A case report: Bilateral reconstruction of C2 lateral masses with expandable titanium cages following axis (C2) solitary plasmacytoma resection with 2-year follow-up.

Autor:	Mousavi SR; Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran., Mohammadzadeh S; Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran., Rezvani A; Department of Hematology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran., Khalili H; Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran., Begijonovich MJ; Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran., Motlagh MA; Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran., Farrokhi MR; Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Jazyk:	angličtina
Zdroj:	Surgical neurology international [Surg Neurol Int] 2023 Jun 23; Vol. 14, pp. 217. Date of Electronic Publication: 2023 Jun 23 (Print Publication: 2023).
DOI:	10.25259/SNI_332_2023
Abstrakt:	Background: Solitary plasmacytoma (SP) caused the collapse/destruction of the C2 vertebral body in a 78-year-old male. To provide sufficient posterior stabilization, the patient warranted lateral mass fusion to supplement the bilateral pedicle/screw rod instrumentation. Case Description: A 78-year-old male presented with neck pain alone. X-rays, computed tomography, and magnetic resonance studies documented C2 vertebral collapse with the complete destruction of both lateral masses. The surgery required a laminectomy (i.e., bilateral lateral mass resection), plus placement of bilateral expandable titanium cages from C1 to C3 to supplement the screw/rod occipitocervical (O-C4) fixation. Adjuvant chemotherapy and radiotherapy were also administered. Two years later, the patient remained neurologically intact and radiographically had no evidence of tumor recurrence. Conclusion: In patients with vertebral plasmacytomas and bilateral lateral mass destruction, posterior occipital-cervical C4 rod/screw fusions may warrant the additional bilateral placement of titanium expandable lateral mass cages from C1 to C3. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Surgical Neurology International.)
Databáze:	MEDLINE
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