Medicine and Health Sciences Commons^™

Giant Cell Tumours Of Dorsal And Lumbar Spine: Management With 360 Degree Fusion, Shailesh Hadgaonkar, Nishad V Situt, Pramod D Bhilare, Parag K Sancheti

Advanced Spine Journal

Background Data: Spinal giant cell tumor (SGCT) is rare, with an incidence of 2%–15% out of GCT in all bones and incidence in the mobile segment of the spine is 2%–4%. Due to high recurrence rates, various available treatment modalities have been explored for the management.

Purpose: We are presenting two cases, thoracic and lumbar giant cell tumors (GCT) with pathological vertebral fractures, treated with subtotal spondylectomy and 360^o stabilization following preoperative selective arterial embolization (SAE) without the use of denosumab with no recurrence on follow-up.

Study Design: Case presentation.

Patients and Methods: We present two cases: one thoracic …

Functional Outcomes Following Surgical Management Of Intradural Extramedullary Spinal Cord Tumors, Mohamed Elzoghby, Abdel Aal Abdel Baky

Advanced Spine Journal

Background Data: Intradural extramedullary tumors are mostly benign lesions that often present late due to their slow rate of growth. Recent advances in the field of neuro-imaging have greatly increased the ability to identify these tumors in early stages. The most effective treatment modality for these tumors is gross total resection, which can sometimes be associated with neurological morbidity and functional impairment. Purpose: to evaluate the functional outcomes following surgical excision of intradural extramedullary spinal tumors. Study Design: This is a retrospective cohort clinical case study. Patients and Methods: In this study the medical records of patients who underwent surgery …

Value Of Laminoplasty In Children With Spinal Tumors, Mohamed Reda, Mohamed Nagy

Advanced Spine Journal

Background Data: Post-laminectomy deformities after surgery for the spinal tumors in children are common and affect the functional outcome. Laminoplasty may decrease the incidence of postoperative progressive spinal deformityrequiring subsequent fusion. Study Design: Retrospective clinical case study. Purpose: To assess the outcome of laminoplasty in children with spinal tumors with special stress on the incidence of postoperative spinal instability.Patients and Methods: This study included fourteen children who underwent laminoplasty during resection of spinal tumors between January 2013 and September 2014. The Cobb angle was used to detect the development of spinal deformity in the sagittal plane. The modified McCormick scale …

Neurological Outcome Following Surgical Treatment Of Spinal Metastases, Abdelaal Abdelbaky, Hazem Eltahawy

Advanced Spine Journal

Background Data: Spinal metastases lead to bony instability and spinal cord compression resulting in intractable pain and neurological deficits which affects ambulatory function and quality of life, the most appropriate treatment for spinalmetastasis is still debated. Purpose: The aim of this study to evaluate clinical, quality of life, complications and survival outcomes after surgical treatment of spinal metastases. Design: It is a retrospective study. Patients and Methods: Retrospective review of patients with spinal metastases surgically treated at our facility between March 2008 and March 2013 was performed. Evaluations include hospital charts, initial and interval imaging studies, neurological outcome and surgical …

Large Lumbar Anurysmal Bone Cyst Presenting As An Abdominal Mass. Management And Outcome, Mostafa Elaskary, Moamen Mohamed

Advanced Spine Journal

Background Data: Aneurysmal bone cysts (ABCs) of the spine account for 12 to 30% of all ABC cases. They mostly occur in the lumbar vertebrae, followed by the thoracic, cervical, and sacral vertebrae. Despite being benign, they can be locallyexpansive and destructive, and can result in pathological fractures of the vertebrae and neurological complications. Treatment modalities include surgical resection, radiotherapy, and embolization with reconstruction. Purpose: To report on a rare case of very large aneurysmal bone cyst originating from the body and the posterior arch of L3 vertebrae and extending from the paraspinal sub-cutaneous tissue posteriorly to the anterior abdominal …

Lumbar Cystic Intradural Schwannoma: A Case_Report, Narmer Azzam, Mostafa Elaskary

Advanced Spine Journal

Background Data: Intradural lumbar cystic schwannomas are very rare entity and only about 10 case_reports have been reported in the literature. The diagnosis and management remains a challenge for clinical physicians.Purpose: Our objective in presenting this particular case is to highlight the atypical radiological features of intradural spinal schwannoma and how to deal with it surgically and follow up. Study Design: case_report. Material and Methods: A case of cystic intradural lesion in a previously healthy 29 years old male is reported. Low back pain and lately right sciatica were the only symptoms. After pre-operative evaluation and preparation, this patient was …

Percutaneous Vertebroplasty For Osteolytic Spinal Lesion. A Pilot Study, Mohamed Amer

Advanced Spine Journal

Background Data: The clinical management of osteolytic spinal lesion is unique, because it is challenging to approach these lesions. Surgery and/or radiotherapy has been the treatments of choice for many years; but, surgery may not be an option for patients with multiple spinal lesion and poor general medical status, and radiotherapy carries the risk of vertebral collapse and consequent neural compression. Through different approaches, vertebroplasty has been introduced into clinical practice as an alternative to traditional surgery and radiotherapy of osteolytic spinal lesion.Purpose: To evaluate the safety and efficacy of percutaneous vertebroplasty for selected patients with osteolytic vertebral compression fractures …

Cervical Spine Nerve Sheath Tumor: Surgical Experience Of A Clinical Case Series, Ehab Eissa, Hossam El-Fol

Advanced Spine Journal

Background Data: Cervical spine nerve sheath tumors (SNTSs) represent a special location of interest and challenge for neurosurgeons because the lesion in this region tend more to have extradural and extraspinal component (dumb-bell tumors) than dorsal or lumbar region. These tumors extension is most likely because of short intraduradural root in thecervical region. Dumb-bell tumors require special surgical strategy and approaches to allow complete removal of these tumors from both intraspinal and extraspinal components without traction on the spinal cord. Purpose: to evaluate our experience in management of cervical spinal nerve sheath tumors with special consideration for dumb-bell tumors that …

Primary Osseous Tumors Of The Subaxial Cervical Spine, Clinical Case Series, Mohamed El-Gaidi, Ehab Eissa

Advanced Spine Journal

Background Data: Primary osseous tumors of the subaxial cervical spine are rare and can present with different clinical presentations and pathologies. Study Design: Retrospective descriptive clinical case series.Purpose: To assess the prognosis, surgical management, outcome of primary osseous tumors of the subaxial cervical spine Patients and Methods: Eight patients underwent surgical treatment for primary cervical bony tumors at Kasr Al-Aini Medical School, Cairo University, between 2007 and 2012. Mean follow-up was 24.4±6.8 months. Clinical outcome wereevaluated neurologically using Frankel grading system, while visual analog scale (VAS) has been used to evaluate neck pain. Results: There was equal sex distribution and …

Complete Intra-Lesional Resection For Aneurysmal Bone Cyst Of The Spine. A Personal Experience Of 15 Consecutive Cases, Hossam Taha

Advanced Spine Journal

Background Data: Several methods of treatment have been reported for the management of aneurysmal bone cyst (ABC) of the spine. Incomplete excision has been associated with a high local recurrence rate. Purpose: To review a personal case series of fifteen cases of ABC of the spine treated by complete intralesional resection and to present the clinical and radiological results. Study Design: Retrospective review of the clinical and radiological data. Patients and Methods: Fifteen patients, 8 males and seven females with mean age of 12.7 years underwent complete intralesional resection of ABC lesions of the spine with reconstruction. All patients presented …