Spinal Condition
Spinal Tumors of Bone & Nerves
Intradural, Extradural & Vertebral Tumours
Spinal tumours — arising from the vertebral bone, spinal cord, or surrounding tissues — require precise surgical management to relieve compression and restore neurological function.
Understanding Spinal Tumors
Spinal tumours are classified by location: extradural (outside the dural sac, usually metastatic), intradural-extramedullary (within the dural sac but outside the cord — most commonly meningiomas and schwannomas), and intramedullary (within the cord itself). Metastatic spinal disease is far more common than primary tumours. Treatment goals include tissue diagnosis, decompression of neural elements, mechanical stabilisation, and local tumour control. Dr. Sparsh Jaiswal employs minimally invasive separation surgery, percutaneous stabilisation, and — in selected cases — endoscopic resection to achieve these goals with reduced surgical morbidity.
infoCommon Causes
- Metastatic spread from breast, lung, prostate, kidney, or thyroid cancer
- Primary bone tumours — osteosarcoma, chordoma, giant cell tumour
- Nerve sheath tumours — schwannoma, neurofibroma
- Meningiomas arising from the dural lining
- Ependymomas and astrocytomas (intramedullary tumours)
- Haemangiomas — benign vascular lesions of vertebral bodies
symptomsKey Symptoms
- check_circlePersistent or progressive back or neck pain worse at night
- check_circleRadicular pain radiating into the limbs
- check_circleProgressive weakness, sensory loss, or paralysis
- check_circleBladder and bowel dysfunction
- check_circleSystemic symptoms — weight loss, fatigue, fever
Diagnosis
MRI with gadolinium contrast is the primary investigation. CT scan defines bony involvement. PET-CT or bone scan identifies systemic disease. CT-guided needle biopsy provides tissue diagnosis before definitive treatment.
Get expert advice from Dr. Sparsh
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