JaLCDOI |
10.18926/AMO/61442
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FullText URL |
75_1_95.pdf
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Author |
Minato, Keitaro|
Hirano, Toru|
Kawashima, Hiroyuki|
Yamagishi, Tetsuro|
Watanabe, Keigo|
Ohashi, Masayuki|
Ogose, Akira|
Endo, Naoto|
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Abstract |
A 21-year-old man consulted our hospital for treatment of a spinal giant cell tumor (GCT) of Enneking stage III. Lower lumbar-spine tumors and severe spinal canal stenosis are associated with high risk for surgical mor-bidity. Stability was temporarily secured with a percutaneous pedicle screw fixation in combination with deno-sumab, which shrank the tumor. Total en bloc spondylectomy was then performed 6 months after initiation of denosumab, and the patient was followed for 3 years. There was no local recurrence, and bony fusion was obtained. Minimally invasive surgery and denosumab allowed safer and easier treatment of a collapsing lower lumbar extra-compartmental GCT.
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Keywords |
spinal stabilization
denosumab
spondylectomy
giant cell tumor
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Amo Type |
Case Report
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Publication Title |
Acta Medica Okayama
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Published Date |
2021-02
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Volume |
volume75
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Issue |
issue1
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Publisher |
Okayama University Medical School
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Start Page |
95
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End Page |
101
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ISSN |
0386-300X
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NCID |
AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders |
CopyrightⒸ 2021 by Okayama University Medical School
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File Version |
publisher
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Refereed |
True
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PubMed ID |
33649620
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