A Case Report of Vertebral Osteosarcoma: An Appraisal

Abstract

Vertebral osteosarcoma is the primary non-hematological malignancy having poor surgical outcome even after all modalities of treatment. We describe one case of vertebral osteosarcoma who initially presented with paraparesis, and subsequently, paraplegia with autonomic involvement. On neurological examination, muscle power was grade “0” of lower limb, sensory level at L1, autonomic absent. Magnetic resonance imaging and plain X-ray reveals collapse of L1 vertebra with intensity changes. She underwent total excision of tumor with posterior decompression by laminectomy of L1 with stabilization by rod and pedicle screw. Post-operative radiotherapy was ensured. The histopathological examination revealed telangiectatic osteosarcoma. Accurate early diagnosis and careful total surgical excision with decompression and fixation of vertebra play an important role. Radiotherapy subsequently helps to the prevention of recurrence and destruction of residual cancer cells.

Keywords

• laminectomy
• paraplegia
• telangiectatic osteosarcoma
• stabilization.