Author/Authors :
Kenji narazaKi, Douglas Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP) - Instituto de Ortopedia e Traumatologia - Spine Surgery Division, Spinal Tumors, São Paulo, SP Brazil. , Higino, lucas P. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP) - Instituto de Ortopedia e Traumatologia - Spine Surgery Division, Spinal Tumors, São Paulo, SP Brazil. , gemio jacobsen Teixeira, William Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP) - Instituto de Ortopedia e Traumatologia - Spine Surgery Division, Spinal Tumors, São Paulo, SP Brazil. , Dias Da rocHa, ivan Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP) - Instituto de Ortopedia e Traumatologia - Spine Surgery Division, Spinal Tumors, São Paulo, SP Brazil. , Dre Fogaça crisTanTe, alexan Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP) - Instituto de Ortopedia e Traumatologia, Spine Surgery Division, Laboratory of Medical Investigation, São Paulo, SP, Brazil , eloy Pessoa De barros FilHo, Tarcísio Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP) - Instituto de Ortopedia e Traumatologia, Spine Surgery Division, Laboratory of Medical Investigation, São Paulo, SP, Brazil
Abstract :
Objective: To demonstrate a novel technique for multilevel en bloc
post-vertebrectomy reconstruction. Methods: A novel technique
for en bloc multiple post-vertebrectomy reconstruction was used
in a patient presenting for curative resection of Ewing’s Sarcoma
at the oncology center of a public university hospital. Results:
The procedure described was feasible for en bloc resection of
the four vertebrae. The reconstruction was acceptable and sat-
isfactory in terms of mechanical stability and was without any
neurological sequelae in the patient. Conclusion: The use of an
allograft with a locked intramedullary nail was an adequate solution
for reconstructing the anterior and medial spines after multilevel
vertebrectomy. In addition, the association of four intramedullary
nails provided stability to the reconstruction. Immediate benefits of
the technique compared to other commonly used techniques were
shorter hospitalization times and reduced surgical morbidity. Level
of Evidence V, Clinical study of a new surgical technique and
a literature review
Keywords :
Reconstructive Surgical Procedures , Spinal Neoplasms , Spine , Thoracic Surgery , Orthopedics
