{"id":"babd1931-8907-4182-895f-300b31763b72","slug":"a-case-report-bilateral-reconstruction-of-c2-lateral-masses-with-expandable-titanium-cages-following-axis-c2-solitary-plasmacytoma-resection-with-2-year-follow-up","title":"A case report: Bilateral reconstruction of C2 lateral masses with expandable titanium cages following axis (C2) solitary plasmacytoma resection with 2-year follow-up","authors":["Seyed Reza Mousavi","Sahand Mohammadzadeh","Alireza Rezvani","Hoseinali Khalili","Mavlonov Jaloliddin Begijonovich","Mohammadhadi Amirshahpari Motlagh","Majid Reza Farrokhi"],"abstract":"Background: Solitary plasmacytoma (SP) caused the collapse/destruction of the C2 vertebral body in a 78-year-old male. To provide sufficient posterior stabilization, the patient warranted lateral mass fusion to supplement the bilateral pedicle/screw rod instrumentation. Case Description: A 78-year-old male presented with neck pain alone. X-rays, computed tomography, and magnetic resonance studies documented C2 vertebral collapse with the complete destruction of both lateral masses. The surgery required a laminectomy (i.e., bilateral lateral mass resection), plus placement of bilateral expandable titanium cages from C1 to C3 to supplement the screw/rod occipitocervical (O-C4) fixation. Adjuvant chemotherapy and radiotherapy were also administered. Two years later, the patient remained neurologically intact and radiographically had no evidence of tumor recurrence. Conclusion: In patients with vertebral plasmacytomas and bilateral lateral mass destruction, posterior occipital-cervical C4 rod/screw fusions may warrant the additional bilateral placement of titanium expandable lateral mass cages from C1 to C3.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/babd1931-8907-4182-895f-300b31763b72/featured/hero-1781560233051.png","publishDate":"2023-06-23T00:00:00.000Z","doi":"10.25259/SNI_332_2023","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2023/06/12375/SNI-14-217.pdf"}