Resection of Thoracic Plasmacytoma and Corpectomy Through the Anterolateral Thoracic Approach: A Case Report

被引:0
作者
Del Pino-Camposeco, Jorge [1 ]
Villanueva-Castro, Eliezer [1 ]
Deustua-Hernandez, Daniela [2 ]
Canela-Calderon, Obet Jair [1 ]
Maza, Ernesto Martinez-de la [1 ]
Arriada-Mendicoa, Juan Nicasio [1 ]
Ponce-Gomez, Juan Antonio [1 ]
机构
[1] Inst Nacl Neurol & Neurocirugia Manuel Velasco Sua, Dept Neurosurg, Mexico City, Mexico
[2] Benemerita Univ Autonoma Puebla, Fac Med, Puebla, Mexico
关键词
primary spine tumor; thoracic approach; sins score; multiple myeloma; solitary bone plasmacytoma; SPINAL INSTABILITY; SOLITARY PLASMACYTOMA; MULTIPLE-MYELOMA;
D O I
10.7759/cureus.50627
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This case report details the case of a 57-year-old male who initially manifested low back pain radiating from the lumbar region to the left leg. Progressive symptoms included paresthesia on the plantar surfaces of both feet and gait instability attributed to weakness in the pelvic limbs. Computed tomography imaging revealed osteolytic lesions in the T9, T10, and T11 vertebral bodies, resulting in compression of the spinal cord. Subsequent contrast-enhanced magnetic resonance imaging validated these findings, confirming the presence of an extradural tumor. In accordance with the Spinal Instability Neoplastic Score (SINS), the case was categorized as indicative of potential spinal instability. Consequently, a surgical intervention was performed to excise the lesion. Thus, the role of SINS played a pivotal role in guiding the decision-making process for the chosen treatment modality.
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页数:7
相关论文
共 17 条
[1]   Solitary plasmocytoma of the thoracic spine: A case report [J].
Aloui, Ala ;
Kacem, Mohamed Samih ;
Bahroun, Sami ;
Jhimi, Ali ;
Bouaziz, Anis ;
Daghfous, Mohamed Samir ;
Kassab, Mohamed .
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2023, 111
[2]   Spinal Lesions as Clinical Manifestations of Plasma Cell Neoplasia [J].
Baumgart, Lea ;
Barz, Melanie ;
Delbridge, Claire ;
Aftahy, Amir Kaywan ;
Janssen, Insa Katrin ;
Jost, Philipp J. ;
Ryang, Yu-Mi ;
Meyer, Bernhard ;
Gempt, Jens .
CURRENT ONCOLOGY, 2022, 29 (09) :6236-6244
[3]   Diagnosis, treatment, and response assessment in solitary plasmacytoma: updated recommendations from a European Expert Panel [J].
Caers, J. ;
Paiva, B. ;
Zamagni, E. ;
Leleu, X. ;
Blade, J. ;
Kristinsson, S. Y. ;
Touzeau, C. ;
Abildgaard, N. ;
Terpos, E. ;
Heusschen, R. ;
Ocio, E. ;
Delforge, M. ;
Sezer, O. ;
Beksac, M. ;
Ludwig, H. ;
Merlini, G. ;
Moreau, P. ;
Zweegman, S. ;
Engelhardt, M. ;
Rosinol, L. .
JOURNAL OF HEMATOLOGY & ONCOLOGY, 2018, 11
[4]   A Novel Classification System for Spinal Instability in Neoplastic Disease An Evidence-Based Approach and Expert Consensus From the Spine Oncology Study Group [J].
Fisher, Charles G. ;
DiPaola, Christian P. ;
Ryken, Timothy C. ;
Bilsky, Mark H. ;
Shaffrey, Christopher I. ;
Berven, Sigurd H. ;
Harrop, James S. ;
Fehlings, Michael G. ;
Boriani, Stefano ;
Chou, Dean ;
Schmidt, Meic H. ;
Polly, David W. ;
Biagini, Roberto ;
Burch, Shane ;
Dekutoski, Mark B. ;
Ganju, Aruna ;
Gerszten, Peter C. ;
Gokaslan, Ziya L. ;
Groff, Michael W. ;
Liebsch, Norbert J. ;
Mendel, Ehud ;
Okuno, Scott H. ;
Patel, Shreyaskumar ;
Rhines, Laurence D. ;
Rose, Peter S. ;
Sciubba, Daniel M. ;
Sundaresan, Narayan ;
Tomita, Katsuro ;
Varga, Peter P. ;
Vialle, Luiz R. ;
Vrionis, Frank D. ;
Yamada, Yoshiya ;
Fourney, Daryl R. .
SPINE, 2010, 35 (22) :E1221-E1229
[5]   A radical procedure of circumferential spinal cord decompression through a modified posterior approach for thoracic myelopathy caused by severely impinging anterior ossification [J].
Ma, Xuexiao ;
An, Howard S. ;
Zhang, Yan ;
Brown, Nicholas M. ;
Chen, Zhongqiang ;
Zhang, Guoqing ;
Xiang, Hongfei ;
Hu, Yougu ;
Chen, Bohua .
SPINE JOURNAL, 2014, 14 (04) :651-658
[6]  
McLain R F, 1989, J Spinal Disord, V2, P69
[7]  
Mirzashahi B, 2014, ARCH BONE JT SURG-AB, V2, P121
[8]   Surgical strategies for primary malignant tumors of the thoracic and lumbar spine [J].
Missenard, Gilles ;
Bouthors, Charlie ;
Fadel, Elie ;
Court, Charles .
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2020, 106 (01) :S53-S62
[9]   Classifications in Brief: The Spinal Instability Neoplastic Score [J].
Murtaza, Hamza ;
Sullivan, Connor W. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2019, 477 (12) :2798-2803
[10]   Assessing the Mechanical Weakness of Vertebrae Affected by Primary Tumors: A Feasibility Study [J].
Palanca, Marco ;
Cristofolini, Luca ;
Gasbarrini, Alessandro ;
Tedesco, Giuseppe ;
Barbanti-Brodano, Giovanni .
MATERIALS, 2020, 13 (15)