MANAGEMENT OF EXTRADURAL SPINAL TUMORS

Background: extradural spinal lesions are the most common representing 60% of all spinal tumors, with the majority originating from the vertebrae. The most common extradural tumors are metastatic. They spread from some primary tumor site through the blood stream to the bones of the spinal column. Symptomatic extradural spinal tumors can cause significant morbidity including severe pain and neurologic deficit. Current treatment of these patients typically involves the use of multiple modalities, including surgery, radiation, and chemotherapy. Methods: 30 patients diagnosed as extradural spinal tumors and managed in neurosurgery departments of Al-Azhar university hospitals and Mansoura International Hospital pro and retrospectively studied and evaluated by taking detailed history and clinical examination. Diagnosis was confirmed by MRI examination and CT. Statistical presentation and analysis of the present study was conducted, using the mean, standard deviation, Chi-square and Analysis of variance tests by SPSS V23. Results: In our study on 30 cases of extradural spinal tumors, 53.3% of cases were males and 46.7% were females. The mean age was 48.2667y (range; 5 to 70 years). (83.3%) Of cases were managed surgically while (16.7%) were managed conservatively "referred to oncology". (76.0%) Of our 25 surgically managed cases clinically improved and (24.0%) have the same clinical as pre-operative. Conclusion: The most common pathology in our study was metastasis (72.0%). The posterior approach was the most commonly used approach (84.0%). Correlation between pre-operative clinical picture & clinical progress 6 months post-operative shows that patients not having neurological deficits show better clinical progress.