SURGICAL MANAGEMENT OF TRAUMATIC VERTEBRAL BODY COMPRESSION FRACTURE WITH CORD COMPRESSION IN A THALASSEMIC PATIENT. CASE REPORT

2021 ◽  
pp. 37-38
Author(s):  
Ashish Gupta ◽  
Rajesh Kumar Bharti ◽  
Bidyanand Kumar
Keyword(s):  
Spinal Cord ◽  
Vertebral Body ◽  
Rare Event ◽  
Compression Fracture ◽  
Extramedullary Hematopoiesis ◽  
Cord Compression ◽  
Spinal Decompression ◽  
Patient Case ◽  
Thalassemic Patient ◽  
Vertebral Body Compression Fracture

Extramedullary hematopoiesis associated with thalassemia causing spinal cord compression is a rare event in the course of the disease. Management of these patients remains controversial. We present a case of traumatic vertebral body compression fracture with cord compression in association with thalassemia, which was treated successfully with spinal decompression and fusion, xation using implants and bone graft.

scholarly journals Vertebral body cemented stents combined with posterior stabilization in the surgical treatment of metastatic spinal cord compression of the thoracolumbar spine

2020 ◽  
Vol 11 ◽  
pp. 210
Author(s):  
Riaz Mohammed ◽  
Maggie Lee ◽  
Shrijit Panikkar ◽  
Naveed Yasin ◽  
Kamran Hassan ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Body ◽  
Spinal Cord Compression ◽  
Thoracolumbar Spine ◽  
Posterior Wall ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
Solid Organ ◽  
Spinal Decompression ◽  
The Mean

Background: Extensile interventions to provide anterior spinal column support in metastatic spinal cord compression (MSCC) surgery incur added morbidity in this surgically frail group of patients. We present our preliminary results of posterior spinal decompression and stabilization coupled with vertebral body cemented stents for anterior column support in MSCC. Methods: Fourteen patients underwent posterior spinal decompression and pedicle screw construct along with vertebral body stenting (VBS) technique for reconstruction and augmentation of the vertebral body. The primary in all except one was solid organ malignancy and 10 patients (71%) were treatment naïve. The mean revised Tokuhashi score was 10.7 ± 2.7 and the mean spinal instability neoplastic score was 9.6 ± 1.9. All vertebral body lesions were purely lytic and were associated with a cortical defect in the posterior wall. Results: A mean 5.3 ± 2.7 ml low-viscosity polymethyl methacrylate bone cement was injected within the stent at each compression level. No cement extrusion posteriorly was noted in any case from intraoperative fluoroscopy or postoperative radiographs. Five patients died at a mean 6.8 months (range 1–15 months), while the remaining patients have a mean survival of 18 months. Neither further revision surgical intervention nor any neurological deterioration was noted in any patient, who all continued to be ambulatory. The mean postoperative Core Outcome Measures Index score for 11 patients was 4.03 (standard deviation 3.11, 95% confidence interval (1.93–6.12). Conclusion: In lytic vertebral body lesions with posterior wall erosions, cemented VBS technique adds to the surgical armamentarium in MSCC surgery showing promising early results without added complications.

Percutaneous Vertebroplasty in Osteoporotic Vertebral Body Compression Fracture

2001 ◽  
Vol 44 (2) ◽  
pp. 145 ◽  
Author(s):  
Hyuk Jung Kim ◽  
Seon Kyu Lee ◽  
Hee Young Hwang ◽  
Hyung Sik Kim ◽  
Joon Seok Ko ◽  
...  
Keyword(s):  
Vertebral Body ◽  
Percutaneous Vertebroplasty ◽  
Compression Fracture ◽  
Vertebral Body Compression Fracture

Spinal cord compression due to extramedullary hematopoiesis in beta-thalassemia

2020 ◽  
Vol 78 (10) ◽  
pp. 663-664
Author(s):  
Renan Ramon Souza LOPES ◽  
Larissa Soares CARDOSO ◽  
Franz ONISHI
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Extramedullary Hematopoiesis ◽  
Cord Compression ◽  
Beta Thalassemia

scholarly journals Spinal cord compression in b-thalassemia: follow-up after radiotherapy

1998 ◽  
Vol 116 (6) ◽  
pp. 1879-1881 ◽  
Author(s):  
Silvana Fahel da Fonseca ◽  
Maria Stella Figueiredo ◽  
Rodolfo Delfini Cançado ◽  
Fernando Nakandakare ◽  
Roberto Segreto ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Spinal Cord Compression ◽  
Low Dose ◽  
Extramedullary Hematopoiesis ◽  
Cord Compression ◽  
Hematologic Disorders ◽  
Rare Syndrome ◽  
Low Dose Radiotherapy

CONTEXT: Spinal cord compression due to extramedullary hematopoiesis is a well-described but rare syndrome encountered in several clinical hematologic disorders, including <FONT FACE="Symbol">b</font>-thalassemia. CASE REPORT: We report the case of a patient with intermediate <FONT FACE="Symbol">b</font>-thalassemia and crural paraparesis due to spinal cord compression by a paravertebral extramedullary mass. She was successfully treated with low-dose radiotherapy and transfusions. After splenectomy, she was regularly followed up for over four years without transfusion or recurrence of spinal cord compression. DISCUSSION: Extramedullary hematopoiesis should be investigated in patients with hematologic disorders and spinal cord symptoms. The rapid recognition and treatment with radiotherapy can dramatically alleviate symptoms.

Painful Spinal Cord Compression as a Complication of Extramedullary Hematopoiesis Associated with β-Thalassemia Intermedia

2008 ◽  
Vol 184 (4) ◽  
pp. 224-226 ◽  
Author(s):  
Martin Goerner ◽  
Sabine Gerull ◽  
Erhard Schaefer ◽  
Marianne Just ◽  
Martin Sure ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Extramedullary Hematopoiesis ◽  
Cord Compression ◽  
Thalassemia Intermedia

scholarly journals Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Carlos Eduardo Salazar-Mejía ◽  
Edio Llerena-Hernández ◽  
David Hernández-Barajas ◽  
Oscar Vidal-Gutiérrez ◽  
Adriana González-Gutiérrez ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Germ Cell Tumors ◽  
Rare Event ◽  
Cord Compression ◽  
Initial Manifestation ◽  
Compression Syndrome ◽  
Left Testicle ◽  
Spinal Cord Compression Syndrome ◽  
Hepatic Metastatic Disease

Malignant spinal cord compression syndrome (MSCCS) occurs in 2.5 to 5% of all oncological patients. In 20% of the cases, it is the initial manifestation. This syndrome is a rare event among germ cell tumors (GCT), occurring in only 1.7% of the patients. We present the case of a 24-year-old man who arrived at the emergency department with dysesthesia and paraparesis as well as urinary incontinence. Imaging studies showed an infiltrative lesion in the left testicle, pulmonary and hepatic metastatic disease, and a large retroperitoneal ganglionar conglomerate that infiltrated the spinal cord through the intervertebral foramina of the vertebra level T11 with displacement of the L1 vertebral body. A postoperative biopsy showed a pure embryonal carcinoma. In the initial approach of a young man who presents spinal cord compression, the presence of MSCCS associated with GCT should be considered as a possible cause. A high level of suspicion is required to achieve a timely diagnosis, to grant the patient the best possible outcome.

Vertebral Body Compression Fracture

2010 ◽  
pp. 110
Author(s):  
Joel A. Vilensky ◽  
Edward C. Weber ◽  
Thomas E. Sarosi ◽  
Stephen W. Carmichael
Keyword(s):  
Vertebral Body ◽  
Compression Fracture ◽  
Vertebral Body Compression Fracture
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