Vertebral body reconstruction with a modified Harrington rod distraction system for stabilization of the spine affected with metastatic disease.
Anterior spinal decompression has become widely used for neoplasia arising from the vertebral bodies. Replacement for the resected vertebral body must achieve spinal stability, restitution of lost height, correction of kyphotic deformities, and allow for early ambulation. A spinal fixator based on the Harrington ratchet locking system was found to fulfill this requirement. The fixator, its technique of implementation, and surgical results in 10 patients are described.
Arbit
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Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Galicich
J H
JH
D000328:Adult; D000368:Aged; D001858:Bone Nails; D001860:Bone Plates; D002423:Cause of Death; D018450:Disease Progression; D004434:Early Ambulation; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016268:Internal Fixators; D007738:Kyphosis / Q000601:surgery; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery; D013125:Spinal Neoplasms / Q000556:secondary* / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000473:pathology / Q000601:surgery*