Gui C, Rocos B, Lohkamp LN, Cheung A, Bleakney R, Massicotte E. Utility of the spinal instability neoplastic score to identify patients with Gorham-Stout disease requiring spine surgery.
Surg Neurol Int 2021;
12:227. [PMID:
34221558 PMCID:
PMC8247937 DOI:
10.25259/sni_311_2021]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 04/19/2021] [Indexed: 12/03/2022] Open
Abstract
Background:
Gorham-Stout disease (GSD) is a rare syndrome presenting with progressive osteolysis which in the spine can lead to cord injury, instability, and deformity. Here, the early spine surgery may prevent catastrophic outcomes.
Case Description:
A 25-year-old male with GSD involving the T2 to T6 levels presented with acute traumatic kyphoscoliosis at T3 and T4 and left lower extremity paraparesis. The CT scan 4 weeks before this showed progressing osteolysis versus the CT 5 years ago. Unfortunately, the patient underwent delayed treatment resulting in permanent neurological sequelae. Surgery included a laminectomy and vertebrectomy of T3/T4 with instrumented fusion from T1-10. The use of the spinal instability neoplastic score (SINS) is a useful tool to prompt early referral to spine surgeons.
Conclusion:
We recommend using the SINS score in GSD patients who develop spinal lesions to prompt early referral for consideration of surgery.
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