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Based on the plane & relation of tumor to spinal cord & dura, they are classified as

  • intra medullary- Astrocytoma, Ependymoma, Hemangioblastoma.


  • Intradural extra medullary- meningioma, neurofibroma.


  • Extradural- vertebral hemangioma, bony tumors of spine.

Clinical presentation

Pain may be local or have a segmental distribution. Sensory disturbances, tightness in limbs with weakness of limbs. Bladder & bowel disturbances & impotence.


MRI with contrast delineates the extent of tumor & its relationship to the spinal cord. CT scan of spine with 3D reconstruction is helpful in bony tumors of spine.


Laminectomy (removal of laminae & spinous process) exposing the proximal & distal extents of the tumor. In children & in long segment tumors, Laminotomy is done in which the posterior element(ligaments, laminae, spinous processes)s are repositioned.

Midline dural opening, use of microscope to magnify the surgical field & use of CUSA to debulk the tumor prior to dissection & mobilization of tumor from the spinal cord.

Incision on the spinal cord in intra medullary tumors is done at the midline of the cord & extends to the entire extent of the tumor.

After the spinal tumor is removed,the dura is closed or a dural substitute is used to close the opening.

Apollo Brain & Spine care centre has the infrastructure with spinal cord monitoring & trained surgeons to handle spinal cord tumors & deliver optimal results.

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Apollo Specialty Hospital - Jayanagar
# 21/2 (Old No.2), 14th Cross, 3rd Block, Jayanagar, (Near Madhavan Park), , Bengaluru, Karnataka 560011 +(91)-80-4612 4444 Apollo logo Location