Functional outcome and surgical efficacy of minimally invasive tubular retractor system in spinal tumor excision: A prospective cross-sectional study from a tertiary care centre.

Rahul Deo; Anirudha Doshi; Prathamesh Pathrikar; Sumitkumar Pundlik Bhagat

doi:10.51168/gd48bz59

Autori

Rahul Deo Senior Resident, Department of Neurosurgery, IGIMS, Patna, Bihar, India
Anirudha Doshi Associate Consultant, Department of Neurosurgery, Kokilaben dhirubhai ambani hospital and research centre, India
Prathamesh Pathrikar 3rd Year DrNB Resident, Department of Neurosurgery, Kokilaben Dhirubhai ambani hospital and medical research centre, India
Sumitkumar Pundlik Bhagat DrNB Resident, Department of Neurosurgery, Kokilaben Dhirubhai ambani hospital and medical research centre, India

DOI:

https://doi.org/10.51168/gd48bz59

Cuvinte cheie:

Minimally invasive spinal surgery, tubular retractor system, spinal tumors, functional outcome, surgical efficacy

Rezumat

Background:

Minimally invasive spinal surgery using tubular retractor systems has gained increasing acceptance in spinal oncology because of reduced tissue trauma, decreased blood loss, and faster postoperative recovery. However, prospective evidence on its functional outcomes and surgical efficacy remains limited.

Aim:

To evaluate the functional outcome and surgical efficacy of minimally invasive tubular retractor systems in spinal tumor excision.

Methods:

This prospective observational study was conducted at Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, over two years. Sixty adult patients (mean age: 48.2 ± 11.4 years; 35 males and 25 females) undergoing minimally invasive spinal tumor excision using tubular retractor systems were enrolled. Functional outcomes were assessed using the Modified McCormick Scale (MMS) and Visual Analog Scale (VAS). Operative duration, blood loss, extent of tumor excision, hospital stay, postoperative complications, and neurological recovery were evaluated.

Results:

Gross total excision was achieved in 48 (80.0%) patients. Favorable MMS grades (I–II) improved significantly from 41.7% preoperatively to 81.7% at 6 months (p<0.001). Mean VAS score decreased from 7.1 ± 1.5 to 2.6 ± 1.1 (p<0.001). Mean blood loss was 285.6 ± 92.4 mL, mean hospital stay was 5.2 ± 1.8 days, and the overall postoperative complication rate was 13.3%.

Conclusion:

Minimally invasive tubular retractor systems provide safe and effective spinal tumor excision with favorable functional recovery and low postoperative morbidity.

Recommendation:

This technique may be considered for appropriately selected patients with spinal tumors.

Biografii autori

Rahul Deo, Senior Resident, Department of Neurosurgery, IGIMS, Patna, Bihar, India

is a Senior Resident in the Department of Neurosurgery at IGIMS, Patna, Bihar, India. His research interests include spinal oncology, minimally invasive spine surgery, and neurotrauma.
Anirudha Doshi, Associate Consultant, Department of Neurosurgery, Kokilaben dhirubhai ambani hospital and research centre, India

is an Associate Consultant in the Department of Neurosurgery at Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India. His areas of expertise include spinal surgery, neuro-oncology, and minimally invasive neurosurgical techniques.
Prathamesh Pathrikar, 3rd Year DrNB Resident, Department of Neurosurgery, Kokilaben Dhirubhai ambani hospital and medical research centre, India

is a 3rd-year DrNB Resident in the Department of Neurosurgery at Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India. His research focuses on spine surgery, neuro-oncology, and clinical outcomes research.
Sumitkumar Pundlik Bhagat, DrNB Resident, Department of Neurosurgery, Kokilaben Dhirubhai ambani hospital and medical research centre, India

is a DrNB Resident in the Department of Neurosurgery at Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India. His academic interests include minimally invasive spinal surgery, spinal tumors, and neurosurgical research.

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