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Metastasis of WHO Grade II Meningioma With Subsequent Pathological T12 Fracture: A Case Report. | LitMetric

AI Article Synopsis

  • A 64-year-old woman with an atypical meningioma developed a T12 vertebral body burst fracture due to metastatic disease.
  • After disease progression, she underwent decompression surgery and stabilization with spinal fusion from T10-L2.
  • This case is notable for detailing surgical management of spinal metastatic meningioma, resulting in short-term improvement in her condition and neurological function.

Article Abstract

Case: A 64-year-old woman with a history of World Health Organization Grade II (Ki-67 20%) atypical meningioma presented with T12 vertebral body burst fracture as a complication of metastatic meningioma (SSTR2+). Following disease progression, decompression surgery and stabilization through T10-L2 posterior thoracolumbar instrumented fusion was performed.

Conclusion: This is one of few documented cases of spinal metastatic meningioma causing pathological fracture and the first to detail surgical management and longitudinal follow-up. Applying the neurologic, oncologic, mechanical, and systemic decision framework to this rare presentation, the patient was indicated for the selected surgical approach, yielding short-term improvement of patient outcome and neurologic deficit.

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Source
http://dx.doi.org/10.2106/JBJS.CC.24.00215DOI Listing

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