Rehabilitation of Patients with Primary Intradural Tumors of the Spinal Cord
This chapter will approach rehabilitation of patients with spinal tumors from the perspective of the World Health Organization’s International Classification of Function. Tumor pathology guides clinicians in prognostication. Impairments involve virtually every organ system in the body, and the rehab physician must manage and ameliorate these to enhance outcomes of the rehab program, and minimize secondary complications. The rehabilitation program must establish achievable and measurable goals for mobility and activities of daily living. Ultimately, the aim of any rehabilitation program is to enhance patient participation in society, and enable the individual to achieve their goals of maximizing their independence in home life, vocational and recreational activities.
KeywordsSpinal cord injury Motor deficits Sensory deficits Spasticity pain Neurogenic bowel Neurogenic bladder Sexual dysfunction Skin integrity Psychosocial impact
- 1.Karikari IO, Nimjee SM, Hodges TR, Cutrell E, Hughes BD, Powers CJ, Mehta AI, Hardin C, Bagley CA, Isaacs RE, Haglund MM, Friedman AH. Impact of tumor histology on resectability and neurological outcome in primary intramedullary spinal cord tumors: a single-center experience with 102 patients. Neurosurgery 76 Suppl 1:S4-13; discussion S13. 2015; https://doi.org/10.1227/01.neu.0000462073.71915.12.CrossRefGoogle Scholar
- 4.McKinley W. Rehabilitation of patients with spinal cord dysfunction in the cancer setting. In: Stubblefield M, O'Dell M, editors. Cancer rehabilitation principles and practice. New York: Demos Medical Publishing; 2009. p. 533–50.Google Scholar
- 5.Campello C, Le Floch A, Parker F. Neuroepithelial intramedullary spinal cord tumors in adults: study of 70 cases. Paper presented at the American Academy of Neurology annual meeting. WA: Seattle; 2009.Google Scholar
- 9.Raco A, Esposito V, Lenzi J, Piccirilli M, Delfini R, Cantore G. Long-term follow-up of intramedullary spinal cord tumors: a series of 202 cases. Neurosurgery. 2005;56(5):972–81. discussion 972-981Google Scholar
- 14.Gerszten PC, Burton SA, Ozhasoglu C, McCue KJ, Quinn AE. Radiosurgery for benign intradural spinal tumors. Neurosurgery. 2008;62(4):887–95.; discussion 895-886. https://doi.org/10.1227/01.neu.0000318174.28461.fc.CrossRefPubMedGoogle Scholar
- 18.Engelhard HH, Villano JL, Porter KR, Stewart AK, Barua M, Barker FG, Newton HB. Clinical presentation, histology, and treatment in 430 patients with primary tumors of the spinal cord, spinal meninges, or cauda equina. J Neurosurg Spine. 2010;13(1):67–77. https://doi.org/10.3171/2010.3.SPINE09430.CrossRefPubMedGoogle Scholar
- 27.National SCI Statistical Center (2017) Spinal cord injury facts and figures at a glance. National Spinal Cord Injury Statistical Center, University of Alabama. https://www.nscisc.uab.edu/PublicDocuments/fact_figures_docs/Facts%202013.pdf. Accessed July 5 2018.
- 28.New PW, Marshall R, Stubblefield MD, Scivoletto G. Rehabilitation of people with spinal cord damage due to tumor: literature review, international survey and practical recommendations for optimizing their rehabilitation. J Spinal Cord Med. 2017;40(2):213–21. https://doi.org/10.1080/10790268.2016.1173321.CrossRefPubMedGoogle Scholar
- 33.Fortin CD, Voth J, Jaglal SB, Craven BC. Inpatient rehabilitation outcomes in patients with malignant spinal cord compression compared to other non-traumatic spinal cord injury: a population based study. J Spinal Cord Med. 2015;38(6):754–64. https://doi.org/10.1179/2045772314Y.0000000278.CrossRefPubMedPubMedCentralGoogle Scholar