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[360 degrees instrumentation for cervical instability due to metastatic bone disease. Case report]
J E Vargas-Jasso1, M A Clara-Altamirano2, G Reyes-Soto3
1Ortopedia. HGR2 Villa Coapa. México.
Introduction:
The spine is the most common site for bone metastases; being the breast, prostate and lung cancer which have most affected. The thoracic spine is involved in 70% of cases, followed by the lumbar and cervical region.
Material And Methods:
This is a 59 years old female diagnosed with breast adenocarcinoma and metastatic bone disease in cervical spine C2, C3 level and instability of that segment because of a compression fracture of C3 greater than 80% without invasion of the spinal canal, she begins with paresthesias of upper limbs. A 360º instrumentation was performed in two stages. After the surgical procedure the patient were without neck pain and a good neurological status.
Discussion:
Metastatic bone disease causes significant damage to the spine sometimes create instability proper instrumentation is needed to improve the functional status and prognosis of these lesions.
