EAS Publisher | Decompression, Vertebroplasty and Internal Fixation for Primary Non-Hodgkin’s Lymphoma of the Lumbar Spine: A Case Report and Literature Review

Decompression, Vertebroplasty and Internal Fixation for Primary Non-Hodgkin’s Lymphoma of the Lumbar Spine: A Case Report and Literature Review

DOI : https://doi.org/10.36349/EASJMS.2020.v02i06.007

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Non-Hodgkin’s lymphoma is a rare primary neoplasm of the epidural spine of the elderly. Although lymphomatous involvement of vertebral bodies will be recognized as marked high signal on STIR images, the radiological features are still unspecific, which make it difficult for identification. We report a case of a 86-year-old man complaining of serious lower lumbar pain and lower limbs muscle weakness. The PET-CT scan showed invasion of the fifth lumbar vertebra without migration. As the posterior vertebral body wall collapsed, never roots were compressed by the instability. The Spinal Instability Neoplastic Score (SINS) was 13. Vertebroplasty was performed to consolidate the vertebral and followed by decompression and interal fixation, afterward, the pain and lower limb weakness was relieved. The histopathological examination revealed a diffuse lymphoma. RminiCHOP chemotherapy was applied following the surgery in the department of hematology. Until the 12 months follow-up, the clinical result was satisfied.

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