Spine Oncology Programme · Hyderabad
Spine Tumor Surgery in Hyderabad
Comprehensive management of spinal cord tumours and vertebral metastases. Combining microsurgical precision with advanced spinal reconstruction to relieve pain, restore stability, and preserve neurological function.
Types of Spinal Tumours We Treat
Spinal tumours can develop within the spinal cord (intramedullary), inside the covering but outside the cord (intradural-extramedullary), or in the bones/vertebrae (extradural).
- Benign Tumours: Meningiomas, Schwannomas, Neurofibromas.
- Malignant Tumours: Ependymomas, Astrocytomas.
- Metastatic Tumours: Cancer spread from lung, breast, prostate, or kidney.
Early diagnosis and intervention are critical to prevent permanent paralysis and loss of bladder/bowel function.
When is Surgery Needed?
- Progressive Weakness: Growing paralysis or loss of sensation.
- Intractable Pain: Severe pain not relieved by medication, often worse at night.
- Spinal Instability: Tumour destroying bone, risking vertebral collapse.
- Diagnosis: Need for biopsy to determine the exact tumour type for oncology treatment.
Surgical Techniques
Microsurgical Resection
Using high-magnification microscopes to delicately separate the tumour from the spinal cord and nerves. This is the gold standard for benign tumours like schwannomas and meningiomas.
Spinal Stabilisation (Fusion)
If the tumour involves the vertebrae, screws and rods are used to rebuild the spine's strength and stability after tumour removal.
Decompression Surgery
Removing the bone (laminectomy) pushing on the spinal cord to create space and immediately relieve pressure, often done in emergencies.
Separation Surgery
Creating a safe gap between the spinal cord and the tumour to allow high-dose radiation (SBRT/CyberKnife) to be delivered safely post-surgery.
Advanced Safety Protocols
- • Neuromonitoring (IONM): Continuous electrical testing of nerves during surgery to prevent injury.
- • CUSA (Ultrasonic Aspirator): Device to gently liquefy and remove firm tumours without tugging on the cord.
- • Intraoperative Navigation: GPS-like guidance to precisely locate deep-seated tumours.
- • Multidisciplinary Care: Collaboration with medical and radiation oncologists for complete cancer care.
Recovery & Rehabilitation
In-Hospital
Pain management and early mobilisation (walking) usually within 24-48 hours. Drains are typically removed by day 2 or 3.
Physical Therapy
Crucial for regaining strength, balance, and gait. Our team designs a specific plan based on your preoperative function.
Oncology Follow-up
For malignant tumours, radiation or chemotherapy planning begins once the surgical wound has healed (usually 2-3 weeks).
Patient Support & Next Steps
A diagnosis of a spinal tumour can be overwhelming. We prioritise clear communication, rapid evaluation, and compassionate care. Dr. Sayuj Krishnan reviews all imaging personally to determine the safest and most effective treatment strategy.
Frequently Asked Questions
Are all spine tumours cancerous?
No. Many primary spinal tumours (like meningiomas or schwannomas) are benign but dangerous because they compress the spinal cord. Metastatic tumours (spread from lung, breast, etc.) are malignant and require comprehensive oncological care.
Will I need spinal fusion?
If the tumour has destroyed the vertebral bone or if removing the tumour makes the spine unstable, we perform spinal fusion (fixation with screws and rods) to restore stability and alignment.
How do you protect nerves during surgery?
We use continuous intraoperative neuromonitoring (IONM) which tests nerve function in real-time. This warns the surgeon immediately if any manipulation threatens nerve integrity, allowing for safer resection.
What is the role of radiosurgery?
Stereotactic radiosurgery (like CyberKnife or Gamma Knife) delivers high-dose radiation to the tumour while sparing healthy spinal cord tissue. It is often used for metastatic tumours or residual benign tumours.
Do you treat metastatic spine tumours?
Yes. We work closely with medical and radiation oncologists. Surgery is often the first step to relieve spinal cord compression and stabilise the spine before radiation or chemotherapy begins.
Dr. Sayuj Krishnan, Neurosurgeon
Room 317, OPD Block, Yashoda Hospital, Malakpet, Hyderabad, Telangana 500036
Phone: +91 9778280044 · Email: hellodr@drsayuj.info
Authored by: Dr. Sayuj Krishnan S, Neurosurgeon
Reviewed by: Dr. Sayuj Krishnan S, Board Certified Neurosurgeon
Last reviewed: 2 January 2026
Disclaimer: This content is for informational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment.
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Sources & Evidence
- American Association of Neurological Surgeons – Spinal Tumors
- National Cancer Institute – Spine Tumor Overview
- Spine Universe – Types of Spinal Tumors
External links are provided for transparency and do not represent sponsorships. Each source was accessed on 19 Oct 2025.
Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 19 October 2025
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.