Spinal Cord Tumour Surgery

Spinal cord tumour surgery removes a growth from inside the spinal canal. Most are benign tumours lying next to the cord within its coverings, such as meningiomas and schwannomas. A smaller group, including ependymomas and astrocytomas, grow within the cord itself.

Removing the tumour relieves pressure on the cord and nerves, stops further loss of function and provides a firm diagnosis. Recovery of lost function depends on how severe and how long-standing the deficit was before surgery, and infiltrating tumours inside the cord often cannot be removed completely.

What Spinal Cord Tumour Surgery involves

You lie face down under general anaesthesia with electrodes placed to monitor motor and sensory pathways throughout. Through a midline incision the surgeon removes or hinges open the bony arches over the tumour (laminectomy or laminoplasty). The dura is opened under the microscope. Tumours beside the cord are detached from their origin, debulked from within using an ultrasonic aspirator and peeled away from the cord. For tumours within the cord, the surgeon opens the cord in the midline and follows the plane between tumour and healthy tissue; if monitoring signals fall, removal is paused or stopped. The dura is closed watertight and, if much bone was removed, screws and rods may be added for stability.

Who is a good candidate for Spinal Cord Tumour Surgery?

Surgery is advised for most tumours that cause symptoms or are growing, after MRI of the whole spine.

• Meningioma, schwannoma or neurofibroma causing pain, weakness, numbness or walking difficulty
• Ependymoma or haemangioblastoma within the cord, which usually have a clear plane and can be removed completely
• A growing tumour on serial MRI, even with mild symptoms
• Uncertain diagnosis where tissue is needed to guide treatment

Es ist normalerweise nicht die richtige Wahl, wenn:

• Small, symptom-free tumours found by chance, which can be watched with repeat MRI
• Widespread metastatic cancer with a short outlook, where radiotherapy may be kinder
• Spinal metastases in the bone rather than the canal, which follow a different pathway
• People whose general health makes a long operation face down unsafe

Technikoptionen

• Microsurgical resection with neuromonitoring: The standard for all tumours in or beside the cord.
• Hemilaminectomy or tubular minimally invasive approach: For small tumours lying to one side, preserving more bone and muscle.
• Laminoplasty: The bone is replaced after tumour removal, favoured in children and in the neck to lower the risk of later deformity.
• Stereotactic radiosurgery or radiotherapy: For residual, recurrent or inoperable tumours, and after subtotal removal of malignant types.

Was passiert während Ihrer Behandlung

Surgery lasts 3 to 6 hours under general anaesthesia. You usually spend the first night in a high-dependency unit with frequent checks of leg strength and sensation. You may be kept flat for 24 to 48 hours to protect the dural repair. Wound pain is controlled with a pump or tablets, and walking with a physiotherapist starts on day 1 to 3.

Vorbereitung auf Ihre Reise

Planen Sie 2 bis 3 Wochen in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Hospital stay is typically 4 to 7 nights. Numbness or altered position sense in the legs is common early on after tumours within the cord and often improves over months. Desk work may be possible at 4 to 6 weeks; heavier work takes 3 months. Some people need a period of inpatient rehabilitation. MRI is repeated at about 3 months and then yearly for several years.

• Zurück zur alltäglichen Aktivität: 6 bis 12 Wochen
• When results show: Pain often eases early; nerve recovery takes 6 to 12 months
• How long they last: Permanent if fully removed; long-term MRI follow-up needed

Sicherheit, Risiken und Revisionspolitik

The spinal cord tolerates handling poorly, so the risks are more serious than in ordinary spinal surgery and vary with tumour type.

• New or worse weakness, numbness or loss of position sense, temporary in many and permanent in a minority
• Bladder, bowel or sexual dysfunction
• Spinal fluid leak or pseudomeningocele needing a lumbar drain or re-operation
• Wound infection or meningitis
• Spinal instability or kyphosis later, especially in the neck and in children
• Incomplete removal or recurrence requiring further surgery or radiotherapy
• Blood clots in the legs or lungs during reduced mobility

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Spinal Cord Tumour Surgery in Türkiye

Clinic-Y does not publish a single price for Spinal Cord Tumour Surgery, because the honest figure depends on your case. What moves it:

• Tumour position (beside or within the cord) and operating time
• Intra-operative neuromonitoring team
• Need for spinal fixation implants
• Intensivpflege und Station Nächte
• Rehabilitation after discharge and pathology including molecular tests

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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