Spinal Tumours
Symptoms Of Spinal Tumours
Persistent Back Pain (especially at night)
This is often caused by the pressure exerted on surrounding nerves and tissues.
Loss of Sensation/Muscle Strength in Legs
Loss of sensation and muscle strength in the legs is a concerning symptom that may indicate nerve compression from a spinal tumour, necessitating prompt medical evaluation.
Difficulties with Bladder/Bowel Function
Difficulties with bladder and bowel function may indicate spinal tumours, as nerve compression can disrupt the normal autonomic control of these functions.
Causes
While the exact origins of spinal tumours are not fully understood, contributing factors may include genetic predispositions, exposure to certain chemicals or radiation and metastasis from other cancerous growths.
Diagnosis
Diagnosing spinal tumours involves a detailed medical history, physical examination and imaging tests such as MRIs and CT scans. Biopsies may also be conducted to identify the tumour type.
Spinal Tumours Treatment In Singapore
The treatment strategy for spinal tumours are tailored to the tumour’s type, location and size, as well as the patient’s overall health condition.

Radiation Therapy
Stereotactic Body Radiation Therapy (SBRT) delivers high-dose radiation to the tumour while avoiding the spinal cord and adjacent critical organs.

Minimally Invasive Surgery
Kyphoplasty is a minimally-invasive procedure where cement is injected into the bone to give it strength. Another procedure uses carbon fibre implants to stabilise the spine in preparation for SBRT.
FAQs on Spinal Tumours
Surgery is not a universal requirement for spinal tumours; the decision depends on the tumour's characteristics and the symptoms it causes. Careful consideration of all factors is important before recommending the best treatment approach, which may or may not include surgical intervention.
While many spinal tumours are benign, they can still cause significant issues due to their size or location. Regular monitoring and sometimes treatment are essential for managing benign tumours effectively.
The prognosis for individuals diagnosed with a spinal tumour varies greatly and depends on the tumour's type, stage at diagnosis and the patient's response to treatment.
At-home management of spinal tumour symptoms generally includes adhering to a treatment plan that may involve pain medications and prescribed exercises to maintain mobility. Regular follow-ups are crucial to ensure the effectiveness of home treatments and to make necessary adjustments.
Our Specialist
About Gamaliel Tan
MBBS (S'pore), MMED (S'pore), FAMS (Ortho), FRCS (Edin)Dr Gamaliel Tan is a spine surgeon in Singapore with over 25 years of experience in designing and providing effective solutions for different orthopaedic problems. He specialises in spine surgery and has experience in endoscopic spine surgery and motion preservation spine procedures (artificial disc replacements).
Qualifications and Achievements
- Head of Department, Department of Orthopaedics | NTFGH 2009 - 2018
- Council member of the AOSpine East Asia group 2017 – 2020
- Head of the Spine Division | NTFGH 2009 - 2023
- Group Chief Medical Informatics Officer (GCMIO) | NUHS 2020-2023

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