En bloc resection of 3 vertebra in a pancoast patient: long-term stability using a free vascularized fibular graft.

Vos, Cornelis G; Hartemink, Koen J; Oosterhuis, J W A Wolter; Winters, Hay A; Paul, Marinus A · Ann Thorac Surg · 2011

case_report · Level V

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Abstract

Vertebral involvement is no longer a contraindication for resection in superior sulcus tumors. We describe the reconstruction of thoracic vertebras 2 to 4 using a free vascularized fibular graft combined with dorsal and ventral stabilization using rods, screws, and hooks after resection of a superior sulcus tumor that invaded the thoracic spine. No complications have occurred after 7 years of follow-up, and the reconstruction has been durable and stable.

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