Abstract:
METHODS: 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.
CONCLUSIONS: 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.
摘要:
方法:一名71岁男性患有去势抵抗IVB期前列腺癌,在腰椎和双侧股骨近端出现症状性寡转移疾病。他接受了单位置L2-L4椎体后凸成形术和伴随的俯卧左侧股骨预防性头髓内钉治疗。六个月后,当他再次失去行走能力时,他接受了单位置L4-L5椎板切除术治疗硬膜外肿瘤,并俯卧右侧股骨预防性头髓内钉。
结论:脊柱单位俯卧手术和股骨俯卧钉固定是可行的,是对传统多位置入路的改进,消除了在管理期间重新定位或更改表的需要。