転移性せきついしゅように対しＨａｒｒｉｎｇｔｏｎ‐Ｒｏｄを用いた後方固定術の経験

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  • A Case Report of Metastatic Spinal Tumor Treated by Harrington-Rod Instrumentation

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説明

A 32-year-old woman was admitted with the lumber pathological fracture (L4) by falling down on the road. This pathological fracure was caused by a metastatic spinal tumor from the medullary thyroidcarcinoma and the bone scintigraphy showed hot spot in the thoracic spine. We performed the posterior fusion with Harrington rods from 12 to S1 for the purpese of early uhalitation. Two rods were placed as lateral as possible in order to provide future decompression. Bone chips from iliac bone were transplanted in the interlaminal spaces. Six months after operation the patient has come back home and enjoyed a daily life without any help. Plasma levels of carcinoembrionic antigen (CEA) and calcitonin (CT) which are closely related to the medullary thyroid carcinoma were still elevated.

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