{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T09:13:51Z","timestamp":1754558031147},"reference-count":7,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Acinic cell carcinoma (ACC) accounts for only 1% of all parotid neoplasms. Spinal metastases of these tumor are extremely rare.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 21-year-old patient had two prior partial resections of an ACC of the parotid gland followed by radiotherapy. Two years later, the patient presented with a 3-month history of cervicothoracic pain. The cervical spine magnetic resonance imaging revealed a pathological vertebral fracture secondary to metastatic infiltration of the D1 and D2 vertebral bodies contributing to spinal cord compression. The patient underwent a two-staged approach to resect the D1\/D2 infiltrated vertebral bodies and to stabilize the cervicothoracic junction. The histopathological diagnosis was consistent with metastatic ACC. The patient subsequently received 10 cycles of adjuvant radiotherapy. Six months later, the patient was neurologically intact and radiographically exhibited adequate fusion without new tumor recurrence. At the telemedicine follow-up 35 months postoperatively, the patient was doing well without axial pain or any neurological symptoms.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>A 23-year-old patient following circumferential decompression\/fusion of a D1\/D2 metastatic parotid carcinoma ACC was neurologically symptom free and radiographically stable without evidence of residual\/ recurrent tumor.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_719_2021","type":"journal-article","created":{"date-parts":[[2021,9,20]],"date-time":"2021-09-20T06:58:23Z","timestamp":1632121103000},"page":"474","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Spinal metastasis at the cervicothoracic junction from acinic cell carcinoma of the parotid gland: Case report"],"prefix":"10.25259","volume":"12","author":[{"given":"Ruy Camilo Gil","family":"Rohrmoser","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, General Hospital of Diseases - Guatemalan Institute of Social Security, Guatemala City, Guatemala."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel Diaz","family":"Borras","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, General Hospital of Accidents \u201cCeibal\u201d - Guatemalan Institute of Social Security, Guatemala City, Guatemala."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni L\u00f3pez","family":"La\u00ednez","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Accidents \u201cCeibal\u201d - Guatemalan Institute of Social Security, Guatemala City, Guatemala."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio Briz","family":"Eisen","sequence":"additional","affiliation":[{"name":"Department of General Surgery, General Hospital of Accidents \u201cCeibal\u201d - Guatemalan Institute of Social Security, Guatemala City, Guatemala."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Linares","family":"Martinez","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, HOPE International, Guatemala City, Guatemala."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joaquin","family":"Barnoya","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Integra Cancer Institute, Guatemala City, Guatemala."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,9,20]]},"reference":[{"key":"10.25259\/SNI_719_2021\/ref-1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1002\/path.1711460106","article-title":"Salivary gland tumors. A review of 2410, cases with particular reference to histological types, site, age and sex distribution","volume":"146","author":"Eveson","year":"1985","journal-title":"J Pathol"},{"key":"10.25259\/SNI_719_2021\/ref-2","doi-asserted-by":"crossref","first-page":"E1221","DOI":"10.1097\/BRS.0b013e3181e16ae2","article-title":"A novel classification system for spinal instability in neoplastic disease: An evidence-based approach and expert consensus from the spine oncology study group","volume":"35","author":"Fisher","year":"2010","journal-title":"Spine"},{"key":"10.25259\/SNI_719_2021\/ref-3","doi-asserted-by":"crossref","first-page":"e727","DOI":"10.3928\/01477447-20180613-05","article-title":"Four-year survival of a patient with spinal metastatic acinic cell carcinoma after a total en bloc spondylectomy and reconstruction with a frozen tumor-bearing bone graft","volume":"41","author":"Sangsin","year":"2018","journal-title":"Orthopedics"},{"key":"10.25259\/SNI_719_2021\/ref-4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1159\/000371340","article-title":"Acinic cell carcinoma of the parotid gland: A case report and review of the literature","volume":"8","author":"Sep\u00falveda","year":"2015","journal-title":"Case Rep Oncol"},{"key":"10.25259\/SNI_719_2021\/ref-5","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1002\/1097-0142(197803)41:3<924::AID-CNCR2820410321>3.0.CO;2-L","article-title":"Acinic cell carcinoma of salivary origin. 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