Case Study: Metastatic Cancer
- 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
Formerly Lenox Hill Hospital