Spinal Tumor Surgery

If you have a slow-growing metastatic spinal tumor, or only one spinal tumor and experience a neurological deficit such as weakness, loss of muscle control, and/or significant spinal instability, then you may require spinal tumor surgery. The need for surgery is also influenced by the tumor type, the extent of bone destruction, your general condition, and the anticipated cancer treatment plan.

You may undergo an extensive surgical procedure where the stabilization method depends upon the specifics of your tumor. The fusion typically involves titanium rods, screws, and cages, assisted by spinal navigation. The surgery can last 4-8 hours, depending on the tumor and the extent of the stabilization procedure. Post-surgery, patients undergo a physical assessment and further medical investigations to plan their recovery. You are encouraged to ask any questions regarding the surgery, hospital stay, recovery, and post-surgery activities.

Day 1:

The procedure is explained in detail to the patient or their relative, and consent is obtained. A Pre-Anaesthesia Checkup (PAC) is performed. An Intravenous line (IV) is then inserted to provide fluids. The patient is then taken to the Operating Theatre (OT) for the procedure and given anesthesia. After the surgery, the patient is moved to the Post Anaesthesia Care Unit (PACU). Once fully awake, they are transferred to the Intensive Care Unit for overnight observation.

Day 2:

After surgery, you will be shifted to a regular room. It’s normal to experience pain, fever, and a lack of appetite from postsurgical day 2 to around day 4. While in the room, your condition will be closely monitored, and you will receive appropriate medication, including pain relievers. You might be provided with a Patient Controlled Analgesia (PCA) pump, allowing you to manage your pain relief. Additionally, you will have a Hemovac drain in your back to remove fluids and a catheter to assist with urination.

Day 3:

You will be gradually mobilized by the rehabilitation team and will undergo mild physiotherapy. By this time, your pain should have decreased. Your catheter will be removed, and you will be encouraged to use the regular washroom.

Day 4:

Your incision will be inspected, and if the wound has healed, stitches or staples will be removed. You will need to keep the bandage on for another day. The discharge process will then be undertaken. You will be given detailed instructions about discharge medication, exercises to be done at home, and follow-up appointments. You will be discharged in a stable condition.

Your first follow-up appointment will be scheduled for 3 weeks after the surgery, followed by additional checkups at six weeks and six months. You can schedule further follow-ups anytime if you have questions or concerns about your recovery.

During this period, you should gradually resume your normal routine, but returning to work or school immediately may be challenging. You are advised to refrain from smoking.

You will be able to return to rigorous activities approximately 4-6 months after the surgery