Procedure

Endoscopic Removal of Spinal Tumours

Endoscopic and minimally invasive techniques allow spinal tumour resection with maximal decompression of neural structures while minimising surgical morbidity — critical for patients whose overall health may be compromised by systemic disease.

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Overview

About This Procedure

Surgical management of spinal tumours is complex and multidisciplinary. The goals are: tissue biopsy, neural decompression, mechanical stabilisation, and tumour control. For extradural metastatic disease, the current standard is separation surgery — circumferential decompression of the spinal cord without complete tumour excision — followed by stereotactic body radiotherapy (SBRT). For intradural-extramedullary tumours (schwannomas, meningiomas), endoscopic or microscopic resection achieves excellent outcomes. Dr. Sparsh Jaiswal performs minimally invasive separation surgery and percutaneous stabilisation, enabling rapid wound healing and early initiation of adjuvant radiotherapy.

Indications

check_circleMetastatic spinal cord or nerve root compression causing neurological deficit
check_circleIntradural schwannoma or meningioma causing radiculopathy
check_circleVertebral haemangioma with cord compression
check_circlePathological fracture through tumour-involved bone requiring stabilisation
check_circlePrimary vertebral tumours amenable to curettage and reconstruction

Step-by-Step Procedure

Multidisciplinary Review

Oncology, neurosurgery, and interventional radiology review of imaging and biopsy results. Preoperative embolisation may be performed for hypervascular tumours.

Neural Decompression

Through minimal access or endoscopic portals, the tumour compressing the cord or nerve root is decompressed. Complete resection or debulking performed based on tumour type.

Vertebral Stabilisation

Percutaneous pedicle screws above and below the tumour level restore mechanical stability. Vertebral body augmentation with cement (kyphoplasty) may supplement fixation.

Post-operative Oncology Pathway

Histopathology confirms diagnosis. SBRT planned for metastatic disease. Adjuvant systemic therapy coordinated with oncology team.

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What to Expect

Recovery depends on the extent of surgery and the patient's overall condition. Neurological improvement after cord decompression may be rapid or gradual over weeks. Early mobilisation is prioritised to enable timely adjuvant therapy.

healing

Recovery

Hospital stay ranges from 3 days (minimally invasive stabilisation) to 7–10 days (complex resection). Post-operative radiotherapy typically begins 2–3 weeks after surgery. Physiotherapy focuses on functional rehabilitation and pain management.