Surgical Treatment of Spinal Tumors

M.D. Aliev, E.R. Musaev, AS.K. Valiev, E.A. Sushentsov

(Blokhin Oncologic Center of the Russian Academy of Medical Science, Moscow)

The study goal has been analysis of cases, operated for spinal tumors.

Material and Methods. There were 147 cases (76 males and 71 females), aged 15-74, who were operated for spinal tumors in the Department of General Oncology in 1995-2005. There mean age was 49 years.

Benign tumors were diagnosed in 27 cases. Primary malignant tumors and metastatic lesions were revealed in 35 and 85 patients respectively.

Treatment tactics was determined on the basis of MRI and CT, scanning of the skeleton bones, standard rentgenography (straight and lateral views) and a neurological examination. All the cases had pain syndrome and/or neurological deficiency. Indications for surgical treatment were estimated, using scales by Tomita and Tokubashi.

Results. Decompressive operations, decompressive-stabilizing interventions and vertebroplasty were made in 54, 34 and 59 cases respectively. The most frequent complication was intraoperative bleeding. Its mean volume was 1800 ml (from 200 up to 13 000 ml). Infectious complications were watched in 4 cases (meningitis - 2 and an infected bed of a transpedicular fixator 2). Postoperative gross inferior paraparesis, which regressed with a passage of time, was observed in 2 patients; 2 cases died during operation.

Conclusions. Treatment of cases with spinal tumors demands a multimodality approach to determining its tactics. It results in reduction of the rate of postoperative complications.