title: En bloc resection of 3 vertebra in a pancoast patient: long-term stability using a free vascularized fibular graft.
abstract: Vertebral involvement is no longer a contraindication for resection in superior sulcus tumors. We describe the reconstruction of thoracic vertebras 2 to 4 using a free vascularized fibular graft combined with dorsal and ventral stabilization using rods, screws, and hooks after resection of a superior sulcus tumor that invaded the thoracic spine. No complications have occurred after 7 years of follow-up, and the reconstruction has been durable and stable.
authors.affiliation: Department of Surgery, VU University Medical Center, Amsterdam, the Netherlands. c.vos@vumc.nl
authors.forename: Cornelis G
authors.initials: CG
authors.lastname: Vos
authors.forename: Koen J
authors.initials: KJ
authors.lastname: Hartemink
authors.forename: J W A Wolter
authors.initials: JW
authors.lastname: Oosterhuis
authors.forename: Hay A
authors.initials: HA
authors.lastname: Winters
authors.forename: Marinus A
authors.initials: MA
authors.lastname: Paul
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D058752:Free Tissue Flaps; D006801:Humans; D008297:Male; D008875:Middle Aged; D010178:Pancoast Syndrome / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery*; D054854:Vertebroplasty / Q000379:methods*