Benign intraspinal tumors and tumors with a low grade of malignity usually have a good prognosis with prolonged survival if surgical treatment is successful.
With regard to neurological function, the prognosis is generally better for patients with minor neurological impairment than for more pronounced spinal cord lesions.
Highly malignant tumors have a poor prognosis with rapid progression and an average survival of less than one year.
The majority of intramedullary tumors grow slowly, and it is normal that the patient lives for several decades after the tumor diagnosis. Patients who undergo a radical operation for ependymomas have a particularly good prognosis, whereas patients with aggressive astrocytomas in the spinal cord have a short life expectancy.
The prognosis after the surgical removal of meningiomas and Schwannomas is very good, and recurrence is rare.
The majority of extradural tumors are metastases. Patients, therefore, often have short life expectancy due to generalized cancer.
The aim of treatment is to maintain the patient's quality of life and neurological function.