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Updated: Dec 10, 2025

Intraoperative Ultrasound in Spinal Surgery

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Metastatic epidural spinal cord compression.

Preci Hamilton¹, Peyton Lawrence¹, Christian Valentin Eisenring²

¹Division of Neurosurgery, Department of Surgery, Radiology, Anaesthesia and Intensive Care, University Hospital of the West Indies, University of the West Indies, Kingston, Jamaica.

Journal of Surgical Case Reports

|August 29, 2020

Summary

Metastatic epidural spinal cord compression can be effectively managed with surgical decompression and stereotactic radiosurgery. This combined approach significantly improved pain, motor function, and prognosis in a patient with thoracic spinal tumors.

Keywords:

adjuvant spine stereotactic radiosurgery metastatic epidural spinal cord compression separation surgery vertebrectomy

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Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression

Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression

Published on: May 7, 2019

Area of Science:

Neurosurgery
Oncology
Orthopedic Surgery

Background:

Metastatic epidural spinal cord compression (MESCC) requires timely management to prevent neurological deficits.
Optimal treatment strategies involve accurate scoring systems to guide interventions.
Surgical decompression and adjuvant therapies are crucial for improving patient outcomes.

Observation:

A 75-year-old male presented with progressive thoracic pain, left lower limb weakness, and gait difficulty.
Spinal imaging revealed T4 MESCC with pathological fractures at T4, T10, and lytic lesions at L3.
No other metastatic lesions were identified.

Findings:

The patient underwent posterolateral decompression via costotransversectomy and vertebrectomy at T4, followed by an expandable titanium cage insertion.
Spinal alignment was restored using T1-T7 pedicle screw fixation.
Post-operative recovery showed significant improvement in pain and motor power, enabling discharge.

Implications:

Combined separation surgery and stereotactic radiosurgery offer an optimized approach for managing MESCC.
This multimodal treatment effectively reduces tumor burden, enhances pain control, and improves the overall prognosis for spinal metastases.
Accurate patient selection and scoring systems are vital for successful surgical and radiosurgical interventions in MESCC.