Table 1. Reported primary leiomyosarcomas in cervical spine invading the spinal canal and vertebra.
Study | Site | Age (years) | Sex | Follow-up (months) | Presenting symptoms | Duration of symptom | Osteoclasia | Surgical strategy | Postoperative treatment |
---|---|---|---|---|---|---|---|---|---|
Marshman et al. | C3–C5 | 61 | Female | Lost follow-up | Progressive spastic quadriparesis and acute urinary retention | NR | Bone erosion and infiltration within the posterior elements of C4 | First operation: decompressive laminectomy from C3 to C5 and soft-tissue tumor subtotal excision Second operation: complete macroscopic tumor excision incorporating posterior stabilization with the use of C2 pedicle and C3–C6 lateral mass screws coupled to contour rods |
None |
Ochiai et al. | C7 | 69 | Male | 6 (dead) | Dysesthesia of both hands | 2 months | C7 compression fracture | Biopsy of the tumor | None |
Sucu et al. | C2 | 25 | Female | 12 (alive) | Neck and left upper extremity pain | 6 months | Infiltrative lesion in the left C2 region | Left-sided partial spondylectomy plus expandable titanium prosthesis reconstruction and posterior craniocervical fixation | Radiotherapy |
Current study | C3–C5 | 29 | Male | 6 (alive) | Neck pain radiating into the left shoulder | 1 month | None | Anterior C4 corpectomy and reconstruction with a mesh cage filled with allogenic bone grafts | Radiotherapy |
NR: not reported.