Microsurgical treatment of spinal cord glioma.doc

 PAGE \* MERGEFORMAT 12 Microsurgical treatment of spinal cord glioma Authors: Guo-Liang, Xin-Yu Yang, Yue Shu-yuen, poplar source [Abstract] Objective To study the effects of spinal cord glioma microsurgery and prognosis. Methods Retrospective analysis of 113 cases of experience in surgical treatment of spinal cord glioma. Preoperative McCormick grade in this group 22 cases of grade Ⅰ , Ⅱ grade 46 cases, Ⅲ grade 31 cases, Ⅳ grade 12 cases, Ⅴ level in 2 cases. Underwent microsurgery for resection of tumor after total removal of the failure of 47 patients underwent radiotherapy. The results of 66 cases of spinal cord glioma subtotal, subtotal resection in 25 cases, partial resection or biopsy in 22 cases. 105 ~ 186 regular 6 month follow-up, McCormick grade improved in 48 cases, no change in 46 cases and increased in 8 cases, 3 died. Conclusion Microsurgical resection of spinal cord glioma technology, most cases can be done subtotal or total excision, the prognosis is satisfied; can not be totally removed can be complemented by radiotherapy. [Keywords:] spinal cord tumor surgery microsurgery of gliomas Microsurgery for spinal cord gliomas Abstract: Objective To explore the microsurgical efficacy and prognosis of spinal gliomas. Methods The surgical experience with resection of spinal cord glioma in 113 patients was retrospectively analyzed. Preoperative McCormick grade was Ⅰ in 22 cases, Ⅱ in 46, Ⅲ in 31, Ⅳ in 12, and Ⅴ in 2. All the patients were operated on by microsurgical techniques. Postoperative radiological treatment was performed in 47 patients who did not receive total resection of the tumor. Results Total tumor resection was achieved in 66 cases, subtotal in 25, and partial or biopsy in 22. One hundred and five patients were followed up from 6 to186 months respectively. Among them, McCormick grade was improved in 48 cases, unchanged in 46, deteriorated in 8, and dead occurred in 3. Conclusion Using microsurgical techniques, total or sub