Experience of surgical treatment of patients with spine and spinal cord tumours in specialized intreatment facility
The analysis of surgical treatment of 149 patients with tumours of a spinal cord and a spine treated in the neurosurgical clinic of the Military-medical academy for the period from 2001 to 2010 is conducted. According to histological structure all tumours were divided into tumours of a spinal cord 89 (59,7%) and tumours of a spine 60 (40,2%). The metastases were found at 18 (30%) of patients. There were 80 men and 69 women. The median age of patients with tumours of a spine and a spinal cord was 49,4 years. The period of monitoring for patients has been from 12 months to 5 years. In all cases the diagnosis was verified histologically. The biopsy was performed by the open way. The selection of surgical access and method of excision of tumour was determined by localization and size. Our experience has shown that in the surgical treatment of patients with tumours of the spinal cord and the spine should be based on an individual approach to determining of the tactic in every particular case, a full examination of patients before a surgery in view histological structure of tumour, its prevalence and considering the somatic condition of the patient.