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CASE 26: Uterine (Endometrial) Cancer (Leiomyosarcoma) Lumbar Spine (L4) Metastasis Recurrence
- Hits: 171
- 67-year-old female patient
- She has undergone surgery for uterine cancer and is actively receiving treatment.
- A patient who underwent surgery for L4 vertebral metastasis presented with complaints of recurrent lower back/left leg pain and difficulty walking.
- The patient's examination and imaging studies revealed loosening of the screws, tumor recurrence, and a spinal fracture.
- The existing implants were removed, the tumor and fractured bone fragments were cleaned, the resulting cavity was filled with bone cement, and reinforcement was performed using the screw fixation method.
Before the surgery: The X-ray shows a defect in the L4 vertebra, and screw fixation in the vertebrae above and below it.
Before the surgery: The CT scan shows loosening of the screws and damage accompanied by a fracture in the spine.
Before the surgery: The MRI also shows tumor recurrence.
Post-surgery: The X-ray shows reinforcement applied to the L4 vertebra through cementing and re-screwing.
