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Posterior Endoscopic Cervical Decompression in Metastatic Cervical Spine Tumors: An Alternative to Palliative Surgery

Metastatic spinal cord compression of the cervical spine is a well-known consequence of cancer that generally manifests as an oncological emergency. This study presents and describes an alternative to the minimally invasive posterior full-endoscopic approach for direct decompression and tumor debulk...

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Autores principales: Kotheeranurak, Vit, Jitpakdee, Khanathip, Pornmeechai, Yodsawee, Khanasuk, Yutthana, Laohapornsvan, Panyajarn, Kim, Jin-Sung, Liawrungrueang, Wongthawat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633083/
https://www.ncbi.nlm.nih.gov/pubmed/36322577
http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00201
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author Kotheeranurak, Vit
Jitpakdee, Khanathip
Pornmeechai, Yodsawee
Khanasuk, Yutthana
Laohapornsvan, Panyajarn
Kim, Jin-Sung
Liawrungrueang, Wongthawat
author_facet Kotheeranurak, Vit
Jitpakdee, Khanathip
Pornmeechai, Yodsawee
Khanasuk, Yutthana
Laohapornsvan, Panyajarn
Kim, Jin-Sung
Liawrungrueang, Wongthawat
author_sort Kotheeranurak, Vit
collection PubMed
description Metastatic spinal cord compression of the cervical spine is a well-known consequence of cancer that generally manifests as an oncological emergency. This study presents and describes an alternative to the minimally invasive posterior full-endoscopic approach for direct decompression and tumor debulking from the metastasis of hepatocellular carcinoma (HCC) in the cervical spine. A 54-year-old man presented with progressive cervical radiculopathy that had persisted for 3 months. The underlying disease was HCC. Radiographic examination revealed evidence of metastatic spinal cord compression with an epidural mass at the C4-C5 levels, which compressed the C4-C5 spinal cord without bony destruction. The modified Tomita score was 6 to 8 points based on palliative surgery. A posterior full-endoscopic approach to remove the tumor from the metastasis of HCC in the cervical spine was done. A postoperative radiographic study revealed adequate tumor mass resection and spinal decompression. The patient was extremely satisfied with this alternative treatment and achieved complete neurologic recovery at 1 month and no recurrent symptoms at the 6-month follow-up. The technique of posterior full-endoscopic decompression of cervical metastasis causing unilateral radiculopathy, presented in this study, is feasible. This surgical intervention seems to be optional minimally invasive and acts as an alternative to palliative surgery.
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spelling pubmed-96330832022-11-07 Posterior Endoscopic Cervical Decompression in Metastatic Cervical Spine Tumors: An Alternative to Palliative Surgery Kotheeranurak, Vit Jitpakdee, Khanathip Pornmeechai, Yodsawee Khanasuk, Yutthana Laohapornsvan, Panyajarn Kim, Jin-Sung Liawrungrueang, Wongthawat J Am Acad Orthop Surg Glob Res Rev Case Report Metastatic spinal cord compression of the cervical spine is a well-known consequence of cancer that generally manifests as an oncological emergency. This study presents and describes an alternative to the minimally invasive posterior full-endoscopic approach for direct decompression and tumor debulking from the metastasis of hepatocellular carcinoma (HCC) in the cervical spine. A 54-year-old man presented with progressive cervical radiculopathy that had persisted for 3 months. The underlying disease was HCC. Radiographic examination revealed evidence of metastatic spinal cord compression with an epidural mass at the C4-C5 levels, which compressed the C4-C5 spinal cord without bony destruction. The modified Tomita score was 6 to 8 points based on palliative surgery. A posterior full-endoscopic approach to remove the tumor from the metastasis of HCC in the cervical spine was done. A postoperative radiographic study revealed adequate tumor mass resection and spinal decompression. The patient was extremely satisfied with this alternative treatment and achieved complete neurologic recovery at 1 month and no recurrent symptoms at the 6-month follow-up. The technique of posterior full-endoscopic decompression of cervical metastasis causing unilateral radiculopathy, presented in this study, is feasible. This surgical intervention seems to be optional minimally invasive and acts as an alternative to palliative surgery. Wolters Kluwer 2022-11-02 /pmc/articles/PMC9633083/ /pubmed/36322577 http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00201 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kotheeranurak, Vit
Jitpakdee, Khanathip
Pornmeechai, Yodsawee
Khanasuk, Yutthana
Laohapornsvan, Panyajarn
Kim, Jin-Sung
Liawrungrueang, Wongthawat
Posterior Endoscopic Cervical Decompression in Metastatic Cervical Spine Tumors: An Alternative to Palliative Surgery
title Posterior Endoscopic Cervical Decompression in Metastatic Cervical Spine Tumors: An Alternative to Palliative Surgery
title_full Posterior Endoscopic Cervical Decompression in Metastatic Cervical Spine Tumors: An Alternative to Palliative Surgery
title_fullStr Posterior Endoscopic Cervical Decompression in Metastatic Cervical Spine Tumors: An Alternative to Palliative Surgery
title_full_unstemmed Posterior Endoscopic Cervical Decompression in Metastatic Cervical Spine Tumors: An Alternative to Palliative Surgery
title_short Posterior Endoscopic Cervical Decompression in Metastatic Cervical Spine Tumors: An Alternative to Palliative Surgery
title_sort posterior endoscopic cervical decompression in metastatic cervical spine tumors: an alternative to palliative surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633083/
https://www.ncbi.nlm.nih.gov/pubmed/36322577
http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00201
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