The patient is a 60-year-old male with back pain and inability to ambulate for three days and urinary incontinence.
He had severe weakness of both legs and numbness from the midtorso down to his feet.
Diffuse metatastatic spinal disease from prostate cancer with T4 pathologic fracture, cord compression, myelomalacia and neurologic deficit
MIS (minimally invasive surgery) decompression and limited thoracic fusion with a mini-open T4 transpedicular corpectomy and removal of epidural cancer followed by placement of a mesh cage, kyphoplasty and percutaneous pedicle screws
4.5 hours of operative time
650 cc blood loss
The patient tolerated the procedure well without any anesthetic complications.
In a patient with these characteristics (metastatic prostate cancer), MIS surgery minimizes his risks of complications and makes surgical treatment possible. The minimal soft-tissue dissection allowed him to start radiation and chemotherapy treatments in a timely manner with less risk of wound problems.
Saint Barnabas Medical Center
Formerly St. Luke’s-Roosevelt
Hospital in Manhattan