WHO II 级脑膜瘤转移并继发病理性 T12 骨折：病例报告

Q4 Medicine

JBJS case connector Pub Date : 2024-12-12 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00215

Helen Zhang, Kyle Hardacker, Daniel Alsoof, Mariah Balmaceno-Criss, Mohammad Daher, Eren Kuris, Bassel G Diebo, Alan H Daniels, Leland C McCluskey

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引用次数: 0

摘要

病例：64岁女性，世界卫生组织II级（Ki-67 20%）非典型脑膜瘤病史，转移性脑膜瘤（SSTR2+）并发T12椎体破裂骨折。疾病进展后，通过T10-L2后胸腰椎固定融合进行减压手术和稳定。结论：这是少有的脊髓转移性脑膜瘤引起病理性骨折的病例之一，也是第一个详细的手术处理和纵向随访的病例。将神经学、肿瘤学、机械学和系统决策框架应用于这一罕见的表现，患者被指示选择手术入路，产生了患者预后和神经功能缺陷的短期改善。

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Metastasis of WHO Grade II Meningioma With Subsequent Pathological T12 Fracture: A Case Report.

Case: A 64-year-old woman with a history of World Health Organization Grade II (Ki-67 20%) atypical meningioma presented with T12 vertebral body burst fracture as a complication of metastatic meningioma (SSTR2+). Following disease progression, decompression surgery and stabilization through T10-L2 posterior thoracolumbar instrumented fusion was performed.

Conclusion: This is one of few documented cases of spinal metastatic meningioma causing pathological fracture and the first to detail surgical management and longitudinal follow-up. Applying the neurologic, oncologic, mechanical, and systemic decision framework to this rare presentation, the patient was indicated for the selected surgical approach, yielding short-term improvement of patient outcome and neurologic deficit.

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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.