Browse > Article
http://dx.doi.org/10.3340/jkns.2009.45.3.188

Total En Bloc Lumbar Spondylectomy of Follicular Thyroid Carcinoma  

Jo, Dae-Jean (Department of Neurosurgery, School of Medicine, Kyung Hee University)
Jun, Jae-Kyun (Department of Neurosurgery, School of Medicine, Inje University, Seoul Paik Hospital)
Kim, Sung-Min (Department of Neurosurgery, School of Medicine, Kyung Hee University)
Publication Information
Journal of Korean Neurosurgical Society / v.45, no.3, 2009 , pp. 188-191 More about this Journal
Abstract
The presence of distant metastases from differentiated thyroid carcinoma decreases the 10-year survival rates of patients by 50%. This is a report of a 61-year-old female with follicular thyroid carcinoma who presented initially with low back pain. 2-deoxy-2-[18F] fluoro-D-glucose whole-body positron emission tomography/computed tomography (PET/CT) demonstrated a hypointensity lesion in the left thyroid gland with malignant uptake in L1 vertebra and magnetic resonance images revealed paravertebral and epidural extension of mass in L1 vertebra. After thyroidectomy, histopathological study showed a follicular carcinoma. We performed L1 total en bloc spondylectomy with expandable cage for long-term local control. The technical details of total en bloc spondylectomy in follicular carcinoma are described herein.
Keywords
Thyroid carcinoma; Total en bloc spondylectomy; Metastasis;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By Web Of Science : 0  (Related Records In Web of Science)
Times Cited By SCOPUS : 0
연도 인용수 순위
1 Shin DA, Kim KY, Shin HC, Yoon DH : Total body replacement with an expandable cage after en bloc lumbar spondylectomy. J Korean Neurosurg Soc 40 : 471-475, 2006
2 Weinstein JN, McLain RF : Primary tumors of the spine. Spine 12 : 843-851, 1987   DOI   PUBMED   ScienceOn
3 Fujita T, Ueda Y, Kawahara N, Baba H, Tomita K : Local spread of metastatic vertebral tumors. A histological study. Spine 22 : 1905-1912, 1997   DOI   ScienceOn
4 Tomita K, Kawahara N, Murakami H, Demura S : Total en bloc spondylectomy for spinal tumors : improvement of the technique and its associated basic background. J Orthop Sci 11 : 3-12, 2006   DOI   ScienceOn
5 Tomita K, Kawahara N, Baba H, Tsuchiya H, Fujita T, Toribatake Y : Total en bloc spondylectomy. A new surgical technique for primary malignant vertebral tumors. Spine 22 : 324-333, 1997   DOI   ScienceOn
6 Tomita K, Kawahara N, Baba H, Tsuchiya H, Nagata S, Toribatake Y : Total en bloc spondylectomy for solitary spinal metastases. Int Orthop 18 : 291-298, 1994   PUBMED   ScienceOn
7 Ruegemer JJ, Hay ID, Bergstralh EJ, Ryan JJ, Offord KP, Gorman CA : Distant metastases in differentiated thyroid carcinoma : a multivariate analysis of prognostic variables. J Clin Endocrinol Metab 67 : 501-508, 1988   DOI
8 Hur JH, Gwak HS, Chang UK, Lee CH : The analysis of primary origin in spinal metastasis as the initial manifestation of malignancy. J Korean Neurosurg Soc 33 : 30-35, 2003
9 Savini R, Gherlinzoni F, Morandi M, Neff JR, Picci P : Surgical treatment of giant-cell tumor of the spine. The experience at the Istituto Ortopedico Rizzoli. J Bone Joint Surg Am 65 : 1283-1289, 1983   DOI
10 Lubicky JP, Patel NS, DeWald RL : Two-stage spondylectomy for giant cell tumor of L4. A case report. Spine 8 : 112-115, 1983   DOI   ScienceOn
11 Magerl F, Coscia MF : Total posterior vertebrectomy of the thoracic or lumbar spine. Clin Orthop Relat Res 232 : 62-69, 1988   PUBMED   ScienceOn
12 Tomita K, Toribatake Y, Kawahara N, Ohnari H, Kose H : Total en bloc spondylectomy and circumspinal decompression for solitary spinal metastasis. Paraplegia 32 : 36-46, 1994   PUBMED   ScienceOn
13 Enneking WF, Spanier SS, Goodman MA : A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res 153 : 106-120, 1980   PUBMED   ScienceOn