Recovery Potential of Spinal Meningioma Patients With Preoperative Loss of Walking Ability Following Surgery – A Retrospective Single-Center Study
Objective Spinal meningiomas are neurosurgical rarities that manifest with progressive paraor tetraparesis. The effect of timing of surgery on the recovery after the loss of walking ability is poorly known. We studied the effect of timing of surgery on restoring walking ability in surgically-treated...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Spinal Neurosurgery Society
2022-03-01
|
| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-2142956-478.pdf |
| _version_ | 1797332004904108032 |
|---|---|
| author | Ville Vasankari Roel Haeren Mika Niemelä Miikka Korja |
| author_facet | Ville Vasankari Roel Haeren Mika Niemelä Miikka Korja |
| author_sort | Ville Vasankari |
| collection | DOAJ |
| description | Objective Spinal meningiomas are neurosurgical rarities that manifest with progressive paraor tetraparesis. The effect of timing of surgery on the recovery after the loss of walking ability is poorly known. We studied the effect of timing of surgery on restoring walking ability in surgically-treated spinal meningioma patients. Methods Using electronic health records, we retrospectively identified ≥ 18-year-old patients operated on during 2010–2020. The patients were followed until 30th September 2020, death or emigration. Results We identified 108 patients (81% women) with operated spinal meningiomas. The mean age of the patients was 64 years (range, 18–94 years). A gross total resection was achieved in 101 (94%), and 21 patients (19%) suffered from perioperative complications. Of the 108 patients operated on, 49 (45%) could not walk without assistance prior to surgery. At the time of first postoperative visit (mean, 3.1 months; range, 1.3–13.1 months), 14 out of 24 patients (58%) operated on within 29 days and 8 out of 20 patients (40%) operated on later than 29 days since the loss of walking ability without assistance, were able to walk without assistance. Also, 3 out of 5 paraplegic patients who underwent surgery later than 29 days after they lost the walking ability, were able to at least walk with assistance at first postoperative visit. Conclusion Early surgical treatment following the loss of walking ability restores walking ability in a substantial number of patients. However, even late surgery may restore walking ability. |
| first_indexed | 2024-03-08T07:43:24Z |
| format | Article |
| id | doaj.art-e0bf6e5178244ce58807d305705c12cd |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:43:24Z |
| publishDate | 2022-03-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-e0bf6e5178244ce58807d305705c12cd2024-02-02T16:50:58ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912022-03-01191778310.14245/ns.2142956.4781233Recovery Potential of Spinal Meningioma Patients With Preoperative Loss of Walking Ability Following Surgery – A Retrospective Single-Center StudyVille Vasankari0Roel Haeren1Mika Niemelä2Miikka Korja3 Department of Neurosurgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland Department of Neurosurgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland Department of Neurosurgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland Department of Neurosurgery, Helsinki University Hospital and University of Helsinki, Helsinki, FinlandObjective Spinal meningiomas are neurosurgical rarities that manifest with progressive paraor tetraparesis. The effect of timing of surgery on the recovery after the loss of walking ability is poorly known. We studied the effect of timing of surgery on restoring walking ability in surgically-treated spinal meningioma patients. Methods Using electronic health records, we retrospectively identified ≥ 18-year-old patients operated on during 2010–2020. The patients were followed until 30th September 2020, death or emigration. Results We identified 108 patients (81% women) with operated spinal meningiomas. The mean age of the patients was 64 years (range, 18–94 years). A gross total resection was achieved in 101 (94%), and 21 patients (19%) suffered from perioperative complications. Of the 108 patients operated on, 49 (45%) could not walk without assistance prior to surgery. At the time of first postoperative visit (mean, 3.1 months; range, 1.3–13.1 months), 14 out of 24 patients (58%) operated on within 29 days and 8 out of 20 patients (40%) operated on later than 29 days since the loss of walking ability without assistance, were able to walk without assistance. Also, 3 out of 5 paraplegic patients who underwent surgery later than 29 days after they lost the walking ability, were able to at least walk with assistance at first postoperative visit. Conclusion Early surgical treatment following the loss of walking ability restores walking ability in a substantial number of patients. However, even late surgery may restore walking ability.http://www.e-neurospine.org/upload/pdf/ns-2142956-478.pdfmagnetic resonance imagingspinal cord compressionspinal meningiomaspinal tumorsspine surgerytumor removal |
| spellingShingle | Ville Vasankari Roel Haeren Mika Niemelä Miikka Korja Recovery Potential of Spinal Meningioma Patients With Preoperative Loss of Walking Ability Following Surgery – A Retrospective Single-Center Study Neurospine magnetic resonance imaging spinal cord compression spinal meningioma spinal tumors spine surgery tumor removal |
| title | Recovery Potential of Spinal Meningioma Patients With Preoperative Loss of Walking Ability Following Surgery – A Retrospective Single-Center Study |
| title_full | Recovery Potential of Spinal Meningioma Patients With Preoperative Loss of Walking Ability Following Surgery – A Retrospective Single-Center Study |
| title_fullStr | Recovery Potential of Spinal Meningioma Patients With Preoperative Loss of Walking Ability Following Surgery – A Retrospective Single-Center Study |
| title_full_unstemmed | Recovery Potential of Spinal Meningioma Patients With Preoperative Loss of Walking Ability Following Surgery – A Retrospective Single-Center Study |
| title_short | Recovery Potential of Spinal Meningioma Patients With Preoperative Loss of Walking Ability Following Surgery – A Retrospective Single-Center Study |
| title_sort | recovery potential of spinal meningioma patients with preoperative loss of walking ability following surgery a retrospective single center study |
| topic | magnetic resonance imaging spinal cord compression spinal meningioma spinal tumors spine surgery tumor removal |
| url | http://www.e-neurospine.org/upload/pdf/ns-2142956-478.pdf |
| work_keys_str_mv | AT villevasankari recoverypotentialofspinalmeningiomapatientswithpreoperativelossofwalkingabilityfollowingsurgeryaretrospectivesinglecenterstudy AT roelhaeren recoverypotentialofspinalmeningiomapatientswithpreoperativelossofwalkingabilityfollowingsurgeryaretrospectivesinglecenterstudy AT mikaniemela recoverypotentialofspinalmeningiomapatientswithpreoperativelossofwalkingabilityfollowingsurgeryaretrospectivesinglecenterstudy AT miikkakorja recoverypotentialofspinalmeningiomapatientswithpreoperativelossofwalkingabilityfollowingsurgeryaretrospectivesinglecenterstudy |