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CC BY-NC-ND 4.0 · Indian J Plast Surg 2022; 55(01): 107-110
DOI: 10.1055/s-0041-1740526
Case Report

Vascularized Ribs in the Treatment of Posterior Instrumentation Infection after Thoracic Vertebrectomy. Case Report

Pedro C. Cavadas
1   Clinica Cavadas, Reconstructive Surgery, Valencia, Spain
2   Departamento de Cirugía, Facultad de Ciencias de la Salud, Universidad Cardenal Herrera-CEU, CEU Universities, C/Santiago Ramón y Cajal, s/n., Valencia, Spain
,
Magdalena Baklinska
1   Clinica Cavadas, Reconstructive Surgery, Valencia, Spain
,
Daniela Téllez
1   Clinica Cavadas, Reconstructive Surgery, Valencia, Spain
› Author Affiliations Funding Our work, presented in this paper, was not subject to any external funding or financial involvement or support
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Abstract

Isolated vertebral mestastases can be successfully treated by surgical removal of the affected vertebral body and stabilization with alloplastic material. The bone union between the upper and lower vertebra is expected, yet a relatively high rate of a non-union has been reported. In case of infection, bone consolidation is altered, and removal of alloplastic material is recommended, which decreases spinal stability and is a devastating complication.

This case report of delayed infection and exposure of posterior hardware after thoracic vertebrectomy without an interbody osseous union, authors present a successful treatment with vascularized rib flaps through an anterior approach followed by hardware removal.

Keywords

Vertebrectomy For Bone Metastasis - breast cancer - septic vertebral non-union - vascularized ribs - posterior instrumentation

Informed Consent

Written, informed consent was obtained from the patient, including her consent to publish pictures.




Publication History

Article published online:
25 February 2022

© 2022. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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