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CASE 27: Breast Cancer Multiple Spinal Metastases Caused Compression Fractures and Partial Paralysis
- Hits: 103
- 36-year-old female patient
- She has a history of surgery for breast cancer and is currently undergoing active treatment.
- The patient presented with complaints of generalized back pain accompanied by weakness/numbness in the legs and hunching of the back.
- The patient's symptoms worsened over time; the pain did not subside with rest, and they had difficulty walking.
- The patient successfully underwent spinal cord separation surgery, posterior instrumentation (strengthening with open and closed (percutaneous) screw fixation), and vertebroplasty due to multiple compression fractures and spinal cord compression.
- The patient experienced no problems during or after the surgery and was discharged safely, walking without pain.
- The patient, whose stitches were removed in the second week after surgery, was referred for radiotherapy.
Before the surgery: PET-CT shows multiple metastases and compression fractures.
Before the surgery: MRI shows compression fractures and spinal cord compression in the upper back region, accompanied by a risk of fracture.
During surgery: The neck and back areas have open screw fastening, while the lumbar region has a closed screw fastening.
Post-surgery: The X-ray shows screw fixation (C2-L3 posterior instrumentation) and cementation (L4-5 vertebroplasty).
