Posterior-only 2-level vertebrectomy and fusion in a medically complex patient with lumbar metastasis: illustrative case Article Swipe
Ryan Johnson
,
Annabelle Shaffer
,
Ashley Tang
,
Kathryn Tsai
,
Gina Guglielmi
,
Paul M. Arnold
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3171/case23646
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3171/case23646
BACKGROUND Spinal metastases are commonly seen in patients with cancer and often indicate a poor prognosis. Treatment can include curative or palliative surgery, chemotherapy, and radiation therapy. The surgical approach varies widely on the basis of the affected region of the spine, the location of the tumor (anterior versus posterior), the goal of surgery, the health of the patient, and surgeon preference. OBSERVATIONS The authors present a case of a 68-year-old male with intractable lower-back pain and substantially diminished ambulation. Diagnostic imaging revealed a lumbar metastasis from a cholangiocarcinoma primary at L2–3 (4.5 cm anteroposterior × 5.7 cm transverse × 7.0 cm craniocaudal). The patient underwent a 2-level vertebrectomy with expandable cage placement and T10 to S2 fusion via a posterior-only approach. The patient regained much of his mobility and quality of life after the surgery. LESSONS Although this was a high-risk surgery, the authors show that a posterior-only approach can be used for lumbar vertebrectomies and fusion when necessary. Palliative surgeries carrying a high risk, especially in the setting of a limited prognosis, should include multidisciplinary deliberations and a thorough discussion of the risks and outcome expectations with the patient.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3171/case23646
- https://thejns.org/downloadpdf/view/journals/j-neurosurg-case-lessons/7/14/article-CASE23646.pdf
- OA Status
- hybrid
- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4393376197Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3171/case23646Digital Object Identifier
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Posterior-only 2-level vertebrectomy and fusion in a medically complex patient with lumbar metastasis: illustrative caseWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-04-01Full publication date if available
- Authors
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Ryan Johnson, Annabelle Shaffer, Ashley Tang, Kathryn Tsai, Gina Guglielmi, Paul M. ArnoldList of authors in order
- Landing page
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https://doi.org/10.3171/case23646Publisher landing page
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https://thejns.org/downloadpdf/view/journals/j-neurosurg-case-lessons/7/14/article-CASE23646.pdfDirect link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://thejns.org/downloadpdf/view/journals/j-neurosurg-case-lessons/7/14/article-CASE23646.pdfDirect OA link when available
- Concepts
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Medicine, Vertebrectomy, Lumbar, Surgery, Metastasis, Cancer, Spinal fusion, Resection, Internal medicineTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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