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Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction

We describe cases of two patients with primary cervical bone tumors that resulted in extensive destruction of bones of the region. In the first patient, the tumor and its growth resulted in the destruction of C3–C5 vertebral bodies and the unilateral destruction of facets and pedicles. In the second...

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Autores principales: Shah, Abhidha, Prasad, Apurva, Vutha, Ravikiran, Goel, Atul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336898/
https://www.ncbi.nlm.nih.gov/pubmed/37448501
http://dx.doi.org/10.4103/jcvjs.jcvjs_53_23
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author Shah, Abhidha
Prasad, Apurva
Vutha, Ravikiran
Goel, Atul
author_facet Shah, Abhidha
Prasad, Apurva
Vutha, Ravikiran
Goel, Atul
author_sort Shah, Abhidha
collection PubMed
description We describe cases of two patients with primary cervical bone tumors that resulted in extensive destruction of bones of the region. In the first patient, the tumor and its growth resulted in the destruction of C3–C5 vertebral bodies and the unilateral destruction of facets and pedicles. In the second case, there was focal destruction of the body and odontoid process and unilateral pedicle and facet of C2. Tumor resection and spinal stabilization were the aims of the surgery. In both cases, unilateral fixation of facets was done. In the first patient, multi-segmental transarticular fixation by Camille's technique was done, and in the second patient, unilateral lateral mass plate and screw fixation was done by the Goel technique. Solid bone fusion of spinal segments was observed at more than a 2-year follow-up in both cases. Based on this experience, it appears that unilateral facetal fixation can provide firm stability and can be used when other more frequently and popularly used techniques are either not available or possible.
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spelling pubmed-103368982023-07-13 Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction Shah, Abhidha Prasad, Apurva Vutha, Ravikiran Goel, Atul J Craniovertebr Junction Spine Case Report We describe cases of two patients with primary cervical bone tumors that resulted in extensive destruction of bones of the region. In the first patient, the tumor and its growth resulted in the destruction of C3–C5 vertebral bodies and the unilateral destruction of facets and pedicles. In the second case, there was focal destruction of the body and odontoid process and unilateral pedicle and facet of C2. Tumor resection and spinal stabilization were the aims of the surgery. In both cases, unilateral fixation of facets was done. In the first patient, multi-segmental transarticular fixation by Camille's technique was done, and in the second patient, unilateral lateral mass plate and screw fixation was done by the Goel technique. Solid bone fusion of spinal segments was observed at more than a 2-year follow-up in both cases. Based on this experience, it appears that unilateral facetal fixation can provide firm stability and can be used when other more frequently and popularly used techniques are either not available or possible. Wolters Kluwer - Medknow 2023 2023-06-13 /pmc/articles/PMC10336898/ /pubmed/37448501 http://dx.doi.org/10.4103/jcvjs.jcvjs_53_23 Text en Copyright: © 2023 Journal of Craniovertebral Junction and Spine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Shah, Abhidha
Prasad, Apurva
Vutha, Ravikiran
Goel, Atul
Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction
title Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction
title_full Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction
title_fullStr Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction
title_full_unstemmed Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction
title_short Unilateral facet fixation as a salvage procedure: Report of two cases with cervical primary bone tumors with extensive bone destruction
title_sort unilateral facet fixation as a salvage procedure: report of two cases with cervical primary bone tumors with extensive bone destruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336898/
https://www.ncbi.nlm.nih.gov/pubmed/37448501
http://dx.doi.org/10.4103/jcvjs.jcvjs_53_23
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