Surgical Outcome of Spinal Tumour: Our Experience in Dhaka Medical College & Hospital

Authors

  • Sukriti Das Associate Professor, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Kanij Fatema Ishrat Zahan Assistant Professor,Department of Neurosurgery,Dhaka Medical College & Hospital, Dhaka
  • Md Mamunur Rashid Resident, Phase-B, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Asit Chandra Sarkar Professor, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Shamsul Islam Khan Medical Officer, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Musannah Ashfaq Resident, Phase-B, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Hasan Mahbub Resident, Phase-B, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Rakibul Islam Resident, Phase-B, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Md Moidul Islam Resident, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Shahriar Islam Khan Resident, Department of Neurosurgery, Dhaka Medical College & Hospital, Dhaka
  • Dhiman Chowdhury Associate Professor, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka.

DOI:

https://doi.org/10.3329/bjns.v8i2.42346

Keywords:

Spinal tumours, spinal cord compression,surgical outcome, intramedullay, extramedullary.

Abstract

Introduction: Surgical outcome of spinal tumour varies depending on a number of factors such as: site of tumour, compression within the spinal canal, the histological characteristics of tumour, the neurological progression and initial response to corticosteroid therapy, patient’s age, comorbidity, tumour extension, involvement of neighboring structures and organs etc.

Materials & Methods: The 86 patients with spinal tumour underwent surgery by our team in 7 years (2011-2018) were reviewed retrospectively.

Discussion: Analysis of the surgical outcome of our spinal tumour patients was done on different variables like age, sex, presenting symptoms, neuroimaging, comorbidities etc. The aim of surgery was decompression of the spinal cord, total removal of the tumour when possible and spinal stabilization when needed. Out of our 86 patients with spinal tumour, extradural tumour comprises 18, intradural tumour 56 and intramedullary tumour 12.

Conclusion: The aim of this study is to analyze the data to made conclusion for more effective strategy as per site, size, type, resectibility and histological variety to establish and effective treatment protocol and prevention of per-operative and post-operative complications. Intradural extramedullary tumour can be radically resected with no mortality and minimal peri-operative morbidity. But resection of intramedullary spinal tumour is difficult, hazardous and usually incomplete, so needs much more skilled and meticulous surgical hands.

Bang. J Neurosurgery 2019; 8(2): 63-67

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Published

2019-07-24

How to Cite

Das, S., Zahan, K. F. I., Rashid, M. M., Sarkar, A. C., Khan, S. I., Ashfaq, M., Mahbub, H., Islam, R., Islam, M. M., Khan, S. I., & Chowdhury, D. (2019). Surgical Outcome of Spinal Tumour: Our Experience in Dhaka Medical College & Hospital. Bangladesh Journal of Neurosurgery, 8(2), 63–67. https://doi.org/10.3329/bjns.v8i2.42346

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Original Articles