Spinal cord tumors: There are two types: 1- Tumors that press on the spinal cord externally within the spinal cord membrane and 2- Tumors that grow from within the spinal cord within the spinal cord membrane.
Inside the spinal cord - outside the spinal cord - Most intradural extramedullary tumors are benign. If there is an appropriate indication, the treatment option should be surgery. In these types of tumors, the goal should be to remove the entire tumor. However, in some conditions and tumors this is not possible. The most crucial part of the surgery is the separation of the tumor from the spinal cord.
The majority of intraspinal tumors - Intradural intramedullary tumors are benign. However, the relationship of these tumors with the spinal cord is very important. While some of the tumors have very good boundaries, some of them have an unlimited relationship with the spinal cord, called infiltration. If there is an appropriate indication, the treatment option should be surgery. The location of the tumor relative to the spinal cord should be evaluated very carefully. Surgical planning is made accordingly.
The location of the tumor relative to the spinal cord should be evaluated very carefully. Surgical planning is made accordingly. In the operating room, there is a microscope, microsurgery instruments, bipolar coagulation, ultrasonic aspirator and scopy. Neuromonitor – an early warning system against neurological deterioration is used during surgeries.
Spinal cord tumors surgical treatment
Spinal cord tumors can occur within or adjacent to the spinal cord. and can be classified according to their anatomical location:
●Intramedullary – Intramedullary Tumors arise within the spinal cord itself. Most of the intradural intramedullary tumors are benign. However, the relationship between these tumors and the spinal cord is very important. While some of the tumors give a very good border, some of them have an unrelated relationship with the spinal cord called infiltration. If there is an appropriate indication, the treatment option should be surgical. The location of the tumor relative to the spinal cord should be well evaluated.
●Intradural-extramedullary Tumors arising within the dura but outside the actual spinal cord are termed intradural-extramedullary. Most of the intradural extramedullary tumors are benign. If there is an appropriate indication, the treatment option should be surgical. In such tumors, all of the target tumor should be removed. However, in some conditions and tumors this is unlikely. The most crucial part of the surgery is the separation of the tumor from the spinal cord.
Larger benign tumors, certain types of spine cancer (malignant), and progressive tumors may require surgical intervention.
The location of the tumor relative to the spinal cord should be well evaluated. Surgical planning is done accordingly. During the operation, Intraoperative neurophysiological monitoring is used to avoid neurological deterioration
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