• Der Unfallchirurg · Nov 2016

    Case Reports

    [Three-dimensional correction of the thoraco-lumbar spine after sarcoma resection : An inter-disciplinary approach with free-tissue transfer].

    • H Keil, M Kreinest, U Kneser, T Kremer, M Schnetzke, P A Grützner, and S Matschke.
    • Klinik für Unfallchirurgie und Orthopädie, BG Klinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 67071, Ludwigshafen, Deutschland.
    • Unfallchirurg. 2016 Nov 1; 119 (11): 954958954-958.

    AbstractThis article presents the case of a high-grade deformity of the thoraco-lumbar spine. The patient suffered from a sarcoma that was radically resected. Due to adjuvant radiation, the patient suffered from a radiation injury with chronic fistula. In a two-stage approach, the deformity was corrected by a closing-wedge osteotomy of L3 with elongation of the present dorsal spondylodesis (Th10-L4) to Th8 and the iliac bone. Soft-tissue reconstruction was achieved by a free latissimus dorsi flap that was anastomosed to an axillary arterio-venous loop. The presented interdisciplinary approach allowed an almost complete correction of the deformity and stable soft-tissue coverage.

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