Laminectomy Decompression in Radiculopathy Vertebrae L3-L4, L4-L5: A Case Report
DOI:
https://doi.org/10.32734/sumej.v6i3.9371Keywords:
breast cancer, metastatic spinal tumors, neurosurgery, weaknessAbstract
Background: Spinal tumors are uncommon lesions and affect only a minority of the population. Spinal metastases comprise approximately 97% of masses encountered with spinal imaging and are the most common site of metastasis from breast cancer. The signs and symptoms for metastatic spinal tumors vary from back pain, motoric and sensoric dysfunction, and in advanced disease, spinal cord compression. Objective: To report a case of metastatic spinal tumor in a patient with a history of breast cancer presenting with lower limb weakness. Methods: A 39-year-old female patient with complaints of lower limb weakness and a history of breast cancer underwent a contrast lumbosacral MRI examination, revealing metastatic spine tumors. The patient was planned for laminectomy decompression, tumor resection, and posterior stabilization procedures. Results: The MRI confirmed the presence of metastatic spinal tumors. The patient underwent planned surgical interventions including laminectomy decompression, tumor resection, and posterior stabilization. Conclusion: Spinal tumors are conditions that can arise within the spinal cord itself or from adjacent structures and affect only a minority of the population. The hallmark symptom for spinal metastases is back pain. Surgical techniques such as open decompression and stabilization are used based on the patient's condition, particularly in cases with neurodeficits and compression seen on radiological examination, and they offer a good prognosis.
Downloads
References
Van Goethem JW, Van den Hauwe L, Ozsarlak O, De Schepper AM, Parizel PM. Spinal tumors. European Journal of Radiology. 2004;50(2):159-176. Available from: https://doi.org/10.1016/j.ejrad.2003.12.006.
Jayarangaiah A, Kemp AK, Kariyanna PT. Bone Metastasis. In: StatPearls [Internet]. StatPearls Publishing; 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547754/.
Wewel JT, O’Toole JE. Epidemiology of spinal cord and column tumors. Neuro-Oncology Practice. 2020;7(Suppl 1):i5-i9. Available from: https://doi.org/10.1093/nop/npz045.
Mossa-Basha M, Gerszten PC, Myrehaug S, Mayr NA, Yuh WT, Jabehdar Maralani P, et al. Spinal metastasis: diagnosis, management and follow-up. The British Journal of Radiology. 2019;92(1103):20190211. Available from: https://doi.org/10.1259/bjr.20190211.
Choi D, Crockard A, Bunger C, Harms J, Kawahara N, Mazel C, et al. Review of metastatic spine tumour classification and indications for surgery: the consensus statement of the Global Spine Tumour Study Group. European Spine Journal. 2010;19(2):215-222. Available from: https://doi.org/10.1007/s00586-009-1252-x.
Widiana IK, Irawan H. Clinical and Subtypes of Breast Cancer in Indonesia. Asian Pacific Journal of Cancer Care. 2020;5(4):281-285. Available from: https://doi.org/10.31557/APJCC.2020.5.4.281-285.
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians. 2021;71(3):209-249. Available from: https://doi.org/10.3322/caac.21660.
Chan-Seng E, Charissoux M, Larbi A, Tétreau R, Gerber YN, De Verbizier-Lonjon D, et al. Spinal metastases in breast cancer: single center experience. World Neurosurgery. 2014;82(6):1344-1350. Available from: https://doi.org/10.1016/j.wneu.2014.07.014.
Ciftdemir M, Kaya M, Selcuk E, Yalniz E. Tumors of the spine. World Journal of Orthopedics. 2016;7(2):109-116. Available from: https://doi.org/10.5312/wjo.v7.i2.109.
Kumar N, Tan WL, Wei W, Vellayappan BA. An overview of the tumors affecting the spine—inside to out. Neuro-Oncology Practice. 2020;7(Suppl 1):i10-i17. Available from: https://doi.org/10.1093/nop/npz046.
Donthineni R. Diagnosis and staging of spine tumors. Orthopedic Clinics of North America. 2009;40(1):1-7. Available from: https://doi.org/10.1016/j.ocl.2008.10.002.
Tokuhashi Y, Uei H, Oshima M. Classification and scoring systems for metastatic spine tumors: a literature review. Spine Surgery and Related Research. 2017;1(2):44-55. Available from: https://doi.org/10.22603/ssrr.1.2016-0015.
Aoude A, Amiot LP. A comparison of the modified Tokuhashi and Tomita scores in determining prognosis for patients afflicted with spinal metastasis. Canadian Journal of Surgery. 2014;57(3):188-193. Available from: https://doi.org/10.1503/cjs.024812.
Kumar N, Malhotra R, Zaw AS, Maharajan K, Naresh N, Kumar A, Vellayappan B. Evolution in treatment strategy for metastatic spine disease: presently evolving modalities. European Journal of Surgical Oncology. 2017;43(9):1784-1801. Available from: https://doi.org/10.1016/j.ejso.2017.05.007.
Barzilai O, Boriani S, Fisher CG, Sahgal A, Verlaan JJ, Gokaslan ZL, et al. Essential concepts for the management of metastatic spine disease: what the surgeon should know and practice. Global Spine Journal. 2019;9(1 Suppl):98S-107S. Available from: https://doi.org/10.1177/2192568218800398.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Sumatera Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Authors submitting a manuscript do so on the understanding that if accepted for publication, copyright of the article shall be assigned to Sumatera Medical Journal (SUMEJ) and Faculty of Medicine as well as TALENTA Publisher Universitas Sumatera Utara as publisher of the journal.
Copyright encompasses exclusive rights to reproduce and deliver the article in all form and media. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, will be allowed only with a written permission from Sumatera Medical Journal (SUMEJ).
The Copyright Transfer Form can be downloaded here.
The copyright form should be signed originally and sent to the Editorial Office in the form of original mail or scanned document.
