Surgical stabilization of multiple spine tumors (report of two cases)

Asir, Simsek, M Kutlay, A Colak, Demircan Mn, Cetinkal, Secer Hi, Kaya
We present two cases of multiple spinal malign involvements both of whom underwent lumbar and cervical tumor resection and stabilization surgery. The first case was a 60-year-old male otherwise healthy, who had back pain. MRI studies revealed L2 vertebra body invasion which later found out to be originated from prostate adenocarcinoma. He underwent decompression, tumor resection and stabilization with fusion via anterolateral-retroperitoneal approach. One month later, C6 vertebra invasion had
more » ... ebra invasion had been detected and after decompression, anterior stabilization by autogenous bone graft and screw plate was performed. Second case was 78-year-old female who presented with back pain due to multiple myeloma. She underwent tumor resection and posterior fusion by allograft and transpedicular instrumentation. 3 years after first intervention, metastatic lesions in atlas and axis had been detected. Following the anterior corpectomy, stabilization and fusion was performed using fibular allograft. Sufficient fusion was confirmed for both patients in three months time. The patients have been followed-up for 4 years and 12 months respectively. The stabilization procedures provided durable pain relief and preservation of ambulatory status so far. Since the survival time of the patients with spinal malignancies has been superior to previous decades, combination of surgical and conservative treatments is necessary to promote encouraging outcomes.