Pseudomyxoma Peritonei Lesion of the Thoracic Spine: A Case Report and Literature Review

Hieu Kim  Huynh; Maxime  Lacroix; Pierre  Guigu; Emmanuelle  Ferrero; Tchao  Meatchi; Marc  Khalife

doi:10.18502/jost.v10i3.16786

Hieu Kim Huynh Spine Surgery Unit, Department of Orthopedic Surgery, Hôpital européen Georges-Pompidou, Paris, France; Department of Trauma-Orthopedics, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam; Université Paris-Cité, Paris, France
Maxime Lacroix Université Paris-Cité, Paris, France; Department of Radiology, Hôpital européen Georges-Pompidou, Paris, France
Pierre Guigu Spine Surgery Unit, Department of Orthopedic Surgery, Hôpital européen Georges-Pompidou, Paris, France; Université Paris-Cité, Paris, France
Emmanuelle Ferrero Spine Surgery Unit, Department of Orthopedic Surgery, Hôpital européen Georges-Pompidou, Paris, France; Université Paris-Cité, Paris, France
Tchao Meatchi Université Paris-Cité, Paris, France; Department of Pathology, Hôpital européen Georges-Pompidou, Paris, France
Marc Khalife Spine Surgery Unit, Department of Orthopedic Surgery, Hôpital européen Georges-Pompidou, Paris, France; Université Paris-Cité, Paris, France

DOI: https://doi.org/10.18502/jost.v10i3.16786

Keywords: Pseudomyxoma Peritonei; Disease; Spine

Abstract

Background: Pseudomyxoma peritonei (PMP) is a rare condition, with no previously described location in the spine. Here is presented a case of PMP extension to the thorax and then the spine, treated with two-level vertebrectomy, laminectomy, and posterior fusion.

Case Report: We report here the case of a 64-year-old man presenting pathological fractures of T6 and T7 due to PMP extension to the pleural cavity and thoracic spine. He presented interscapular pain with mild spinal cord compression symptoms. He was treated by achieving T5-T8 laminectomy, T2-T10 pedicle fixation, and T6-T7 vertebrectomy. The postoperative course was uneventful apart from a pulmonary embolism (PE) with favorable evolution under anticoagulants.

Conclusion: To achieve spinal cord decompression, kyphosis correction, and spine stabilization, a two-level vertebrectomy, laminectomy, and posterior fusion would be beneficial for a PMP lesion of the thoracic spine.