Abstract
The authors report the case of a 47-year-old woman who harbored a giant cell tumor at the T-5 level. She had undergone curettage of the tumor via a combined anterior and posterior approach at a regional hospital and was later referred to the authors' institution for treatment after the tumor recurred. On examination she exhibited progressive paraparesis and was nonambulatory due to cord compression caused by the tumor, which had invaded the spinal canal and extended to the right paravertebral muscles and right thoracic cavity. A spondylectomy was performed through a single posterior approach. The tumor, together with a portion of the dura mater, pleura, and muscles, was resected en bloc from T-4 to T-6. After resection, spinal reconstruction was performed by placement of an anterior titanium mesh cage as well as posterior pedicle screw and rod instrumentation. The patient's postoperative course was uneventful, and she exhibited substantial neurological recovery and became ambulatory. Two and a half years after surgery, the patient was tumor free. En bloc resection of a recurrent giant cell tumor was successfully achieved through a single posterior approach. This surgical technique can be an effective option for this pathological condition, which is difficult to manage using other conventional treatment options including repeated curettage and radiotherapy.
| Original language | English |
|---|---|
| Pages (from-to) | 600-605 |
| Number of pages | 6 |
| Journal | Journal of Neurosurgery: Spine |
| Volume | 6 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2007 Jun |
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Keywords
- Giant cell tumor
- Thoracic spine
- Total spondylectomy
- Tumor recurrence
ASJC Scopus subject areas
- Clinical Neurology
- Surgery
- Neurology
Cite this
Extensive total spondylectomy for recurrent giant cell tumor in the thoracic spine. Case report. / Matsumoto, Morio; Ishii, Ken; Takaishi, Hironari; Nakamura, Masaya; Morioka, Hideo; Chiba, Kazuhiro; Takahata, Takeshi; Toyama, Yoshiaki.
In: Journal of Neurosurgery: Spine, Vol. 6, No. 6, 06.2007, p. 600-605.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Extensive total spondylectomy for recurrent giant cell tumor in the thoracic spine. Case report
AU - Matsumoto, Morio
AU - Ishii, Ken
AU - Takaishi, Hironari
AU - Nakamura, Masaya
AU - Morioka, Hideo
AU - Chiba, Kazuhiro
AU - Takahata, Takeshi
AU - Toyama, Yoshiaki
PY - 2007/6
Y1 - 2007/6
N2 - The authors report the case of a 47-year-old woman who harbored a giant cell tumor at the T-5 level. She had undergone curettage of the tumor via a combined anterior and posterior approach at a regional hospital and was later referred to the authors' institution for treatment after the tumor recurred. On examination she exhibited progressive paraparesis and was nonambulatory due to cord compression caused by the tumor, which had invaded the spinal canal and extended to the right paravertebral muscles and right thoracic cavity. A spondylectomy was performed through a single posterior approach. The tumor, together with a portion of the dura mater, pleura, and muscles, was resected en bloc from T-4 to T-6. After resection, spinal reconstruction was performed by placement of an anterior titanium mesh cage as well as posterior pedicle screw and rod instrumentation. The patient's postoperative course was uneventful, and she exhibited substantial neurological recovery and became ambulatory. Two and a half years after surgery, the patient was tumor free. En bloc resection of a recurrent giant cell tumor was successfully achieved through a single posterior approach. This surgical technique can be an effective option for this pathological condition, which is difficult to manage using other conventional treatment options including repeated curettage and radiotherapy.
AB - The authors report the case of a 47-year-old woman who harbored a giant cell tumor at the T-5 level. She had undergone curettage of the tumor via a combined anterior and posterior approach at a regional hospital and was later referred to the authors' institution for treatment after the tumor recurred. On examination she exhibited progressive paraparesis and was nonambulatory due to cord compression caused by the tumor, which had invaded the spinal canal and extended to the right paravertebral muscles and right thoracic cavity. A spondylectomy was performed through a single posterior approach. The tumor, together with a portion of the dura mater, pleura, and muscles, was resected en bloc from T-4 to T-6. After resection, spinal reconstruction was performed by placement of an anterior titanium mesh cage as well as posterior pedicle screw and rod instrumentation. The patient's postoperative course was uneventful, and she exhibited substantial neurological recovery and became ambulatory. Two and a half years after surgery, the patient was tumor free. En bloc resection of a recurrent giant cell tumor was successfully achieved through a single posterior approach. This surgical technique can be an effective option for this pathological condition, which is difficult to manage using other conventional treatment options including repeated curettage and radiotherapy.
KW - Giant cell tumor
KW - Thoracic spine
KW - Total spondylectomy
KW - Tumor recurrence
UR - http://www.scopus.com/inward/record.url?scp=34250014118&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34250014118&partnerID=8YFLogxK
U2 - 10.3171/spi.2007.6.6.600
DO - 10.3171/spi.2007.6.6.600
M3 - Article
C2 - 17561753
AN - SCOPUS:34250014118
VL - 6
SP - 600
EP - 605
JO - Journal of Neurosurgery: Spine
JF - Journal of Neurosurgery: Spine
SN - 1547-5654
IS - 6
ER -