ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016
Long-term recurrence rates after the removal of spinal meningiomas in relation to Simpson grades.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Resection vs. coagulation of dural attachment in patients with spinal meningioma: an updated systematic review and meta-analysis.Acta neurochirurgica · 2024Pooled it
- EANO guideline on the diagnosis and management of meningiomas.Neuro-oncology · 2021Guideline
- Contralateral vs. ipsilateral hemilaminectomy for spinal meningiomas: impact on resection completeness, stability, and recurrence.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Lumbar interdural meningioma: A case report and anatomical considerations.Surgical neurology international · 2026Article
- Review
- Review
- Spinal meningiomas.Neuro-oncology advances · 2023Article
- Meningioma and Other Meningeal Tumors.Advances in experimental medicine and biology · 2023Article
- Review
- Functional Outcome in Spinal Meningioma Surgery and Use of Intraoperative Neurophysiological Monitoring.Cancers · 2022Article
- Article
- The applicability of established clinical and histopathological risk factors for tumor recurrence during long-term postoperative care in meningioma patients.Neurosurgical review · 2022Article
- Unsuccessful external validation of the MAC-score for predicting increased MIB-1 index in patients with spinal meningiomas.Frontiers in oncology · 2022Article
- MAC-spinal meningioma score: A proposal for a quick-to-use scoring sheet of the MIB-1 index in sporadic spinal meningiomas.Frontiers in oncology · 2022Article
- Article
- Surgical results of the resection of spinal meningioma with the inner layer of dura more than 10 years after surgery.Scientific reports · 2021Article
- Use of Saito technique to resect an anterior lumbar spine meningioma: Technical note.Surgical neurology international · 2021Article
- Age at Diagnosis and Baseline Myelomalacia Sign Predict Functional Outcome After Spinal Meningioma Surgery.Frontiers in surgery · 2021Article
- The Role of Surgery in Meningiomas.Current treatment options in neurology · 2019Review
- Intradural spinal tumors in adults-update on management and outcome.Neurosurgical review · 2019Review
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Authors and funding
13 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSimpson grade II removal (coagulation of the dural attachment after gross total removal) of spinal meningioma is considered an acceptable alternative, but increased recurrence after more than 10 years has been reported. More attention must be paid to the long-term surgical outcomes after Simpson grade II removal.
methodsA retrospective review was performed for 20 patients (M:F = 5:15; age, 59 ± 9 years) with Simpson grade II removal (mean follow-up period, 12.9 years; range 10.0-17.5). Magnetic resonance (MR) imaging was conducted in 17 patients at 88 ± 52 months (range 12-157). During the same period, Simpson grade I removal (removal of the dural origin) was performed in 21 patients (follow-up, 89 ± 87 months; range 9-316). Radiological recurrence was defined as a visible tumor on a follow-up MR image, and clinical tumor recurrence was defined as the recurrence of symptoms.
resultsAt the final follow-up, neurological symptoms had improved in 16/20 patients and remained stable in 4/20. A recurrent tumor was detected in one patient due to increased back pain at 92 months postoperative, but the symptom was stable without surgery until the last follow-up (124 months). The radiological and clinical recurrence-free survival periods were 150 ± 7 months (95 % CI 136-163) and 204 ± 6 months (95 % CI 193-215), respectively. There was no recurrence after Simpson grade I removal, whereas neurological deterioration occurred in two patients after surgery.
conclusionsSimpson grade II removal may be an alternative option if the risk of complications with Simpson grade I removal is expected to be high.
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