| JaLCDOI |
10.18926/AMO/61442
|
| FullText URL |
75_1_95.pdf
|
| Author |
Minato, Keitaro|
Hirano, Toru|
Kawashima, Hiroyuki|
Yamagishi, Tetsuro|
Watanabe, Keigo|
Ohashi, Masayuki|
Ogose, Akira|
Endo, Naoto|
|
| 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.
|
| Keywords |
spinal stabilization
denosumab
spondylectomy
giant cell tumor
|
| Amo Type |
Case Report
|
| Publication Title |
Acta Medica Okayama
|
| Published Date |
2021-02
|
| Volume |
volume75
|
| Issue |
issue1
|
| Publisher |
Okayama University Medical School
|
| Start Page |
95
|
| End Page |
101
|
| ISSN |
0386-300X
|
| NCID |
AA00508441
|
| Content Type |
Journal Article
|
| language |
English
|
| Copyright Holders |
CopyrightⒸ 2021 by Okayama University Medical School
|
| File Version |
publisher
|
| Refereed |
True
|
| PubMed ID |
33649620
|
