Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy

We present a rare case of a patient diagnosed with prostate carcinoma with spine metastases of T9 vertebrae whom had good neurological recovery following decompression. Six months post surgery patient was able to ambulate with a walking aid. About 6.7% of prostate cancer patient will have spinal com...

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Main Authors:	Ahmad, Muhammad Wafiuddin, Roslan, Ahmad Faizal, Jasni, Muhammad Jasfizal, Mor Japar Khan, Ed Simor Khan
Format:	Article
Language:	English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2018
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/67509/ http://irep.iium.edu.my/67509/ http://irep.iium.edu.my/67509/1/Good%20Recovery%20Of%20Prostate%20Carcinoma%20with%20Spine%20Metastases%20to%20T9%20%282%29.pdf

id	iium-67509
recordtype	eprints
spelling	iium-675092019-01-15T07:38:56Z http://irep.iium.edu.my/67509/ Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy Ahmad, Muhammad Wafiuddin Roslan, Ahmad Faizal Jasni, Muhammad Jasfizal Mor Japar Khan, Ed Simor Khan RD701 Orthopedics We present a rare case of a patient diagnosed with prostate carcinoma with spine metastases of T9 vertebrae whom had good neurological recovery following decompression. Six months post surgery patient was able to ambulate with a walking aid. About 6.7% of prostate cancer patient will have spinal compression. A 65 year old gentleman diagnosed with prostate carcinoma 2 years ago done orchidectomy and chemotherapy, presented with progressive worsening of bilateral lower limb weakness and numbness for 5 months duration associated with back pain. On admission the Visual Analog Score for back pain was 5/10. Neurological examination revealed complete paralysis of bilateral lower limb, absent bilateral knee and ankle jerk and sensation. Plain radiograph and MRI showed osteoblastic bone metastases at T9 level with epidural extension. A wide laminectomy of T9 vertebra while preserving the bilateral facet joint was done. No instrumentation was needed as there were no significant vertebral body collapsed due to the osteoblastic nature of the lesion. Six months after the surgery patient showed good neurological recovery with the power of MRC grade 4 for bilateral lower limb and Visual Analog Score for back pain reduced significantly. Numerous study had shown poor outcome in Frankel grade A in terms neurological recovery post decompression. It is a rare outcome that the motor power regained from 0 to 4, free from back pain and able to regain normal urinary and bowel function. As his surgery was a palliative surgery, his quality of life had improved markedly. Kulliyyah of Medicine, International Islamic University Malaysia 2018-12-14 Article PeerReviewed application/pdf en http://irep.iium.edu.my/67509/1/Good%20Recovery%20Of%20Prostate%20Carcinoma%20with%20Spine%20Metastases%20to%20T9%20%282%29.pdf Ahmad, Muhammad Wafiuddin and Roslan, Ahmad Faizal and Jasni, Muhammad Jasfizal and Mor Japar Khan, Ed Simor Khan (2018) Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy. International Medical Journal Malaysia, 17 (Supplementary Issue 1). p. 94. E-ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-95.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Ahmad, Muhammad Wafiuddin Roslan, Ahmad Faizal Jasni, Muhammad Jasfizal Mor Japar Khan, Ed Simor Khan Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy
description	We present a rare case of a patient diagnosed with prostate carcinoma with spine metastases of T9 vertebrae whom had good neurological recovery following decompression. Six months post surgery patient was able to ambulate with a walking aid. About 6.7% of prostate cancer patient will have spinal compression. A 65 year old gentleman diagnosed with prostate carcinoma 2 years ago done orchidectomy and chemotherapy, presented with progressive worsening of bilateral lower limb weakness and numbness for 5 months duration associated with back pain. On admission the Visual Analog Score for back pain was 5/10. Neurological examination revealed complete paralysis of bilateral lower limb, absent bilateral knee and ankle jerk and sensation. Plain radiograph and MRI showed osteoblastic bone metastases at T9 level with epidural extension. A wide laminectomy of T9 vertebra while preserving the bilateral facet joint was done. No instrumentation was needed as there were no significant vertebral body collapsed due to the osteoblastic nature of the lesion. Six months after the surgery patient showed good neurological recovery with the power of MRC grade 4 for bilateral lower limb and Visual Analog Score for back pain reduced significantly. Numerous study had shown poor outcome in Frankel grade A in terms neurological recovery post decompression. It is a rare outcome that the motor power regained from 0 to 4, free from back pain and able to regain normal urinary and bowel function. As his surgery was a palliative surgery, his quality of life had improved markedly.
format	Article
author	Ahmad, Muhammad Wafiuddin Roslan, Ahmad Faizal Jasni, Muhammad Jasfizal Mor Japar Khan, Ed Simor Khan
author_facet	Ahmad, Muhammad Wafiuddin Roslan, Ahmad Faizal Jasni, Muhammad Jasfizal Mor Japar Khan, Ed Simor Khan
author_sort	Ahmad, Muhammad Wafiuddin
title	Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy
title_short	Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy
title_full	Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy
title_fullStr	Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy
title_full_unstemmed	Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy
title_sort	good recovery of prostate carcinoma with spine metastases to t9 following laminectomy
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2018
url	http://irep.iium.edu.my/67509/ http://irep.iium.edu.my/67509/ http://irep.iium.edu.my/67509/1/Good%20Recovery%20Of%20Prostate%20Carcinoma%20with%20Spine%20Metastases%20to%20T9%20%282%29.pdf
first_indexed	2023-09-18T21:35:50Z
last_indexed	2023-09-18T21:35:50Z
_version_	1777412813733494784

Good recovery of prostate carcinoma with spine metastases to T9 following laminectomy

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