What are the contraindications to surgical excision of spinal tumors?

Updated: Nov 01, 2018
  • Author: Andrew A Sama, MD; Chief Editor: Jeffrey A Goldstein, MD  more...
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Answer

The relevant anatomy discussed previously (see Anatomy) is frequently the limiting factor in determining contraindications for surgical excision of spine tumors. The morbidity of the tumor, the tumor's malignant potential, and the patient's overall prognosis must be compared to the morbidity and potential mortality of radical resection of a tumor near the spinal cord, the aorta, or the heart.

The degree of associated blood loss and the overall health of the patient also must be taken into consideration in considering a resection. If the patient is known to have metastatic or systemic tumor involvement, this may be a contraindication for radical resection of a paraspinous tumor, which may render the patient paralyzed.


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