Surgical nuances of circumferential lumbar spondylectomy: A case report and short literature review

التفاصيل البيبلوغرافية
العنوان: Surgical nuances of circumferential lumbar spondylectomy: A case report and short literature review
المؤلفون: Sergei Terterov, Rudi Scharnweber, Catherine Merna, Stephanie Wang, Alexander M. Tucker, Harsimran S. Brara, Shayan U. Rahman, Daniel Diaz-Aguilar
المصدر: Surgical Neurology International
بيانات النشر: Scientific Scholar, 2017.
سنة النشر: 2017
مصطلحات موضوعية: medicine.medical_specialty, Foot drop, medicine.diagnostic_test, business.industry, Neurogenic claudication, Magnetic resonance imaging, lumbar spondylectomy, Thigh, medicine.disease, Surgery, Spine: Case Report, Lumbar, medicine.anatomical_structure, Relative resistance, medicine, Back pain, Neurology (clinical), Chordoma, Adult chordoma, medicine.symptom, business, treatment of chordoma
الوصف: Background: Chordomas are uncommon malignant bone tumors that are often minimally symptomatic for several years. By the time they are diagnosed, these lesions are typically large, involve major neural, bony, and vascular structures, and are no longer readily resectable. This leads to a high recurrence rate. Case Description: In this case report, we present a 67-year-old male with nonmechanical axial back pain, neurogenic claudication, and a large mass centered at the L3 level on magnetic resonance imaging consistent with a locally invasive chordoma. The patient underwent surgical resection that required a complete lumbar spondylectomy utilizing a three-stage approach, leading to incomplete tumor excision. The patient's residual postoperative symptoms included paresthesias/numbness in the right anterior thigh and a partial (4/5) right-sided foot drop. At the time of discharge, there were plans for future proton beam therapy. Conclusions: Because of their relative resistance to chemotherapeutic agents, the optimal surgical management of chordomas is gross total en-bloc excision. Unfortunately, this is rarely feasible.
تدمد: 2152-7806
DOI: 10.4103/sni.sni_225_17
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7658137cbe72f9e572d78156c6824e0c
https://doi.org/10.4103/sni.sni_225_17
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....7658137cbe72f9e572d78156c6824e0c
قاعدة البيانات: OpenAIRE
الوصف
تدمد:21527806
DOI:10.4103/sni.sni_225_17