scholarly journals Arachnoiditis Ossificans in the Thoracic Spine With Associated Cyst and Syringomyelia: A Rare, Intraoperative Finding Complicating Dural Opening

Cureus ◽  
2021 ◽  
Author(s):  
David Bailey ◽  
Christine Mau ◽  
Elias Rizk ◽  
John Kelleher
Keyword(s):  
Thoracic Spine ◽  
Dural Opening ◽  
Arachnoiditis Ossificans

scholarly journals Thoracic spine schwannoma presenting with traumatic spinal cord injury: A case report

2021 ◽  
Vol 12 ◽  
pp. 251
Author(s):  
Daniela Matos ◽  
Ricardo Pereira
Keyword(s):  
Case Report ◽  
Thoracic Spine ◽  
Spinal Tumor ◽  
High Impact ◽  
Good Recovery ◽  
Motor Rehabilitation ◽  
Thoracic Spinal ◽  
Cord Injury ◽  
Early Diagnose ◽  
Dural Opening

Background: The presentation of a thoracic spinal tumor due to high-impact trauma is quite rare and we found no other case reported. Case Description: This is a case report and literature review. A patient presented with severe paraparesis on day 4 after trauma. Thoracic MRI showed an oval image centered to T4-T5 suggestive of hemorrhage. The patient underwent a bilateral T4 and T5 laminectomy and microsurgically assisted intradural exploration. After laminectomy, we found no extradural lesions, so we proceeded to dural opening, after which we found a large extramedullary lesion which was completely removed. Pathology revealed a schwannoma. The patient had a very good recovery after surgery and motor rehabilitation. At 6 months after surgery, inferior limbs muscle strength was completely normal. We found no other case reported. Conclusion: Thoracic spine schwannomas are difficult to early diagnose unless there is a clinical suspicion. Initial presentation as bleeding after trauma was not described before. This presentation should be kept in the differential diagnosis of any patient with an acute neurological deficit without trauma signs on admission imaging.

Arachnoiditis ossificans of the thoracic spine

2014 ◽  
Vol 21 (3) ◽  
pp. 386-389 ◽  
Author(s):  
Jacob H. Bagley ◽  
T. Ryan Owens ◽  
Betsy H. Grunch ◽  
Jessica R. Moreno ◽  
Carlos A. Bagley
Keyword(s):  
Thoracic Spine ◽  
Arachnoiditis Ossificans

scholarly journals Symptomatic arachnoiditis ossificans of the thoracic spine. Case report

Spinal Cord ◽  
1995 ◽  
Vol 33 (4) ◽  
pp. 224-227 ◽  
Author(s):  
Y Toribatake ◽  
H Baba ◽  
Y Maezawa ◽  
S Umeda ◽  
K Tomita
Keyword(s):  
Case Report ◽  
Thoracic Spine ◽  
Spine Case ◽  
Arachnoiditis Ossificans

Vertebroplasty for the Treatment of Compression Fractures in the Upper and Middle Thoracic Spine

2005 ◽  
Vol 18 (2) ◽  
pp. 142
Author(s):  
Seok Won Kim ◽  
Seung Myung Lee ◽  
Ho Shin ◽  
Kyung Joon Lim
Keyword(s):  
Thoracic Spine ◽  
Compression Fractures

Studies about Anatomical Relationships between the spinous and transverse processes of the thoracic spine using 3D-CT

2019 ◽  
Vol 14 (2) ◽  
pp. 135-146
Author(s):  
Ji-Hye Geum ◽  
Dong-Gi Baek ◽  
Hyun-Il Go ◽  
Won-Bae Ha ◽  
Jung-Han Lee
Keyword(s):  
Thoracic Spine ◽  
3D Ct

Spinal laser interstitial thermal therapy: single-center experience and outcomes in the first 120 cases

2020 ◽  
pp. 1-10
Author(s):  
Dhiego C. A. Bastos ◽  
Rafael A. Vega ◽  
Jeffrey I. Traylor ◽  
Amol J. Ghia ◽  
Jing Li ◽  
...  
Keyword(s):  
Local Recurrence ◽  
Local Control ◽  
Thoracic Spine ◽  
Adjuvant Radiotherapy ◽  
Neurological Complications ◽  
Thermal Therapy ◽  
External Beam Radiation ◽  
Beam Radiation ◽  
Laser Interstitial Thermal Therapy ◽  
Hazard Ratios

OBJECTIVEThe objective of this study was to present the results of a consecutive series of 120 cases treated with spinal laser interstitial thermal therapy (sLITT) to manage epidural spinal cord compression (ESCC) from metastatic tumors.METHODSThe electronic records of patients treated from 2013 to 2019 were analyzed retrospectively. Data collected included demographic, pathology, clinical, operative, and imaging findings; degree of epidural compression before and after sLITT; length of hospital stay; complications; and duration before subsequent oncological treatment. Independent-sample t-tests were used to compare means between pre- and post-sLITT treatments. Survival was estimated by the Kaplan-Meier method. Multivariate logistic regression was used to analyze predictive factors for local recurrence and neurological complications.RESULTSThere were 110 patients who underwent 120 sLITT procedures. Spinal levels treated included 5 cervical, 8 lumbar, and 107 thoracic. The pre-sLITT Frankel grades were E (91.7%), D (6.7%), and C (1.7%). The preoperative ESCC grade was 1c or higher in 92% of cases. Metastases were most common from renal cell carcinoma (39%), followed by non–small cell lung carcinoma (10.8%) and other tumors (35%). The most common location of ESCC was in the vertebral body (88.3%), followed by paraspinal/foraminal (7.5%) and posterior elements (4.2%). Adjuvant radiotherapy (spinal stereotactic radiosurgery or conventional external beam radiation therapy) was performed in 87 cases (72.5%), whereas 33 procedures (27.5%) were performed as salvage after radiotherapy options were exhausted. sLITT was performed without need for spinal stabilization in 87 cases (72.5%). Post-sLITT Frankel grades were E (85%), D (10%), C (4.2%), and B (0.8%); treatment was associated with a median decrease of 2 ESCC grades. The local control rate at 1 year was 81.7%. Local control failure occurred in 25 cases (20.8%). The median progression-free survival was not reached, and overall survival was 14 months. Tumor location in the paraspinal region and salvage treatment were independent predictors of local recurrence, with hazard ratios of 6.3 and 3.3, respectively (p = 0.01). Complications were observed in 22 cases (18.3%). sLITT procedures performed in the lumbar and cervical spine had hazard ratios for neurological complications of 15.4 and 17.1 (p < 0.01), respectively, relative to the thoracic spine.CONCLUSIONSsLITT is safe and provides effective local control for high-grade ESCC from vertebral metastases in the thoracic spine, particularly when combined with adjuvant radiotherapy. The authors propose considering sLITT as an alternative to open surgery in selected patients with spinal metastases.

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