Open AccessGood Recovery of Prostate Carcinoma with Spine Metastases to T9 Following Laminectomy
Author(s) -
Muhammad Wafiuddin,
Ed Simor Khan Mor Japar Khan,
Ahmad Fauzi Mohammad Faizal,
Jasfizal Jasni,
Loh Li Loong
Publication year - 2020
Publication title -
borneo journal of medical sciences
Language(s) - English
Resource type - Journals
eISSN - 2710-7353
pISSN - 1985-1758
DOI - 10.51200/bjms.vi.1541
Subject(s) - medicine , spinal cord compression , laminectomy , surgery , decompression , paralysis , back pain , spinal cord , prostate , spinal cord injury , carcinoma , cord , neurological deficit , cancer , alternative medicine , pathology , psychiatry
Prostate carcinoma is a common health issue that can metastasise in the spine. A 65-year-old male was diagnosed with prostate carcinoma and two years later he developed a progressive neurological deficit over the bilateral lower limb. He experienced severe back pain, became paraplegic and the quality of life was severely impaired. Radiographic investigations were done and revealed osteoblastic bone metastasis at thoracic vertebrae with spinal cord compression. The patient underwent surgical decompression surgery at the T9 level mainly for pain control. Six months post-surgery not only the pain was well controlled but patient able to ambulate with walking aid. It is a rare post-operative result as the neurological recovery in a patient with complete paralysis is less than 3%. This type of recovery is possible when the cause of the neurological deficit is mainly mechanical compression from tumour rather than cord ischaemia from traumatic injury.