Spinal meningiomas: a 20-year review.

Abstract:

:The long-term outcome of 78 patients with spinal meningiomas operated on over 20 years at a single neurosurgical unit was analysed. Age, sex and tumour location were similar to those reported by others. Overall, 95% of our patents were independently mobile postoperatively, despite 25% of the group being unable to walk before operation, including four paraplegic patients. Only two tumours were entirely extradural, and a further two were both intra- and extradural. In all cases, tumour exposure was by posterior laminectomy, without recourse to more complex approaches. Complete tumour resection was achieved in 77 (98%) of cases. The dural attachment was excised in 20 cases and diathermy was applied in 58. There was one recurrence, 14 years after the original surgery. Complex and technically challenging surgical approaches are unnecessary to obtain complete removal even for anteriorly placed tumours. Excision of the dural base would seem unnecessary to attain a low recurrence rate.

journal_name

Br J Neurosurg

authors

King AT,Sharr MM,Gullan RW,Bartlett JR

doi

10.1080/02688699844367

subject

Has Abstract

pub_date

1998-12-01 00:00:00

pages

521-6

issue

6

eissn

0268-8697

issn

1360-046X

journal_volume

12

pub_type

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