Conditions

Spinal Tumor

Cervical Myelopathy
This is a 63 year-old man with metastatic melanoma to the C5 vertebral body. This slow growing tumor was compressing the spinal cord, which resulted in arm pain and numbness in the hands.
Cervical Myelopathy
This is an x-ray 12 months after the procedure. I performed a C5 Corpectomy with circumferential tumor resection and posterior spinal instrumentation.

A spinal tumor is a growth of cells (mass) in or surrounding the vertebral column and spinal cord. The most common malignant spinal tumor is metastatic disease from a distant cancer.

Causes

Any type of tumor may occur in the spine, including:

A small number of spinal tumors occur in the nerves of the spinal cord itself. Most often these are ependymomas and other gliomas.

Tumors that start in spinal tissue are called primary spinal tumors. Tumors that spread to the spine from some other place (metastasis) are called secondary spinal tumors. Tumors spread to the spine most commonly from the breast, prostate, lung, and other areas.

The cause of primary spinal tumors is unknown. Some primary spinal tumors occur with genetic defects.

Spinal tumors can occur:

Or, tumors may extend from other locations. Most spinal tumors are extradural.

As it grows, the tumor can affect the:

The tumor may press on the spinal cord or nerve roots, causing damage. With time, the damage may become permanent.

Symptoms

The symptoms depend on the location, type of tumor, and your general health. Tumors that have spread to the spine from another site (metastatic tumors) often progress quickly. Primary tumors often progress slowly over weeks to years.

Tumors in the spinal cord usually cause symptoms, sometimes over large portions of the body. Tumors outside the spinal cord may grow for a long time before causing nerve damage.

Symptoms may include:

Abnormal sensations or loss of sensation:

Exams and Tests

A neurological examination may help pinpoint the location of the tumor. The surgeon may also find the following during an exam:

These tests may confirm spinal tumor:

Treatment

Treatment depends on tumor type and location. The goal of treatment is to reduce or prevent nerve damage from pressure on (compression of) the spinal cord.

Treatment should be given quickly. The more quickly symptoms develop, the sooner treatment is needed to prevent permanent injury. Any new or unexplained back pain in a patient with cancer should be thoroughly investigated.

Nerve damage often continues, even after surgery. Although some amount of permanent disability is likely, treatment may delay major disability and death.

Possible Complications

Spinal Tumor Animation