Objective To explore the surgical efficacy and related experiences of patients with thoracic meningioma.Methods The clinical data of 34 patients treated with microsurgery in the 903rd Hospital of the Joint Logistics Support Force from January 2017 to November 2023 were analyzed retrospectively.The baseline data were calculated such as patient age,maximum cross-sectional area of the tumor,whether the tumor was calcified,whether a second surgery or postoperative rehabilitation had been performed.The thoracic Japanese orthopaedic association(JOA)scores was used to evaluate the spinal cord nerve function status of patients before operation,postoperative discharge and the last follow-up.The extent of meningioma resection was evaluated by Simpson's gradation,and the relationship between postoperative functional scores and the above factors were analyzed statistically.Results Correlation analysis showed that the last follow-up JOA after surgery was correlated with postoperative rehabilitation,reoperation,and preoperative JOA(P＜0.05),but not with age,maximum tumor cross-section,tumor calcification,and Simpson's grade(P＞0.05).Further linear regression analysis showed that postoperative neurological function improvement in patients was related to preoperative neurological function status,reoperation,and whether postoperative rehabilitation was performed(P＜0.05).Conclusions Modern microsurgical techniques can significantly improve the clinical symptoms of patients with thoracic meningioma,and preoperative spinal cord nerve function is the decisive factor for prognosis;Simultaneously,complete resection of the tumor during surgery,combined with later spinal cord function rehabilitation,can lead to a better prognosis for thoracic meningioma.
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