Factors influencing outcome in patients with intramedullary spinal cord tumors undergoing resective surgery.

Surgical neurology international Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI:10.25259/SNI_309_2024

Manas Kumar Panigrahi, Pratik Koradia, Dilip Kumar, Harshal Dholke, Sudhindra Vooturi

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Abstract

Background: We evaluated whether preoperative functional status influenced surgical outcomes for patients with intramedullary spinal cord tumors (IMSCT).

Methods: We analyzed whether lower preoperative McCormick scores impacted primary outcomes for 78 consecutive patients with IMSCT of World Health Organization (WHO) grades I and II undergoing tumor resection between 2010 and 2018.

Results: Patients averaged 33.6 years of age, 57.5% were male, and lesions predominantly involved the cervical 23 (29.5%) followed by the thoracic spine 19 (24.3%). Over the average follow-up interval of 69.83 months, IMSCTs recurred in 11.5% of patients, with 6.4% showing functional deterioration. At follow-up, 73.5% of patients with a preoperative modified McCormick score of two or one showed better functional improvement.

Conclusion: The WHO pathological grades I and II did not significantly influence outcomes for patients with intramedullary spinal cord lesions. However, patients with low preoperative McCormick scores (two or one) demonstrated better functional outcomes.

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影响接受切除手术的髓内脊髓肿瘤患者预后的因素。

背景我们评估了术前功能状态是否会影响髓内脊髓肿瘤（IMSCT）患者的手术效果：我们分析了术前较低的麦考密克评分是否会影响2010年至2018年期间连续接受肿瘤切除术的78例世界卫生组织（WHO）I级和II级脊髓内肿瘤（IMSCT）患者的主要预后：患者平均年龄33.6岁，57.5%为男性，病变主要累及颈椎23例（29.5%），其次是胸椎19例（24.3%）。在平均 69.83 个月的随访期间，11.5% 的患者 IMSCT 复发，6.4% 的患者功能恶化。在随访中，术前改良麦考密克评分为2分或1分的患者中，73.5%的患者功能改善较好：结论：WHO病理分级I级和II级对髓内脊髓病变患者的预后影响不大。然而，术前麦考密克评分较低（2分或1分）的患者功能改善较好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgical neurology international

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