Abstract |
Study Design Case report and review of the literature. Objective We present the case of a two-level lumbar spondylectomy at L4 and L5 for en bloc resection of a giant cell tumor (GCT) and lumbopelvic reconstruction. Methods A 58-year-old woman presented with a 7-month history of progressive intractable back and leg pain secondary to a biopsy-proven Enneking stage III GCT of the L4 and L5 vertebrae. The patient underwent a successful L4-L5 spondylectomy and lumbopelvic reconstruction using a combined posterior and anterior approach over two operative stages. Results Postoperative complications included a deep wound infection and a cerebrospinal fluid leak; however, following surgical debridement and long-term antibiotic treatment, the patient was neurologically intact with minimal pain and there was no evidence of tumor recurrence or instrumentation failure at more than 2 years of follow-up. Conclusion Spondylectomy that achieves en bloc resection is a viable and effective treatment option that can be curative for Enneking stage III GCTs involving the lower lumbar spine. The lumbosacral junction represents a challenging anatomic location for spinal reconstruction after spondylectomy with unique technical considerations.
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Authors | David R Santiago-Dieppa, Lee S Hwang, Ali Bydon, Ziya L Gokaslan, Edward F McCarthy, Timothy F Witham |
Journal | Evidence-based spine-care journal
(Evid Based Spine Care J)
Vol. 5
Issue 2
Pg. 151-7
(Oct 2014)
ISSN: 1663-7976 [Print] Germany |
PMID | 25364329
(Publication Type: Case Reports)
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