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Clinical features and rehabilitation outcome after surgical treatment of spinal meningioma

Spinal Cord Series and Cases volume 10, Article number: 75 (2024) Cite this article

Subjects

Abstract

Study design

Retrospective analysis of clinical routine data.

Objectives

Spinal meningioma is a common type of benign spinal tumor. Surgical removal is the standard therapeutic approach. While surgery is generally associated with excellent outcomes, little is known about the rehabilitation outcome of patients with postoperative deficits. Therefore, we aim to describe the clinical features and rehabilitation outcomes of patients after surgical removal of spinal meningioma.

Setting

Region of Swabia, Bavaria, Germany.

Methods

We conducted a retrospective analysis of patients with spinal meningioma who underwent a rehabilitation program for patients with non-traumatic spinal cord injury at our department over the past five years. In addition to routine data, we focussed on analysing the Barthel Index, SCIM III score, and ASIA impairment scale before and after rehabilitation.

Results

15 patients were included in the analysis. While most of them only had a few restrictions relevant to activities of daily living, some had severely limited walking ability. The predominant clinical feature was incomplete paraplegia with or without neurogenic bladder and bowel affection. The Barthel Index and SCIM III score demonstrated positive changes in the majority of cases, while alterations in the ASIA impairment scale were observed in a minority.

Conclusion

Considering the results of outcome parameters, rehabilitation treatment appears effective for these patients. Nonetheless, further studies with larger patient cohorts are necessary to confirm these findings.

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Data availability

The data that support the findings of this study are available on request from the corresponding author Gdynia HJ. The data are not publicly available due to them containing information that could compromise research participant privacy/consent.

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Author information

Authors and Affiliations

  1. Fachklinik Enzensberg, Department of Neurology, Hopfen am See, Germany

    Hans-Jürgen Gdynia, Peter Schneiderat, Andreas Gratzer, Katja Wiedhopf & Natalie Gdynia

  2. Klinikgruppe Enzensberg, Department of Research, Development and Quality Assurance, Hopfen am See, Germany

    Ingo Haase

Authors
  1. Hans-Jürgen Gdynia
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  2. Peter Schneiderat
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  3. Andreas Gratzer
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  4. Katja Wiedhopf
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  5. Natalie Gdynia
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  6. Ingo Haase
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Contributions

HJG conceived the presented project and wrote the manuscript with contributions of NG and AG. HJG, PS, AG, KW collected the data. IH performed the statistical analysis. HJG, NG, PS, AG, KW and IH evaluated the data, drew conclusions and contributed to the final version of the manuscript. All authors approved the final version of the manuscript.

Corresponding author

Correspondence to Hans-Jürgen Gdynia.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethical statement

The responsible ethics committee has confirmed that ethical approval is not required according to local laws and regulations (ethics committee ‘Bayerischen Landesärztekammer, Germany’, No. 240063).

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Gdynia, HJ., Schneiderat, P., Gratzer, A. et al. Clinical features and rehabilitation outcome after surgical treatment of spinal meningioma. Spinal Cord Ser Cases 10, 75 (2024). https://doi.org/10.1038/s41394-024-00688-5

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