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Objective: To present the results of IMSCT’s (Intramedullary Spinal Cord Tumor) surgery at the National Centre for Neurosurgery. Materials and methods: A 102 patients operated from July 2008 to December 2017. Among them, 7 cases of a continued growth, 1 – recurrence. The mean age was 41 (ranged 16-67y.o), 49 were men and 45 women. Routine MRI examination, McCormick (McC) and Klekamp–Samii (KS) scale assessment was performed pre and postoperatively. Preoperative functional status was good in 37% of patients, in 63% was poor. The follow up was from 3 months to 9 years (mean 4.6 years). Results: The improvement achieved in 66 (64.7%) with complete recovery in 8 patients (12%), no changes – 21 (20.5%), deterioration – 15 (14.7%). One patient had complete neurological recovery in a late post-op period. Neurological worsening was due to recurrence, continued growth and histology. In 10 cases we experienced mortality, 1 due to pulmonary artery thrombosis, 3 – continued tumor growth, 2 – concomitant disease, 4 with G = III and G = IV tumors (after combined treatment). There is a direct correlation between the preoperative neurological status and the expected postoperative outcome (p> 0.05). Conclusion: Along with the total resection of tumor and histological structure, the preoperative neurological status is one of the main determining factors of the expected result. [ABSTRACT FROM AUTHOR]