Ashraf Mahmood, Yasir Shehzad, Soban Sarwar
Department of Neurosurgery, District Head Quarters teaching Hospital Rawalpindi
Rawalpindi Medical College, Rawalpindi
Background: Delay in presentation, diagnosis and management contributes significantly in morbidity
(Quadriplegic and Paraplegic Injuries) and mortality of patients of Spinal tumours.
Objective: To assess the outcome of various modalities and treatment related to prevention of permanent
disability among these patients based on a local experience.
Material and methods: 40 patients with spinal tumours who were treated surgically at a tertiary care centre
of Rawalpindi Medical College & its allied hospitals from February 2010 to February 2012. Frankel grade scale
was used to categorize and assess the patients before and after treatment.
Results: There were 23 males and 17 female patients with an average age of 40 years. 15 of the spinal tumours
were benign, another 15 were primary malignant and remaining 10 were metastatic tumours from various organs
of the body including thyroid, prostate, lungs and the ovaries and the unknown primary. Weakness of the limbs
was the most common symptoms followed by spasticity and pain. The average duration of systems was 5 months
MRI was the modality used for the diagnosis of these tumours. Plain radiographs of the spine revealed bony
changes in 50% of the patients. Histopathology revealed that the primary malignant spinal tumours were mostly
lymphomas followed by myelomas and sarcomas.
Conclusion: Overall neurological improvement occurred in 75% of the patients, 2 patients expired after surgery
although the mortality was not directly related to the procedure.
Key Words: Spinal Tumours, surgical treatment and outcome.