Mixed modified en bloc corpectomy with substitute of the aorta in healing interdisciplinary therapy of a giant osteosarcoma infiltrating the aorta.
Eur Backbone J. 2016 Could;25 Suppl 1:58-62
Authors: Pilger A, Tsilimparis N, Bockhorn M, Trepel M, Dreimann M
PURPOSE: We report a case of a giant three-level spinal osteosarcoma infiltrating the adjoining aorta. That is the primary case through which a mixed modified three-level en bloc corpectomy with resection and substitute of the adjoining aorta was profitable as part of interdisciplinary healing therapy.
METHODS: Case report.
RESULTS: The surgical process was carried out as a two-step therapy. A coronary heart lung machine (HLM) was not used, with the intention to keep away from cerebral and spinal ischemia and to lower the chance of hematogenous tumor metastases. As an alternative, a bypass from the left subclavian artery the distal descending aorta was used. We modified the en bloc corpectomy process, leaving a dorsal phase of the vertebral our bodies to allow fast surgical procedure. The process was profitable and the en bloc resection of the vertebral physique with aortal resection might be achieved. Aside from pallhypesthesia within the left dermatomes Th7-Th10, the affected person doesn’t have any postoperative neurologic deficits.
CONCLUSION: Mixed corpectomy with aortic substitute must be thought of as an affordable choice within the healing therapy of osteosarcoma with consideration of the immense surgical dangers. The usage of an HLM shouldn’t be obligatory, particularly contemplating the inherent threat of hematogenous tumor metastases. Modified corpectomy leaving a dorsal vertebral physique phase was thought of an affordable variation since tumor-free margins might nonetheless be anticipated.
PMID: 26112246 [PubMed – indexed for MEDLINE]