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

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

Eur Spine J. 2012 Sep 13;

Authors: Gösling T, Pichlmaier MA, Länger F, Krettek C, Hüfner T

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.

PMID: 22972602 [PubMed – as supplied by publisher]