{"id":"a00625f7-8756-4674-b8d2-b7bd68281c1b","slug":"factors-influencing-outcome-in-patients-with-intramedullary-spinal-cord-tumors-undergoing-resective-surgery","title":"Factors influencing outcome in patients with intramedullary spinal cord tumors undergoing resective surgery","authors":["Manas Kumar Panigrahi","Pratik Koradia","Dilip Kumar","Harshal Dholke","Sudhindra Vooturi"],"abstract":"Background: We evaluated whether preoperative functional status influenced surgical outcomes for patients with intramedullary spinal cord tumors (IMSCT). Methods: We analyzed whether lower preoperative McCormick scores impacted primary outcomes for 78 consecutive patients with IMSCT of World Health Organization (WHO) grades I and II undergoing tumor resection between 2010 and 2018. Results: Patients averaged 33.6 years of age, 57.5% were male, and lesions predominantly involved the cervical 23 (29.5%) followed by the thoracic spine 19 (24.3%). Over the average follow-up interval of 69.83 months, IMSCTs recurred in 11.5% of patients, with 6.4% showing functional deterioration. At follow-up, 73.5% of patients with a preoperative modified McCormick score of two or one showed better functional improvement. Conclusion: The WHO pathological grades I and II did not significantly influence outcomes for patients with intramedullary spinal cord lesions. However, patients with low preoperative McCormick scores (two or one) demonstrated better functional outcomes.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/a00625f7-8756-4674-b8d2-b7bd68281c1b/featured/hero-1781559163142.png","publishDate":"2024-10-11T00:00:00.000Z","doi":"10.25259/SNI_309_2024","categories":["Spine","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/10/13145/SNI-15-370.pdf"}