Spinal cord tumor care at Mayo Clinic

[MUSIC PLAYING]

Bruce Pawelk: I grew up hunting and fishing. I've been a lifelong member of Minnesota, you know? A few years ago I was experiencing lower back pain. I went to my regular doctor, and they decided to do an MRI. Biopsy was performed, and they came in and told me, "You have cancer. You have a very deadly cancer."

Michelle Clarke, M.D., Neurosurgery, Mayo Clinic: Bruce was diagnosed with a chordoma, and that is a type of tumor that grows often in the sacrum or the skull base through the top and bottom of the spine. And it is a slowly growing but fairly aggressive tumor. Now the treatment for a chordoma is an aggressive surgery where we take the tumor out in one piece.

Bruce Pawelk: Dr. Clarke is one of the few doctors in the world that could do this surgery. She explained to me with great confidence, I can get this thing. You could see it in her eyes. This gal wasn't going to lose.

Dr. Clarke: Because it is so complicated, very few people are interested in doing it. And Mayo Clinic is one of the places where we are easily able to get these multi-disciplinary teams together and perform such complex surgeries.

Bruce Pawelk: You meet this team, and this team thoroughly, thoroughly goes through every process, and explains it to you, what's going to happen.

Dr. Clarke: One of the major concerns we had with surgery was losing function of the legs, especially his feet, which would have really made it difficult for him to do a lot of the things that he really enjoys doing.

Bruce Pawelk: When I came to after surgery, I was in intensive care. And one of the surgeons came in and pushed on my feet and said, "Can you feel this?" I said, "Yeah." "Can you wiggle your toes?" I wiggled my toes. "Can you push on my hands?" I pushed on her hands and she goes, "Yes!"

Dr. Clarke: Bruce is actually doing very well. And it is amazing when he comes back and talks about all the things he's doing.

Bruce Pawelk: I love to walleye fish. I love just to go snowshoeing in the woods. These are things that I always did, and I still can do them, but now it's with a whole different passion, a whole different meaning.

Dr. Clarke: The goal for all of us is to cure his cancer. And he has worked just as hard as we have to make that happen.

Bruce Pawelk: Through Mayo, I was able to regain my life I had before. I didn't have to go into that wheelchair that I feared so much. It really changes the outlook of your life.

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Spinal tumor experts at Mayo Clinic provide comprehensive care for adults and children with spinal cord tumors.

Your Mayo Clinic care team

At Mayo Clinic, doctors in different specialties work together in teams to provide you with the best care possible. Teams that care for people with spinal cord tumors may include:

  • Neuroradiologists.
  • Neuropathologists.
  • Neurosurgeons.
  • Orthopedic surgeons.
  • Medical oncologists.
  • Radiation oncologists.
  • Neurologists with subspecialty expertise in spinal tumor diagnosis and management.
  • Rehabilitation specialists.
  • Other specialists, as needed.

Having all this expertise in a single place, focused on you, means that you're not just getting one opinion. Your care is discussed among the team. Every treatment option is considered, along with your needs and preferences.

What might take months to accomplish elsewhere can typically be done in a matter of days at Mayo Clinic. Your test results are available quickly. Appointments are coordinated to make the most of your time.

Photo of doctor showing 3D model of spine to a patient.

Advanced diagnosis and treatment

At Mayo Clinic, people with spinal cord tumors have access to the latest imaging and diagnostic tools available. There's a long history of Mayo Clinic scientists developing those cutting-edge technologies for patient care.

Mayo Clinic is one of the highest volume neurosurgical centers in the country. It's not unusual for surgeons from multiple specialties to be in the operating room together. Depending on the location of your spinal cord tumor, your surgical team could include:

  • Thoracic surgeons.
  • Orthopedic surgeons.
  • Cardiac surgeons.
  • General surgeons.
  • Plastic surgeons.

Specialists work together using the latest technological advanced available to them.

Photo showing technician comforting patient in MRI scanner

Expertise and rankings

Photo of doctor showing medical images to a child and parent

Mayo Clinic's world-renowned spinal tumor teams have been treating and removing spinal cord tumors for more than 100 years. When you seek care from the experts at Mayo Clinic, you can expect:

  • A team approach to care. Spinal cord tumor care teams include neuroradiologists, neuropathologists, neurosurgeons, orthopedic surgeons, medical oncologists, radiation oncologists, neurologists with subspecialty expertise in tumor diagnosis and management, rehabilitation specialists, and other healthcare professionals who work together to provide exactly the care each patient needs.
  • Diagnostic and treatment capabilities. Mayo Clinic offers rapid diagnostic testing and assessments by a team of skilled experts. Neurologists and neurosurgeons work with experienced nerve tissue analysts to identify spinal cord tumors.
  • Experience you can trust. The spinal cord tumor experts at Mayo Clinic have experience in evaluating and treating people with vertebral tumors. Each year, Mayo Clinic provides comprehensive care for more than 400 adults and children with spinal cord tumors.
  • Comprehensive cancer center. Mayo Clinic Comprehensive Cancer Center meets the strict standards for a National Cancer Institute comprehensive cancer center. These standards recognize scientific excellence and a multispecialty approach focused on cancer prevention, diagnosis and treatment.
  • Collaboration with other experts. Mayo Clinic also takes part in the Alliance for Clinical Trials in Oncology. This group includes scientists throughout the U.S. and Canada who work together to conduct clinical trials and reduce the impact of cancer. Mayo Clinic also participates in other regional, national and international cooperative groups and collaborations devoted to cancer research.

Mayo Clinic in Rochester, Minnesota, Mayo Clinic in Phoenix/Scottsdale, Arizona, and Mayo Clinic in Jacksonville, Florida, are ranked among the Best Hospitals for neurology and neurosurgery in the U.S. News & World Report Best Hospitals rankings.

Learn more about Mayo Clinic's neurology and neurosurgery departments' expertise and rankings.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

More information about billing and insurance:

Mayo Clinic in Arizona, Florida and Minnesota

Mayo Clinic Health System

March 07, 2025

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