Diário da Espinha

Three Decades of Single-Center Experience with Spinal Meningioma Surgery

Abstract

Laurel Stephen

Around 25% of all intradural spinal tumors are well-characterized spinal meningioma, which are typically intradural extra medullary tumours. The purpose of this study was to compare the postoperative functional outcomes of spinal meningioma patients who had undergone surgery over two time periods. A historic cohort (HC;) of patients with spinal meningiomas who were admitted to our department between 1990 and 2020 was enrolled and divided. Treatment from 1990 to 2007) and a current group. Up to five years in the past, the clinical data, surgical reports and radiological reports of patients were analysed. The McCormick Scale (mMCS) was used to measure neurological function before and after surgery. The Charlson Comorbidity Index (CCI) was utilized to assess the impact of comorbidities on both the preoperative state and the outcome of the surgery.Results:300 people were our patients. There were twice as many patients in the CC (n = 144) who were under 50 years of age (p 0.001) than there were in the HC (n = 156).(n = 204) The thoracic spine was the most common location for tumours. The middle follow-up was 38.1 months (±30.3 standard deviation).An earlier improvement in the mMCS was significantly associated with a symptom duration of less than 12 months prior to surgery (p = 0.045).Patients in the CC had a shorter duration and their neurological function was significantly better at the first and last follow-ups than in the HC. The findings of our study suggested that surgical management and postoperative rehabilitation have had a significant impact on spinal meningioma patients' long-term neurological outcomes over the past few decades. Patients' neurological recovery after surgery improved as a result of a quicker diagnosis and earlier surgical treatment. Our findings demonstrated that spinal meningioma surgery should be performed within a year of the onset of symptoms to improve recovery.