• Sudheer Ambekar, Mayur Sharma, Sunil Kukreja, and Anil Nanda.
• Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, USA.
• Clin Neurol Neurosurg. 2014 Mar 1;118:65-8.

ObjectiveThe aim of the present study was to analyze the practice patterns, complications and outcome following surgery for spinal meningioma in the United States.Patients And MethodsWe performed a retrospective cohort study using the Nationwide Inpatient Sample database from 2003 to 2010. In-patient mortality and discharge disposition were the outcome predictors.ResultsA total of 13,792 admissions for surgically managed spinal meningioma were identified. The number of admissions increased from 12.6% in 2003 to 14.7% in 2010. 1.2% patients were ≤18 years and 28.4% ≥70 years. 8.3% patients had high co-morbidity score. The total in-hospital complication rate was 6.4%. 42% of the admissions were discharged to facilities other than home or self-care. Patients in the pediatric and adult age groups had a significantly higher rate of adverse outcome. There was no difference in complication rates and adverse discharge disposition between the hospitals with varying case volumes.ConclusionsCaucasian patients with private insurance without co-morbidity had significantly lower complication rate and good outcome. Occurrence of spinal meningioma in the pediatric and adult age groups does not carry worse prognosis.Copyright © 2014 Elsevier B.V. All rights reserved.

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