Surgical technique and outcomes in the treatment of spinal @entity602 , part 1: XXXX .

@entity1 @entity1183 @entity424 @entity5 @entity75 @entity602 @entity425 @entity2737 @entity5173 @entity158
BACKGROUND: Intramedullary spinal @entity424 are @entity5 . OBJECTIVE: To provide a large retrospective review in the modern neuroimaging era from a tertiary center where aggressive surgical resection is favored. METHODS: Charts of intramedullary spinal @entity424 treated between 1983 and 2006 were reviewed. RESULTS: Sixty-seven cases were reviewed. The mean age was 45.6 years (range, 11-78 years) with a male-to-female ratio of 2:1. The most common location was the cervical spine, followed by the thoracic and lumbar spine. The average duration of symptoms was 33 months, with the most common symptom being @entity158 , followed by @entity425 , @entity1183 , and urinary or sexual symptoms. Gross total resection was achieved in 55 @entity1 and a subtotal resection was performed in 12 @entity1 ; 9 @entity1 were treated with adjuvant radiation therapy. Mean follow-up was 32 months. The mean McCormick neurological grade at last follow-up was 2.0. The preoperative outcome correlated significantly with postoperative outcome (P < .001). A significant number of @entity1 who initially worsened improved at their 3-month follow-up examination. Outcomes were significantly worse in @entity1 undergoing subtotal resection with or without radiation therapy (P < .05). There were 3 recurrences. The overall complication rate was 34%. The primary complications were @entity2737 or @entity5173 . CONCLUSION: Spinal @entity602 are @entity75 to treat. Aggressive surgical resection is associated with a high overall complication rate. However, when gross total resection can be achieved, overall outcomes are excellent and the recurrence rate is low.
