Intramedullary Spinal Cord Tumors: Part II - Management Options and Outcomes

Dino Samartzis, Christopher C. Gillis, Patrick Shih, John E. O'Toole, Richard G. Fessler

Research output: Contribution to journalReview article

13 Scopus citations

Abstract

Study Design Broad narrative review. Objectives Intramedullary spinal cord tumors (IMSCT) are uncommon lesions that can affect any age group or sex. However, numerous IMSCT exist and the clinical course of each tumor varies. The following article addresses the various management options and outcomes in patients with IMSCT. Methods An extensive review of the peer-reviewed literature was performed, addressing management options and clinical outcomes of patients with IMSCT. Results Early diagnosis and intervention are essential to obtain optimal functional outcome. Each IMSCT have specific imaging characteristics, which help in the clinical decision-making and prognostication. A comprehension of the tumor pathology and the clinical course associated with each tumor can allow for the proper surgical and nonsurgical management of these tumors, and reduce any associated morbidity and mortality. Recent advances in the operative management of such lesions have increased the success rate of tumor removal while minimizing iatrogenic-related trauma to the patient and, in tandem, improving patient outcomes. Conclusions Awareness and understanding of IMSCT is imperative to design proper management and obtain optimal patient outcomes. Meticulous operative technique and the use of surgical adjuncts are essential to accomplish proper tumor removal, diminish the risk of recurrence, and preserve neurologic function. Operative management of IMSCT should be individualized and based on tumor type, location, and dimensional extensions. To assist with preoperative and intraoperative decision-making, a general algorithm is provided.

Original languageEnglish (US)
Pages (from-to)176-185
Number of pages10
JournalGlobal Spine Journal
Volume6
Issue number2
DOIs
StatePublished - Jul 9 2015

Keywords

  • cord
  • intradural
  • intramedullary
  • outcomes
  • spinal
  • spine
  • surgery
  • tumors

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Clinical Neurology

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    Samartzis, D., Gillis, C. C., Shih, P., O'Toole, J. E., & Fessler, R. G. (2015). Intramedullary Spinal Cord Tumors: Part II - Management Options and Outcomes. Global Spine Journal, 6(2), 176-185. https://doi.org/10.1055/s-0035-1550086