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J Craniovertebr Junction Spine. 2018 Oct-Dec;9(4):267-270. doi: 10.4103/jcvjs.JCVJS_32_18.

The repair using a fibular graft of cervical vertebral collapse due to renal cell carcinoma: Late results with a case report.

Author information

1
Department of Neurosurgery, Research and Training Hospital, Recep Tayyip Erdogan University, Rize, Turkey.
2
Department of Urology, Research and Training Hospital, Recep Tayyip Erdogan University, Rize, Turkey.
3
Department of Pathology, Research and Training Hospital, Recep Tayyip Erdogan University, Rize, Turkey.

Abstract

The most common cause of spinal tumors is metastases, but the cervical vertebra is the least common region of spinal metastasis, and relatively, little is published about surgery in metastasis to the cervical vertebra. While spinal metastasis is most often caused by neoplasms originating from the lung, breast, and prostate, renal cell carcinoma (RCC) metastasis is very rare. A 47-year-old patient introduced here presented with severe pain spontaneously on his neck and in his arm. In the radiology of the patient without neurological deficit, a pathologic vertebral collapse was detected in the C6 vertebral corpus. The patient underwent anterior cervical corpectomy. The fibula graft taken from his right leg was implanted in the emptied area and supported by an anterior plaque, and restoration of physiological cervical lordosis was established. From the pathological tissue that was taken, it was determined that the cause of the lysis was an RCC metastasis. After surgical repair of the cervical spine, a primary pathology with a diameter of 10 cm was detected in the patient's kidney, and a radical nephrectomy was performed. After 6 years of follow-up, there was no recurrence, and the patient continued his normal daily life. Radiologically between the autologous fibula graft and its own vertebral body was observed to achieve very good fusion. In this study, we emphasized the importance of resection of metastasis together with a primary tumor in a metastatic RCC case to cure the patient and provide the desired quality of life.

KEYWORDS:

Cervical spine; collapse; metastasis; renal cell carcinoma; repair

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