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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

 

Journal Homepage

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

 

AUTHORS


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)

EDITORIAL INFORMATION

Peer review

Editorial Board

Instructions for authors

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