Thoracolumbopelvic stabilization for the treatment of instability caused by recurrent myxopapillary ependymoma

被引:3
作者
Fourney, DR
Prabhu, SS
Cohen, ZR
Rhines, LD
Gokaslan, TL
机构
[1] Johns Hopkins Univ, Dept Neurosurg, Neurosurg Spine Program, Baltimore, MD 21287 USA
[2] Univ Saskatchewan, Div Neurosurg, Royal Univ Hosp, Saskatoon, SK S7N 0W0, Canada
[3] Univ Texas, MD Anderson Canc Ctr, Dept Neurosurg, Houston, TX 77030 USA
来源
JOURNAL OF SPINAL DISORDERS & TECHNIQUES | 2003年 / 16卷 / 01期
关键词
myxopapillary ependymoma; spinopelvic stabilization;
D O I
10.1097/00024720-200302000-00018
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors report a patient with recurrent lumbosacral myxopapillary ependymoma, followed for more than 20 years, who presented with severe axial pain resulting from osteolytic destruction at the lumbosacral junction. Because the patient had a long history of paraplegia despite three previous incomplete tumor resections, we chose not to attempt a fourth resection. Moreover, because viable fixation points were not present within the sacrum and most of the lumbar spine, instrumented fusion was extended from T7 to the ilia using a modified Galveston L-rod technique, which we believe to be unique in its application to this problem. This case demonstrates the long-term potential for instability from locally destructive myxopapillary ependymoma that is incompletely excised. We are not aware of any previous reports of lumbopelvic instability in association with myxopapillary ependymomas.
引用
收藏
页码:108 / 111
页数:4
相关论文
共 14 条
[1]   Intraspinal extradural myxopapillary ependymoma of the sacrum arising from the filum terminale externa - Case report [J].
Fourney, DR ;
Fuller, GN ;
Gokaslan, ZL .
JOURNAL OF NEUROSURGERY, 2000, 93 (02) :322-326
[2]   INTRASACRAL MYXOPAPILLARY EPENDYMOMA [J].
GINSBERG, LE ;
WILLIAMS, DW ;
STANTON, C .
NEURORADIOLOGY, 1994, 36 (01) :56-58
[3]   Total sacrectomy and Galveston L-rod reconstruction for malignant neoplasms - Technical note [J].
Gokaslan, ZL ;
Romsdahl, MM ;
Kroll, SS ;
Walsh, GL ;
Gillis, TA ;
Wildrick, DM ;
Leavens, ME .
JOURNAL OF NEUROSURGERY, 1997, 87 (05) :781-787
[4]   Chemotherapy for advanced CNS ependymoma [J].
Gornet, MK ;
Buckner, JC ;
Marks, RS ;
Scheithauer, BW ;
Erickson, BJ .
JOURNAL OF NEURO-ONCOLOGY, 1999, 45 (01) :61-67
[5]   Spinal-pelvic fixation in patients with lumbosacral neoplasms [J].
Jackson, RJ ;
Gokaslan, ZL .
JOURNAL OF NEUROSURGERY, 2000, 92 (01) :61-70
[6]   A giant cauda equina ependymoma [J].
Linssen, WHJP ;
Davies, GAG .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1998, 65 (01) :71-71
[7]   CASE REPORT-435 - MYXOPAPILLARY EPENDYMONA OF FILUM TERMINALE WITH MASSIVE BONE DESTRUCTION OF SACRUM [J].
MATSUNO, T ;
KANEDA, K ;
NOJIMA, T .
SKELETAL RADIOLOGY, 1987, 16 (06) :485-488
[8]  
MCCORD DH, 1992, SPINE S, V17, P235
[9]   EXTRA-SPINAL EPENDYMOMAS - REPORT OF 3 CASES [J].
MORANTZ, RA ;
KEPES, JJ ;
BATNITZKY, S ;
MASTERSON, BJ .
JOURNAL OF NEUROSURGERY, 1979, 51 (03) :383-391
[10]   Ependymoma of the cauda equina [J].
Rickert, CH ;
Kedziora, O ;
Gullotta, F .
ACTA NEUROCHIRURGICA, 1999, 141 (07) :781-782