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Case Reports
. 2004:24:86-94.

Surgical treatment of solitary plasmocytoma of the spine: case series

Sergio Mendoza  1 , Julio Urrutia, Dennis Fuentes
Affiliations
Case Reports

Surgical treatment of solitary plasmocytoma of the spine: case series

Sergio Mendoza et al. Iowa Orthop J. 2004.

Abstract

The mean survival of patients with skeletal solitary plasmocytoma is 75% at 5-year follow-up. This highly osteolytic tumor may compromise spinal stability. Radiotherapy is effective in local control of the disease, however, it is not effective in restoring spinal stability. Fracture risk and progressive vertebral collapse persist. For this reason, we must consider the need to establish the probability of progressive vertebral collapse, based on the degree of involvement of the vertebral body at the time of diagnosis. We used parameters described by Taneishi and Kaneda, as well as those of Heller and Boden to predict progressive vertebral collapse. Three cases are presented and their treatment is described.

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Figures

Figure 1
Figure 1. Osteolytic involvement of L1 with destruction of the right pedicle
Figure 2
Figure 2. Destruction of the L1 vertebral body and right pedicle
Figure 3
Figure 3. Harrington-Luque instrumentation T10-L4
Figure 4
Figure 4. Remodeling of the vertebral body trabeculae at 2 years
Figure 5
Figure 5. Osteolytic involvement of the body of L2
Figure 6
Figure 6. Invasion of the spinal canal at L2
Figure 7
Figure 7. T12-L4 posterior instrumentation
Figure 7
Figure 7. T12-L4 posterior instrumentation
Figure 8
Figure 8. Osteolytic destruction of the T12 body and left pedicle
Figure 9
Figure 9. Tumoral involvement of T12, with destruction of the left costo-transverse joint, pedicle and posterior arch
Figure 10
Figure 10. Tumoral compromise of T12, L1, L2, L4 and L5
See this image and copyright information in PMC

References

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