Surgical Treatment of Primary Spinal Tumors
https://doi.org/10.24060/2076-3093-2024-14-3-243-254
Abstract
Primary spinal tumors appear to be much less common than metastatic lesions, but their surgical treatment comprises a complex and multifaceted task. Numerous factors influence indications and timing of surgical intervention, including neurological status of the patient, histological characteristics of the tumor, its localization, stability of the spinal column, and comorbidities. Significant spinal cord compression, rapid progression of neurologic deficits, or pronounced instability of the spinal column may require urgent surgical intervention. When the spinal canal is not affected, treatment should start with a biopsy to accurately determine the histology of the tumor. Some tumor types, such as giant cell tumors, osteoblastomas, chordomas, and chondrosarcomas, require complete removal of the tumor. However, performing a wide resection in a single block is often found difficult due to compression of vascular and nerve structures. Current approaches to surgical management of primary spinal tumors involve minimally invasive techniques that significantly improve postoperative recovery and reduce the risk of complications. These techniques were originally used to treat degenerative spinal diseases and trauma; however, they have also demonstrated their effectiveness in tumor surgery. Adapting surgical strategy based on histology and tumor location, as well as integrating minimally invasive techniques, can improve patient survival and quality of life. The present paper describes the latest advances in the surgical treatment of primary spinal tumors, discusses current techniques and strategies, and prospects for further research in this area.
About the Authors
O. A. Beylerli
Central Research Laboratory, Bashkir State Medical University
Russian Federation
Russian Federation
Ozal A. Beylerli — Cand. Sci. (Med.), Senior Researche
Ufa
I. F. Gareev
Central Research Laboratory, Bashkir State Medical University
Russian Federation
Russian Federation
Ilgiz F. Gareev — Cand. Sci. (Med.), Senior Researcher
Ufa
E. R. Musaev
Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Elmar R. Musaev — Dr. Sci. (Med.), Prof., Corresponding Member of the Russian Academy of Sciences, Department of Oncology
Moscow
Ch. Wang
First Affiliated Hospital of the Harbin Medical University
China
China
Wang Chunlei — Prof., Neurosurgery Uni
Harbin
K. Simfukwe
Maina Soko Medical Center
Zambia
Zambia
Keith Simfukwe — Cand. Sci. (Med.), Department of Neurosurgery
Lusaka
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For citations:
Beylerli O.A., Gareev I.F., Musaev E.R., Wang Ch., Simfukwe K. Surgical Treatment of Primary Spinal Tumors. Creative surgery and oncology. 2024;14(3):243-254. (In Russ.) https://doi.org/10.24060/2076-3093-2024-14-3-243-254
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