Perioperative management of a morbidly obese patient with multiple myeloma for spine surgery—when the problem doubles up!

Abstract

Abstract Background Multiple myeloma (MM) patients are prone to pathological fractures due to osteolytic bone lesions. With improved perioperative care, outcome of patients with vertebral compression fractures presenting for surgical interventions has become better. However, perioperative care of such patients is challenging for the anesthesiologist. Case presentation Herein, we report the successful perioperative management of a 55-year-old multiple myeloma patient with the compression fracture of lumbar vertebrae 2nd to 5th, for which balloon kyphoplasty was planned in prone position. Conclusions Multiple myeloma patients are at high risk of developing postoperative complications like acute kidney injury (AKI), pneumonia, and infections. In the present case report, we discuss and provide recommendations for better perioperative care to prevent perioperative complications.

Keywords

• Balloon kyphoplasty
• Multiple myeloma
• Obesity
• Perioperative care
• Palliative care