ABSTRACT
The surgical management of intradural spinal cord tumors has evolved considerably over time, particularly over the past three decades with the widespread implementation of the operating microscope with its unparalleled magnification and illumination. Refinements in technique, equipment, monitoring, neuroprotection, and other adjuncts continue into the present. Prior to the 1970s many clinicians managing patients harboring intrinsic spinal cord tumors advocated conservative observation given the significant morbidity and mortality associated with operative intervention. Even the basic philosophy of surgical management has radically changed from the antiquated goal of open biopsy for diagnosis only, to one of radical and complete excision whenever possible complemented by stabilization when indicated. All clinical, pathological, and radiological data should be considered in each case among a neuro-oncological team, with the goal of appropriate but aggressive surgical removal of the tumor in the hope of achieving a cure.
