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Anterior column reconstruction with PMMA: an effective long-term alternative in spinal oncologic surgery
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文摘
A number of anterior reconstruction options are available in patients managed for symptomatic metastatic spinal column disease. Polymethylmethacrylate (PMMA) has been traditionally used as a reconstruction option in patients with limited life expectancy as an anterior fusion is not expected. In this article, we present the outcome of a 13-year follow-up of a long anterior reconstruction using PMMA of the upper thoracic spine in a myelopathic female secondary to a compressive breast metastasis affecting the upper 4 thoracic vertebrae. We discuss the use of PMMA in spinal oncological surgery and review the evidence pertinent to its use.KeywordsPolymethylmethacrylatePMMAAnterior column reconstructionSpinal oncologyReferences1.Melcher RP, Harms J (2009) Biomechanics and materials of reconstruction after tumor resection in the spinal column. 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J Spinal Disord Tech 25:85–91. doi:10.1097/BSD.0b013e318214b489 CrossRefPubMedGoogle ScholarCopyright information© Springer-Verlag Berlin Heidelberg 2015Authors and AffiliationsKhalid M. I. Salem12Email authorCharles G. Fisher121.The Combined Neurosurgical and Orthopaedic Spine Program, Department of Orthopaedics, Faculty of Medicine, Vancouver Spine Surgery Institute, Vancouver General HospitalUniversity of British ColumbiaVancouverCanada2.Blusson Spinal Cord CenterVancouverCanada About this article CrossMark Publisher Name Springer Berlin Heidelberg Print ISSN 0940-6719 Online ISSN 1432-0932 About this journal Reprints and Permissions Article actions .buybox { margin: 16px 0 0; position: relative; } .buybox { font-family: Source Sans Pro, Helvetica, Arial, sans-serif; font-size: 14px; font-size: .875rem; } .buybox { zoom: 1; } .buybox:after, .buybox:before { content: ''; display: table; } .buybox:after { clear: both; } /*---------------------------------*/ .buybox .buybox__header { border: 1px solid #b3b3b3; 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