Document Type
Original Article
Abstract
Background: Despite making up a small percentage of neoplasms of the central nervous system (CNS), spinal cord tumors have an extensive impact on the quality of life of patients. From primary tumors to secondary lesions, they pose significant difficulties. There is a considerable risk of adverse consequences while undergoing surgical surgery. However, the advent of intraoperative neuromonitoring (IONM), which promises better postoperative trajectories, is a bright light of hope.
Aim and objectives: To evaluate the efficacy of intraoperative neuromonitoring during gross total surgical resection of spinal cord tumors in predicting postoperative outcomes at our institution.
Patients and methods: The study included 60 patients who were presented to Al-Azhar University Hospitals with spinal cord tumors at different vertical and horizontal levels. The study included patients who underwent microscopic surgery for complete excision of spinal cord tumors using (IONM), comparing the intraoperative IONM changes with the postoperative neurological outcomes.
Results: The occurrence of intraoperative changes was significantly correlated with postoperative deficits. A statistically significant (p-value=0.016) increase in the percentage of immediate, 1-, and 3-month postoperative deficits in patients was correlated with intraoperative trans-minor changes (6 patients, 18.8%) when compared with intraoperative stable patients (0 patients, 0%).
Conclusion: Intraoperative neuromonitoring continues to play a crucial role in predicting the postoperative surgical outcomes of spinal cord tumors at various levels when maximum resection is intended. We discussed the significance of IOMN in elevating patient care standards and diminishing the occurrence of surgical complications, referring to the technical and legal implications.
Keywords
Surgical resection; Spinal cord tumors; Intra-operative neuro-monitoring
Subject Area
Neurosurgery
How to Cite This Article
Abo Shoaha, Ma'mon Mohamed; Elsherif, Ahmed Mahmoud; and Elsokkary, Soliman Ebrahim
(2024)
"Outcome of Optimal Surgical Resection of Spinal Cord Tumors with Using of Intra-Operative Neuro-Monitoring,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
8, Article 50.
DOI: https://doi.org/10.58675/2682-339X.2626
