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A “home made” titanium telescopic mesh for an emergent multilevel cervical corpectomy: A case example of surgical preparedness

Interdisciplinary Neurosurgery. 2019;15:86-88


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Journal Title: Interdisciplinary Neurosurgery

ISSN: 2214-7519 (Online)

Publisher: Elsevier

LCC Subject Category: Medicine: Surgery | Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system

Country of publisher: Netherlands

Language of fulltext: English

Full-text formats available: PDF, HTML



Leonello Tacconi, MD, FRCS Ed (SN) (Corresponding author at: Department of Neurosurgery, Azienda Universitaria Integrata, Strada di Fiume 447, 34100 Trieste, Italy.; Department of Neurosurgery, Azienda Universitaria Integrata, Trieste, Italy)

Roberto Spinelli, MD (Department of Neurosurgery, Azienda Universitaria Integrata, Trieste, Italy)


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Editorial Board

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Time From Submission to Publication: 15 weeks


Abstract | Full Text

We present the case of a 49 years old man operated as emergency for cervical spinal cord compression for a Pott disease. We had planned a limited anterior cervical decompression with plating and a second stage posterior decompression and stabilization, a few days after the first operation in case of residual compression. Unfortunately, because of the extensive and consistency of dural compression we ended up in removing 4 vertebral bodies. We did not have, in house, a such long cage and plate for the reconstruction. We managed to achieve a good fixation making a “home made” titanium telescopic mesh as well as building a long plate too. The patient did extremely well with a prompt resolution of the neurological deficits. We describe how we manage to solve this problem stressing, in the same time, the importance of a careful plan, when possible, for such difficult cases. Keywords: Vertebrectomy, Pott disease, Mesh, Cage