Spinal Tumors

Spinal tumors can affect the bones, nerves, or surrounding structures of the spine and may cause pain, neurologic symptoms, or spinal instability. These conditions require careful evaluation to determine the underlying cause and the most appropriate treatment approach.

Aqib Zehri, MD, is a fellowship-trained neurosurgeon in Portland, Oregon, specializing in complex spine conditions, including spinal tumors. He provides comprehensive evaluation and treatment, working within a multidisciplinary framework when appropriate to develop an individualized plan based on each patient’s diagnosis and overall health.

What is a spinal tumor?

A spinal tumor is an abnormal growth that can develop within the bones of the spine, the spinal cord, or the surrounding structures. Depending on its location, it may exert pressure on the spinal cord or nearby nerves, affecting spinal stability.

Common symptoms may include:

• Persistent or progressively worsening back pain

• Numbness, tingling, or electric shock-like sensations in the arms or legs

• Muscle weakness

• Difficulty walking or maintaining balance

Because the spinal cord controls many critical functions, even small tumors can cause noticeable symptoms. Early evaluation is important to determine the type of tumor and the most appropriate treatment approach.

What symptoms may indicate a spinal tumor?

Symptoms often develop gradually and may initially resemble more common spine conditions. However, certain features raise concern and warrant further evaluation.

You should seek evaluation if you experience:

• Back pain that continues to worsen over time

• Pain that occurs at rest or wakes you at night

• Numbness, tingling, or weakness in the arms or legs

• Difficulty with coordination or balance

• Frequent stumbling or changes in gait

These symptoms may result from:

• Compression of the spinal cord or nerves

• Structural weakening of the spine

• Associated instability or fracture

Imaging studies are essential for evaluating the size, location, and characteristics of the tumor and for guiding treatment planning.

How are spinal tumors evaluated?

Evaluation begins with a detailed history and neurologic examination.

Imaging typically includes:

• MRI to assess the spinal cord, nerves, and soft tissue involvement

• CT scans to evaluate bony structures and stability

• X-rays when alignment or structural changes are suspected

In some cases, additional testing or biopsy may be required to determine the exact tumor type.

What treatment options are available?

Treatment depends on:

• Tumor type (benign vs malignant)

• Location within the spine

• Degree of nerve or spinal cord involvement

• Overall patient health

Management options may include:

• Observation with serial imaging for slow-growing tumors

• Radiation therapy for tumor control

• Medications or systemic therapy when appropriate

• Surgical intervention for decompression or stabilization

When surgery is indicated, the goal is to:

• Safely remove or reduce the tumor

• Protect neurologic function

• Restore spinal stability

Dr. Zehri specializes in complex spine surgery and utilizes advanced techniques, including minimally invasive and targeted approaches when appropriate, based on tumor type and anatomy.

Take the next step

If you are experiencing concerning spine symptoms or have been diagnosed with a spinal tumor, a comprehensive evaluation can help clarify your diagnosis and treatment options.

Call the office or request an appointment online to get started.