RESULTS OF SURGICAL TREATMENT OF TUMORS SPINAL CORD AND SPINE WITH COMPRESSION OF NEURAL STRUCTURES

Spinal cord tumors, differing in their histostructure, the nature of growth and the ratio to the diameter of the spinal cord, continue to be a difficult problem, both in terms of choosing the optimal treatment tactics and results. We present the results of surgical treatment of the most common spinal chord neoplasms in 2022, conducted in the Alexandro-Mariinskaya Regional Clinical Hospita. The purpose of the study – to present the results of surgical treat-ment of spinal cord and spine tumors with secondary compression of neural structures that differ in histostructure, de-gree of malignancy and level of lesion. In 2022, 19 patients were operated on by various methods in the Alexandro-Mariinskaya Regional Clinical Hospita. 3 clinical cases with different histostructure and topographic-anatomical level of lesion are presented. Surgical treatment of spinal cord tumors was performed in 19 patients with different histostruc-ture and topographic and anatomical lesion levels. Using the example of three clinical cases, the choice of various sur-gical treatment tactics that are most optimal for maintaining the patient's quality of life is demonstrated. The analysis of the surgical manual, its relationship with the prognostic trend, which affect the overall survival of patients with tu-mors of the spinal cord and spine. The dependence of a number of factors was revealed: the histological structure, the degree of “aggressiveness” of the oncological process, the possible spread of metastatic foci in the body. This, in turn, is interconnected with modern methods of diagnosis, surgical and adjuvant treatment, neurological and somatic compen-sation of the patient, which will allow to determine and transfer the aggressiveness of the indicated treatment method. The available modern equipment, accumulated surgical experience and the chosen active tactics for the maximum total removal of the lesion justified themselves, allowing to achieve a good functional result in 18 of the 19 operated patients.