Clinical characteristics and surgical outcomes of adult primary spinal cord tumors: A 10-year experience

We found in Pakistan that many of the 137 patients with spinal cord tumors presented late in their clinical course, often with significant neurological deficits; this highlights the need for earlier and better diagnostic capacity and referral pathways. Despite limited IONM availability due to limited resources, GTR rates and neurological improvement were achieved. Nevertheless, we still advocate using IONM where resources allow.