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Image Search Results
Journal: Neurospine
Article Title: Mechanical Failure After Total En Bloc Spondylectomy and Salvage Surgery
doi: 10.14245/ns.2244092.046
Figure Lengend Snippet: Reconstruction of 3 columns after total en bloc spondylectomy (TES). (A) After TES at T12, the anterior vertebral column is supported by a titanium-based mesh-type interbody cage, and the posterior column is supported by pedicle screws and a 5.5-mm rod on each side. (B) Cadaveric bone was tailored and fixed with a plate and screw system for bone fusion between intact laminas (arrow).
Article Snippet: A titanium-based
Techniques:
Journal: Neurospine
Article Title: Mechanical Failure After Total En Bloc Spondylectomy and Salvage Surgery
doi: 10.14245/ns.2244092.046
Figure Lengend Snippet: Total en bloc spondylectomy for recurrent giant cell tumor. T2-weighted magnetic resonance images show a mass across T6/7 in axial (A, arrow) and coronal (B) views. The tumor extended to the vertebral body, epidural space transverse process, and ribs. A postoperative x-ray shows instrumentation from T4 to T9, but the vertebral bodies are not resected (C). Positron emission tomography shows high uptake (D, arrow) in the left T6 vertebral body. Presurgical planning is marked on a 3-dimensional posterior (E) image with bold lines. (F) An intraoperative specimen shows a resected vertebra. The tumor was in the left vertebral body, pedicle, and transverse process, and those structures were removed in an en bloc fashion after resecting posterior spinal elements, as marked with a bold line (E). (G) An intraoperative photo shows posterior reconstruction with a pedicle/screw system and cadaveric bone bloc and chips. (H) A postoperative x-ray shows anterior column support with a mesh-type interbody space. (I) X-ray shows a unilateral rod fracture (arrow). (J) Sagittal computed tomography shows nonunion between the cage and T8 (arrow). (K) X-ray taken 6 months later showed a bilateral rod fracture (arrow). (L) The broken screws were replaced with cobalt-chromium alloy rods, and additional rods were applied.
Article Snippet: A titanium-based
Techniques: Positron Emission Tomography, Computed Tomography