Characteristics of Patients Selected for Surgical Treatment of Spinal Meningioma

Spinal meningiomas are benign extra-axial tumors that can present with neurological deficits. Treatment partly depends on the degree of disability as there is no agreed-upon patient selection algorithm at present. We aimed to elucidate general patient selection patterns in patients undergoing surger...

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Published in:World neurosurgery 2022-09, Vol.165, p.e680-e688
Main Authors: Spirollari, Eris, Vazquez, Sima, Das, Ankita, Wang, Richard, Ampie, Leonel, Carpenter, Austin B, Zeller, Sabrina, Naftchi, Alexandria F, Beaudreault, Cameron, Ming, Tiffany, Thaker, Akash, Vaserman, Grigori, Feldstein, Eric, Dominguez, Jose F, Kazim, Syed Faraz, Al-Mufti, Fawaz, Houten, John K, Kinon, Merritt D
Format: Article
Language:English
Subjects:
Anticoagulants
Humans
Meningeal Neoplasms - surgery
Meningioma - epidemiology
Meningioma - surgery
Obesity
Paralysis
Postoperative Complications - epidemiology
Retrospective Studies
United States - epidemiology
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Summary:Spinal meningiomas are benign extra-axial tumors that can present with neurological deficits. Treatment partly depends on the degree of disability as there is no agreed-upon patient selection algorithm at present. We aimed to elucidate general patient selection patterns in patients undergoing surgery for spinal meningioma. Data for patients with spinal tumors admitted between 2016 and 2019 were extracted from the U.S. Nationwide Inpatient Sample. We identified patients with a primary diagnosis of spinal meningioma (using International Classification of Disease, 10 revision codes) and divided them into surgical and nonsurgical treatment groups. Patient characteristics were evaluated for intergroup differences. Of 6395 patients with spinal meningioma, 5845 (91.4%) underwent surgery. Advanced age, nonwhite race, obesity, diabetes mellitus, chronic renal failure, and anticoagulant/antiplatelet use were less prevalent in the surgical group (all P 
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2022.06.121