SERVICES

TREATMENT OF SPINAL TUMOURS

A spinal tumour is a mass of cells that forms in the spinal canal and the bones of the spine. Spinal tumours are either benign or aggressive. A chordoma is a malignant bone tumour that grows along the spinal column but can also form in the sacrum, a bone that makes up the stem of the spine. Primary tumours develop in the spine, but metastasised tumours originate elsewhere and move to the spine. A spinal tumour becomes problematic when it begins to grow and affect nearby structures.

Symptoms

Signs of a spinal tumour depend on the growth's grade and location within the spine. Neck and back pain are prevalent symptoms of spinal tumours and occur when the tumour presses against the spinal cord and nerves. In some cases, the tumour can affect the alignment of the spine and cause discomfort. As the spinal tumour grows, it can shift the spine out of place.

General symptoms of spinal tumours include:
  • Neurological impairment
  • A pinched nerve (radiculopathy)
  • Tingling or numb sensation
  • Bladder and bowel dysfunction
  • Muscle fatigue
  • Paralysis

When a tumour forms along or within the spinal canal, it can grow and lead to spinal deformities such as scoliosis and kyphosis.

Diagnosis

It is essential to determine the type (primary or metastatic) and the progression of cancer. The surgeon takes note of the patient's medical history and carries out a thorough physical exam. At times a neurological function test is necessary for diagnostic purposes. X-rays, MRI, CT, and bone scans help locate and classify the tumour.

Treatment

Treatment depends on the aggressiveness and rate of growth or size of the spinal tumour. If the tumour develops to such an extent that it puts a significant amount of pressure on spinal nerves and causes pain, it must be removed. Either the entire tumour or a portion is removed.

When the vertebrae break down, spinal fusion or stabilisation is necessary. Spinal fusion helps stabilise the spine after the tumour is removed. Chemotherapy and radiotherapy must be considered to stop the spread of the disease.

“Once you choose hope, anything is possible”.

CHRISTOPHER REEVE