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Challenges of cervical reconstruction for destructive spondyloarthropathy in renal osteodystrophy
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Destructive spondyloarthropathy of the spine is encountered in hemodialysis patients.

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Surgical management is challenging with high pseudarthrosis rate and poor bone quality.

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Surgical strategies often require circumferential procedures with long constructs.

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Knowledge of salvage techniques and adjunct stabilization methods is required.

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