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Research ArticleTumor

Paraplegia Caused by Multifocal Osteosarcoma With Spinal Lesions

Morimi Kusakabe, Akio Sakamoto, Takayoshi Shimizu, Takashi Noguchi, Koichi Murata, Bungo Otsuki, Shunsuke Fujibayashi and Shuichi Matsuda
International Journal of Spine Surgery December 2021, 15 (6) 1234-1237; DOI: https://doi.org/10.14444/8156
Morimi Kusakabe
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Japan
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Akio Sakamoto
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Japan
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Takayoshi Shimizu
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Japan
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Takashi Noguchi
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Japan
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Koichi Murata
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Japan
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Bungo Otsuki
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Japan
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Shunsuke Fujibayashi
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Japan
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Shuichi Matsuda
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Japan
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    Figure 1

    A 55-year-old man with multicentric osteosarcoma. Plain radiography shows multifocal osteosclerotic lesions in the pelvis and spine (A). Magnetic resonance imaging shows multiple vertebral and pelvic lesions with low-signal intensity on T2-weighted (B-top, middle) and T1-weighted (B-bottom) images. Whole-body bone imaging using technetium-99m shows uptake primarily in the bone of the trunk (C). A lesion is observed in the lung (yellow arrow), but it is relatively small in size (C-top). Extraosseous ossified lesions are observed in the mediastinum (top), retroperitoneum (middle), and mesentery (bottom) (D) (orange arrows).

  • Figure 2
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    Figure 2

    A 55-year-old man with multicentric osteosarcoma. In the osteosclerotic spine, the spinal canal is narrowed at T10-11. An axial view at T10 shows that this narrowing is due to an ossified lesion (A). Magnetic resonance imaging shows compression of the spinal cord (yellow arrow) on a T2-weighted image (B). Fixation and decompression of T8–12 was performed (C). Histologic analysis of the resected laminae shows an osteoid tumor with atypical cells among trabecular bone (D-top). Two months after surgery, the spinal canal is narrowed at T7 (D-bottom). Extraosseous lesions are indicated with orange arrows (D and E). The ossified lesion in the pelvis is increased in size (E).

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International Journal of Spine Surgery
Vol. 15, Issue 6
1 Dec 2021
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Paraplegia Caused by Multifocal Osteosarcoma With Spinal Lesions
Morimi Kusakabe, Akio Sakamoto, Takayoshi Shimizu, Takashi Noguchi, Koichi Murata, Bungo Otsuki, Shunsuke Fujibayashi, Shuichi Matsuda
International Journal of Spine Surgery Dec 2021, 15 (6) 1234-1237; DOI: 10.14444/8156

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Paraplegia Caused by Multifocal Osteosarcoma With Spinal Lesions
Morimi Kusakabe, Akio Sakamoto, Takayoshi Shimizu, Takashi Noguchi, Koichi Murata, Bungo Otsuki, Shunsuke Fujibayashi, Shuichi Matsuda
International Journal of Spine Surgery Dec 2021, 15 (6) 1234-1237; DOI: 10.14444/8156
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More in this TOC Section

  • Predicting Survival in Patients Presenting With Spinal Epidural Metastases: The Limburg Spinal Metastasis Score
  • Preoperative Predictors of Survival in Patients With Spinal Metastatic Disease
  • Laminectomy vs Fusion for Intradural Extramedullary Tumors
Show more Tumor

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Keywords

  • osteosarcoma
  • paraplegia
  • spinal canal
  • spinal cord
  • spine
  • multiple

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