{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:51:29Z","timestamp":1787755889578,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 64-year-old woman with a history of World Health Organization Grade II (Ki-67 20%) atypical meningioma presented with T12 vertebral body burst fracture as a complication of metastatic meningioma (SSTR2+). Following disease progression, decompression surgery and stabilization through T10-L2 posterior thoracolumbar instrumented fusion was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This is one of few documented cases of spinal metastatic meningioma causing pathological fracture and the first to detail surgical management and longitudinal follow-up. Applying the neurologic, oncologic, mechanical, and systemic decision framework to this rare presentation, the patient was indicated for the selected surgical approach, yielding short-term improvement of patient outcome and neurologic deficit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00215","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T14:01:15Z","timestamp":1734012075000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Metastasis of WHO Grade II Meningioma With Subsequent Pathological T12 Fracture"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1023-0646","authenticated-orcid":false,"given":"Helen","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7055-5824","authenticated-orcid":false,"given":"Kyle","family":"Hardacker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8754-7070","authenticated-orcid":false,"given":"Daniel","family":"Alsoof","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5065-6062","authenticated-orcid":false,"given":"Mariah","family":"Balmaceno-Criss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9256-9952","authenticated-orcid":false,"given":"Mohammad","family":"Daher","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eren","family":"Kuris","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7835-2263","authenticated-orcid":false,"given":"Bassel G.","family":"Diebo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9597-4139","authenticated-orcid":false,"given":"Alan H.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3258-9772","authenticated-orcid":false,"given":"Leland C.","family":"McCluskey","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Tulane University, New Orleans, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10]]},"reference":[{"issue":"2","key":"bib1-20241212","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1056\/NEJM200101113440207","article-title":"Brain tumors","volume":"344","author":"DeAngelis","year":"2001","journal-title":"New Engl J Med."},{"issue":"3","key":"bib2-20241212","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1080\/14737175.2018.1429920","article-title":"Current treatment options for meningioma","volume":"18","author":"Apra","year":"2018","journal-title":"Expert Rev Neurother."},{"issue":"5","key":"bib3-20241212","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.3171\/2019.1.JNS181771","article-title":"Meningioma metastases: incidence and proposed screening paradigm","volume":"132","author":"Dalle","year":"2020","journal-title":"J Neurosurg JNS."},{"issue":"857","key":"bib4-20241212","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1259\/bjr.72.857.10505022","article-title":"Extracranial metastatic meningioma","volume":"72","author":"Figueroa","year":"1999","journal-title":"Br J Radiol."},{"issue":"3","key":"bib5-20241212","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1007\/s11060-013-1074-x","article-title":"Distant metastases in meningioma: an underestimated problem","volume":"112","author":"Surov","year":"2013","journal-title":"J Neurooncol."},{"issue":"2","key":"bib6-20241212","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1007\/s11060-014-1567-2","article-title":"Metastatic meningiomas: an unusual clinical and pathological diagnosis with highly variable outcome","volume":"120","author":"Forest","year":"2014","journal-title":"J Neurooncol."},{"issue":"6","key":"bib7-20241212","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1097\/00005373-198406000-00008","article-title":"Computed tomography of thoracic and lumbar spine injuries","volume":"24","author":"Trafton","year":"1984","journal-title":"J Trauma."},{"issue":"11","key":"bib8-20241212","doi-asserted-by":"crossref","first-page":"1268","DOI":"10.1097\/00007632-198811000-00011","article-title":"Relationship between traumatic spinal canal stenosis and neurologic deficits in thoracolumbar burst fractures","volume":"13","author":"Hashimoto","year":"1988","journal-title":"Spine."},{"issue":"5","key":"bib9-20241212","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1007\/BF02417004","article-title":"Case report 853. Meningioma metastatic to the spine","volume":"23","author":"Olson","year":"1994","journal-title":"Skeletal Radiol."},{"issue":"10","key":"bib10-20241212","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1007\/BF01809747","article-title":"Metastasis in meningioma","volume":"138","author":"Ather Enam","year":"1996","journal-title":"Acta Neurochirurgica."},{"issue":"26","key":"bib11-20241212","doi-asserted-by":"crossref","first-page":"E1006","DOI":"10.1097\/01.brs.0000245952.71265.9b","article-title":"Intracranial malignant meningioma with multiple spinal metastases\u2014a case report and literature review: case report","volume":"31","author":"Chuang","year":"2006","journal-title":"Spine."},{"issue":"12","key":"bib12-20241212","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1097\/00000478-199712000-00008","article-title":"Meningioma grading: an analysis of histologic parameters","volume":"21","author":"Perry","year":"1997","journal-title":"Am J Surg Pathol."},{"issue":"2","key":"bib13-20241212","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.spinee.2023.10.008","article-title":"Variability in expenses related to spine oncology care: comparison of payer-negotiated rates at National Cancer Institute-Designated Cancer Centers","volume":"24","author":"Kasthuri","year":"2024","journal-title":"Spine J official J North Am Spine Soc."},{"issue":"1","key":"bib14-20241212","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1097\/01.rti.0000139388.80395.6e","article-title":"Metastatic meningioma to the lungs","volume":"20","author":"Teague","year":"2005","journal-title":"J Thorac Imaging."},{"key":"bib15-20241212","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/j.wneu.2018.11.067","article-title":"Atypical intracranial meningioma with metastasis to C7 vertebral body: a case report","volume":"122","author":"Ward","year":"2019","journal-title":"World Neurosurg."},{"issue":"4","key":"bib16-20241212","first-page":"2047981613494199","article-title":"Vertebral metastases from intracranial meningioma","volume":"3","author":"Zaghouani","year":"2014","journal-title":"Acta Radiol Short Rep."},{"key":"bib17-20241212","doi-asserted-by":"crossref","first-page":"e680","DOI":"10.1016\/j.wneu.2022.06.121","article-title":"Characteristics of patients selected for surgical treatment of spinal meningioma","volume":"165","author":"Spirollari","year":"2022","journal-title":"World Neurosurg."},{"issue":"13","key":"bib18-20241212","doi-asserted-by":"crossref","first-page":"3244","DOI":"10.3390\/cancers13133244","article-title":"Long-term follow-up and predictors of functional outcome after surgery for spinal meningiomas: a population-based cohort study","volume":"13","author":"Pettersson-Segerlind","year":"2021","journal-title":"Cancers."},{"issue":"3","key":"bib19-20241212","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/01.nrl.0000126588.14216.f3","article-title":"Meningiomas: updating basic science, management, and outcome","volume":"10","author":"Drummond","year":"2004","journal-title":"Neurologist."},{"issue":"1","key":"bib20-20241212","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1097\/01.coc.0000139958.88481.5c","article-title":"Pushing the limits of radiotherapy for atypical and malignant meningioma","volume":"28","author":"Katz","year":"2005","journal-title":"Am J Clin Oncol."},{"issue":"6","key":"bib21-20241212","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1634\/theoncologist.2012-0293","article-title":"The NOMS framework: approach to the treatment of spinal metastatic tumors","volume":"18","author":"Laufer","year":"2013","journal-title":"Oncologist."},{"issue":"3","key":"bib22-20241212","doi-asserted-by":"crossref","first-page":"324","DOI":"10.3171\/2010.3.SPINE09459","article-title":"Reliability analysis of the epidural spinal cord compression scale","volume":"13","author":"Bilsky","year":"2010","journal-title":"J Neurosurg Spine."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00215","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:54:09Z","timestamp":1787752449000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00215"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":22,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00215","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}