Anterior Column Reconstruction with Vascularized Rib After Thoracic Spondylectomy: A Case Report.
JBJS Case Connect
; 12(1)2022 01 20.
Article
en En
| MEDLINE
| ID: mdl-35050933
ABSTRACT
CASE A 35-year-old man with a chondrosarcoma of the thoracic spine was treated with neoadjuvant proton radiotherapy (RT), total en bloc spondylectomy (TES), and adjuvant RT. Multiple vertebrae were removed to ensure negative margins, which created a sizable midthoracic defect. A vascularized rib autograft was harvested and intussuscepted within a femoral allograft for reconstruction of the anterior column and supplemented with posterior and lateral instrumentation. CONCLUSION:
This report demonstrates the feasibility of using a rib autograft within a femoral allograft sleeve to achieve immediate robust biomechanical support and eventual osseous union after thoracic TES for malignant tumors.
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Neoplasias de la Columna Vertebral
/
Condrosarcoma
Límite:
Adult
/
Humans
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Male
Idioma:
En
Revista:
JBJS Case Connect
Año:
2022
Tipo del documento:
Article