update on management and outcome. Neurosurg Rev. 2019;42(2):371-88 DOI: https://doi.org/10.1007/s10143-018-0957-x
Tahamtani F, Khoshnevisan A, Jafari M. Investigating long-term outcomes of surgical treatment in spinal tumors: a 10 years follow-up study. Acad J Surg. 2017;4(2):48-52
Behmanesh B, Gessler F, Dützmann S, Dubinski D, Imoehl L, Seifert V, et al. Natural history of intramedullary spinal cord ependymoma in patients preferring nonoperative treatment. J Neuro-Oncol. 2017;135(1):93-8 DOI: https://doi.org/10.1007/s11060-017-2552-3
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Naseer Hassan, Mehran Ali, Mansoor Ahmad, , Hanif Ur Rehman, Hamayun Tahir, Raza Hassan, Samir Khan Kabir
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
