Spinal Cord Tumor Excision
Removal of spinal cord tumors is very delicate work. The surgeon's goal is to remove the entire tumor, however, the first priority is to try to preserve or improve the neurological function for the patient. In some cases, it is better to leave some of the tumor in place rather than risk paralysis. In others, additional surgery may be necessary at a later date. Key considerations in tumor removal include: careful positioning of the patient and a well planned incision to give adequate exposure to the tumor, early interruption of the blood supply to the tumor to limit blood loss, internal decompression of the tumor, careful dissection of the tumor capsule, and removal of the involved dura (the membrane surrounding the spinal cord) and bone when possible.