Surgical treatment of intraspinal tumors

Objective To discuss the operation approaches and long-term outcome of the intraspinal tumor.Methods To evaluate the clinical effect of different operative methods through a retrospective analysis of 423 cases of intraspinal tumors and follow-up analysis.Results 205 cases were with valid follow-up:135 cases were treated with the posterior median approach laminectomy,including 7 cases with postoperative bone structure deletion and spinal degeneration aggravated,2 cases recurred after operation,2 cases of lower limbs pain;45 cases with posterior median approach total laminectomy and lamina complex reduction and reconstruction operation,follow-up no discomfort; 20 cases with posterior median approach total laminectomy and pedicle screw internal fixation operation,including 1 cases of postoperative lower limbs dragging pain,gradually easing after two months; 5 cases with semi-laminectomy operation,postoperative recovery.Conclusions Operation is the preferred treatment strategy,and the main aim is to keep the preservation of neurological function and the stability of spine.Individual treatment should be preferred. Key words: Spinal tumor;  Surgical treatment ;  Outcome