Design of an algorithm as a clinical protocol for managing patients with spinal LOE at the neurosurgery service of CMDLT

Abstract

Introduction: Spinal tumor pathology, although not the primary target in neurosurgery, is one of the most frequent pathologies. Objective: design of an algorithm that allows associating the clinical, epidemiological and imaging findings of patients with spinal lesions, depending on their severity and evolution, as a clinical protocol for the management of patients with spinal tumors based on the statistical review of the CMDLT data. Methods: clinical-epidemiological, retrospective, observational, descriptive and associative research. Starting from the documentary review, initial diagnostic test to the evolution of the clinical condition, as well as its outcome over a period of 10 years. Results: 93 cases were obtained, the average age was 55.1 years, male sex 53%, foreigners 59.14%, symptoms: pain 76.34%, paresis 59.14%, sensitive impairment 39.78%, ROT alteration 24.53%, sphincter impairment 9.68% radicular signs 7.53%, significant background in 50.54%, metastatic being predominant. Pathology: malignancy in 50.54%, surgical resolution time: less than one day in 53.76%. The study of choice was MRI in 84.95%, the most common affected level was T12, location: bone in 58.06%, satisfactory evolution in 54.84%. Conclusions: MRI was a decisive diagnostic element, the presence of bone lesion related to malignancy and extramedullary lesions with a benign result. The pain associated with the result of pathological anatomy would appear to be a riskier predictor of suffering from an unfavorable condition upon discharge from hospital.