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Abstract
In our study, we have discussed the outcome of surgical management of 15 patients with spinal meningiomas operated between January 2014 to January 2015. The neurological presentation obtained during the preoperative stage and post-operative follow up were evaluated, the mean post-operative follow up period was 12 months and factors affecting surgical outcome was revealed.The analysis of early clinical symptoms shows that, the initial symptom was pain which may be local or radicular in nature, but the most common was combined deficit of motor weakness, sensory disturbance and sphincter disturbance. More advanced treatment approaches aimed at preserving and further enhancing the neurological function have been developed over the past 30 years. In addition, great strides have been made recently in the prognosis of surgery due to the development of diagnostic tools, such as CT and MRI, an understanding of the precise anatomical structures, and the advancement of surgical instrumentation and techniques.Postoperatively, remarkable improvements in neurological deficits were achieved as total resection was achieved in majority (86.6%) also clinically, (86.6%) had excellent to good results, no neurological deficit occurred as a postoperative complication Therefore, surgical intervention is highly recommended for symptomatic spinal meningioma especially with prolonged or severe neurological symptoms, as delay in surgical removal and treatment can lead to permanent neurological deficit, also risk factor as age, severe preoperative neurological deficit also if the tumor is ventral to the cord and calcified, have been considered as predicators of a poor surgical outcome, Also 3 predictor variables for recurrence were invasion of the arachnoid/pia, Simpson resection grade and histological tumor grade