Abstract:
The management of spinal tumors requires personalized treatment based on neurological status, lesion
location, and extent. This retrospective study analyzes the clinical experience of patients with spinal tumors,
comparing the effectiveness of decompression and stabilization techniques in their treatment. Analysis of the
effectiveness of decompression and stabilization techniques in the management of spinal tumors, clinical
outcomes in the period 2020-2023, neurological improvement and spinal stability. The retrospective study
included 42 patients diagnosed with spinal tumors (14 primary, 28 metastatic), operated on during 2020–2023,
within the INN "Diomid Gherman". Patients were evaluated using the ASIA scale, Karnofsky score and SINS
score for tumoral spinal instability. Postoperative surveillance was for a minimum of 6 months. The
interventions consisted of: Spinal decompression by laminectomy(n = 30), segmental transpedicular
stabilization (n = 35), with or without interbody cage reconstruction (n = 12), vertebroplasty with acrylic
cement (n = 7) in selected cases. Obtaining the results: Neurological improvement (≥1 ASIA grade) in 71% of
cases. Vertebral stability restored in all cases treated with implants. Minor postoperative complications in 4
patients (9.5%): superficial infection, screw migration without neurological deficit, 6-month survival rate: 76%
(with postoperative integrated adjuvant oncological therapies). Surgery for spinal tumors should be
individualized, combining decompression and stabilization based on neurological status and lesion location.
Transpedicular fixation, often with corpectomy or vertebroplasty, is essential for stability. Treatment requires a
multidisciplinary approach.
