Successful Reconstructive Surgery for a Cervical Metastasis from Gastric Cancer

Abstract

There are many problems in the treatment of metastatic spinal tumors, particularly when we must take into consideration of the patient's : life expectancy, his or her medical conditions, and the severity of neurologic symptoms. A 61-year-old male patient with C6 metastatic gastric cancer underwent surgery due to the rapid progress of tetraparesis and intractable neck pain, making the supine position impossible. Pyramesh^<TM> and Orion plate^<TM> were used for reconstruction of the cervical spine, due to metastases to the ilium. Postoperative improvement was satisfactory and the patient was able to have a fruitful and pain free life for four months, in so much that he could even play golf. A surgical approach may be effective for the establishment of ADL, even in cancer patients under systemically aggravated conditions.