Treatment of cervical spine metastasis with minimally invasive cervical spondylectomy: A case report and literature review  

作　　者：Li-Ming He Xun Ma Chen Chen Hong-Yi Zhang 

机构地区：[1]Department of Orthopedics,Bethune Hospital Affiliated to Shanxi Medical University,Taiyuan 030032,Shanxi Province,China

出　　处：《World Journal of Clinical Cases》2021年第3期644-650,共7页世界临床病例杂志

基　　金：Shanxi Science and Technology Department,No.201604D132044.

摘　　要：BACKGROUND Cervical spondylectomy for the treatment of cervical tumors is traumatic,causes bleeding,and is risky.This study reports on the experience with minimally invasive cervical spondylectomy for a cervical metastasis and reviewed the literature on cervical spondylectomy.The purpose was to reduce the risk and trauma of spondylectomy.CASE SUMMARY A 60-year-old woman presented with cervical pain and radiating pain in the left upper limb for more than 2 mo.Preoperative diagnosis was C4 metastasis of thyroid cancer.Preoperative visual analogue scale score was 5.American Spinal Cord Injury Association(ASIA)grade was E.Tomita classification was 7.Weinstein-Boriani-Biagini(WBB)classification was A-D,3-9.Tomita score was 5.Modified Tokuhashi score was 9.Spinal instability neoplastic score(SINS)was 13.The patient underwent minimally invasive cervical spondylectomy on September 28,2017.The operative time was 200 min;the estimated blood loss was 1200 mL.The operation was successful,without complications.The postoperative visual analogue scale score was 0.The patient remained classified as ASIA grade E at the last follow-up.She accepted regular iodine-131 therapy postoperatively.The serum thyroglobulin(Tg)level of this patient was 299.02 ng/mL at 1 mo after the operation and was 13.57 ng/mL at the last follow-up.There was no local recurrence at the 25-mo follow-up,according to images,single-photon emission computed tomography,and serum Tg levels.Obvious ossification and solid fusion of C3-C5 were found at the last follow-up.CONCLUSION Minimally invasive cervical spondylectomy with tubular retractor could minimize soft tissue trauma,intraoperative traction injury,and paraspinal muscle injury,accelerating postoperative recovery.This technique requires a rich experience in cervical spine surgery with tubular retractors,so that surgeons can visualize the anatomical structure in a small field.

关 键 词：Minimally invasive CERVICAL SPONDYLECTOMY Tubular retractor Thyroid carcinoma Case report 

分 类 号：R738.1[医药卫生—肿瘤]