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Edwin Destra
University of Indonesia
Health Professions Medicine & Pharmacology Nursing

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Kyphoplasty for Managing Compression, Pain, and Diagnostic Confirmation of Thoracolumbosacral Metastases from Axillary Apocrine Adenocarcinoma: A Case Report Alfred Sutrisno Sim; Herlina Uinarni; Edwin Destra
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53581

Abstract

Spinal metastases are a common complication in advanced malignancies, often leading to significant pain and structural instability. Axillary apocrine adenocarcinoma rarely metastasizes to the spine, making its clinical course poorly understood. Kyphoplasty, a minimally invasive vertebral augmentation technique, offers rapid pain relief, structural stabilization, and diagnostic confirmation of metastatic lesions. A 72-year-old male with a history of left axillary apocrine adenocarcinoma presented with progressive back and lumbar pain. Imaging revealed thoracolumbosacral metastases with canal stenosis, and histopathology confirmed metastatic adenocarcinoma. Kyphoplasty was performed on vertebrae L2-L4 to manage pain and compression. Post-procedure, the patient reported significant pain relief, improved mobility, and no complications. The procedure also facilitated tissue sampling for diagnostic confirmation. Kyphoplasty effectively managed pain, spinal compression, and diagnostic challenges in this rare case of thoracolumbosacral metastases from axillary apocrine adenocarcinoma. This report emphasizes the importance of kyphoplasty as a therapeutic and diagnostic tool for metastatic spinal disease and highlights the need for further studies on its long-term efficacy.
Cervical Myelopathy Due to Multilevel Ossification of the Posterior Longitudinal Ligament: A Case Report of Surgical Management With Laminoplasty Alfred Sutrisno Sim; Herlina Uinarni; Edwin Destra
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.53582

Abstract

Ossification of the posterior longitudinal ligament (OPLL) is a degenerative spinal condition characterized by ectopic bone formation along the posterior aspect of the vertebral bodies, most commonly affecting the cervical region. This process leads to gradual spinal canal narrowing and may result in cervical myelopathy due to chronic spinal cord compression. A 52-year-old male presented with severe bilateral arm pain, progressive upper extremity weakness, and paresthesia following minor trauma. Neurological examination revealed upper limb motor deficits and positive pathological reflexes. Cervical MRI showed multilevel OPLL from C3 to C6 with significant spinal cord compression and intramedullary hyperintensity. The patient underwent cervical laminoplasty to decompress the spinal cord while preserving vertebral stability. Postoperative follow-up demonstrated substantial neurological recovery, improvement in motor function, resolution of paresthesia, and stable implant positioning. Laminoplasty is a reliable surgical option for managing cervical myelopathy in multilevel OPLL, offering effective decompression and preservation of spinal alignment and motion.
Co-Authors Alfred Sutrisno Sim Herlina Uinarni