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Year : 2021  |  Volume : 18  |  Issue : 1  |  Page : 28-30

An unusual case of vertebral metastasis as initial presentation of follicular thyroid carcinoma complicated with misplaced pedicle screw

1 Department of Neurosurgery, Medical Trust Hospital, Kochi, Kerala, India
2 Department of Spine Surgery, Medical Trust Hospital, Kochi, Kerala, India

Correspondence Address:
Lakshay Raheja
Department of Neurosurgery, Medical Trust Hospital, M. G. Road, Kochi - 682 016, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joasis.joasis_14_21

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Vertebral metastasis as initial presentation for follicular thyroid carcinomas is rare and requires proactive management to minimize disability considering a good associated long-term survival. A review of literature in 2019 noted 27 such cases – most of the patients had solitary vertebral metastases or multiple adjacent level involvement. Surgical treatment in such cases is usually based on the extent of fractures or neural compression in the form of decompression, debulking, or total en bloc resection and biopsy. Pedicle screw placement has been studied in several large studies, and clinically relevant misplacement is rare and revision may be required. We present a case where a patient with a pathological fracture previously evaluated and operated came to us with radiculopathy caused by metastatic mass lesion and a misplaced pedicle screw.

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