Literature DB >> 22972602

Two-stage multilevel en bloc spondylectomy with resection and replacement of the aorta.

Thomas Gösling1, Maximilian A Pichlmaier, Florian Länger, Christian Krettek, Tobias Hüfner.   

Abstract

OBJECTIVE: We report a case of multilevel spondylectomy in which resection and replacement of the adjacent aorta were done. Although spondylectomy is nowadays an established technique, no report on a combined aortic resection and replacement has been reported so far.
METHODS: The case of a 43-year-old man with a primary chondrosarcoma of the thoracic spine is presented. The local pathology necessitated resection of the aorta. We did a two-stage procedure with resection and replacement of the aorta using a heart-lung machine followed by secondary tumor resection and spinal reconstruction.
RESULTS: The procedure was successful. A tumor-free margin was achieved. The patient is free of disease 48 months after surgery.
CONCLUSION: En bloc spondylectomy in combination with aortic resection is feasible and might expand the possibility of producing tumor-free margins in special situations.

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Mesh:

Year:  2012        PMID: 22972602      PMCID: PMC3641252          DOI: 10.1007/s00586-012-2471-0

Source DB:  PubMed          Journal:  Eur Spine J        ISSN: 0940-6719            Impact factor:   3.134


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Authors:  S Boriani; F De Iure; S Bandiera; L Campanacci; R Biagini; M Di Fiore; L Bandello; P Picci; P Bacchini
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1.  Revision strategy and follow-up for implant failure in a case of combined anterior and posterior reconstruction after three-level en bloc vertebral body replacement and replacement of the aorta for chondrosarcoma of the thoracic spine.

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