Case Study: Metastatic Cancer
HISTORY
- The patient is a 60-year-old male with back pain and inability to ambulate for three days and urinary incontinence.
PHYSICAL EXAM
- He had severe weakness of both legs and numbness from the midtorso down to his feet.
PREOPERATIVE IMAGING
DIAGNOSIS
- Diffuse metatastatic spinal disease from prostate cancer with T4 pathologic fracture, cord compression, myelomalacia and neurologic deficit
SURGERY
- 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
POSTOPERATIVE IMAGING
OUTCOMES
- 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.
Hospital Affiliations
Mt. Sinai
Saint Barnabas Medical Center
Lenox Hill
Formerly St. Luke’s-Roosevelt
Hospital in Manhattan
Livingston, NJ
Formerly Lenox Hill Hospital
in Manhattan
Outpatient Surgery Centers
Malo Surgery Center
201 Route 17 North 12th floor
Rutherford, NJ 07070
Phone: 201-549-8890
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Midtown Surgery Center
305 East 47th St.
New York, NY 10017
Phone: 212-751-2100
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Advanced Spine Surgery Center
855 Lehigh Ave,
Union, NJ 07083
Phone: 908-557-9420
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Denville Surgery Center LLC
3130 Route 10 West
Denville, NJ 07834
Phone: 973-328-3475
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