Single-Position Synchronal Management of Metastatic Prostate Cancer of the Spine and Femur Using Prone Nailing: A Case Report.

Q4 Medicine

JBJS case connector Pub Date : 2024-07-11 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00050

Robert Dow, Scott Gronowicz, Matthew Aceto, Alan Daniels, Bassel Diebo, Gino Chiappetta, Maahir Haque

引用次数: 0

Abstract

Case: A 71-year-old man with castration-resistant Stage IVB prostate cancer developed symptomatic oligometastatic disease in the lumbar spine and bilateral proximal femurs. He was treated with a single-position L2-L4 kyphoplasty with concomitant prone left-sided femoral prophylactic cephalomedullary nailing. Six months later when he again lost the ability to ambulate, he was treated with a single-position L4-L5 laminectomy for an epidural tumor with prone right-sided femoral prophylactic cephalomedullary nailing.

Conclusion: Single-position prone surgery of the spine and prone femoral nailing is feasible and improves on traditional multiposition approaches, eliminating the need to reposition or change tables during management.

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使用俯卧钉对脊柱和股骨的转移性前列腺癌进行单位置同步治疗：病例报告。

病例一名 71 岁的男子患有阉割耐药的 IVB 期前列腺癌，腰椎和双侧股骨近端出现了无症状的少转移性疾病。他接受了单侧 L2-L4 位椎体后凸成形术，并同时接受了左侧俯卧股骨预防性头髓内钉治疗。六个月后，当他再次丧失行走能力时，他又因硬膜外肿瘤接受了单体位L4-L5椎板切除术，同时进行了俯卧右侧股骨预防性头髓内钉治疗：结论：脊柱单体位俯卧手术和俯卧股骨钉是可行的，而且比传统的多体位方法更先进，在治疗过程中无需重新定位或更换手术台。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.