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European Spine Journal

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01-05-2013 | Case Report

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

Authors: Thomas Gösling, Maximilian A. Pichlmaier, Florian Länger, Christian Krettek, Tobias Hüfner

Published in: European Spine Journal | Special Issue 3/2013

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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Title: Two-stage multilevel en bloc spondylectomy with resection and replacement of the aorta
Authors: Thomas Gösling
Maximilian A. Pichlmaier
Florian Länger
Christian Krettek
Tobias Hüfner
Publication date: 01-05-2013
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue Special Issue 3/2013
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2471-0

At a glance: The STEP trials

Springer Medicine

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

Abstract

Objective

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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