{Reference Type}: Journal Article {Title}: Single-Position Synchronal Management of Metastatic Prostate Cancer of the Spine and Femur Using Prone Nailing: A Case Report. {Author}: Dow R;Gronowicz S;Aceto M;Daniels A;Diebo B;Chiappetta G;Haque M; {Journal}: JBJS Case Connect {Volume}: 14 {Issue}: 3 {Year}: 2024 Jul 1 暂无{DOI}: 10.2106/JBJS.CC.24.00050 {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.