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Reconstruction with fascia lata allograft of the posterior vertebra elements after resection for aneurysmal bone cyst in a child.

AbstractWe report a case of ABC in a child where, after resection of the posterior spinal column of L1, we did a biological reconstruction using a posterior tension band with a segment of fascia lata allograft in tension between T12 and L2. After the long term follow up, X-ray and MRI controls showed a satisfactory alignment of the spine and no local recurrence. The patient now has no sign of spinal instability or deviation, with no kind of discomfort or pain, and has a normal life. In our experience this biological tension band interferes minimally with the growth of the spine, and has a less number of complications in comparison with other more aggressive methods and so is a good option for restoring the stability in young patients with benign spinal tumors that arises on the posterior column without having any kind of potential deviations.
AuthorsCostantino Errani, Sergio Schuster, Roberto Biagini, Roberto Casadei, Massimiliano De Paolis, Franco Bertoni, Stefano Boriani, Mario Mercuri (Affiliation: V Division Musculoskeletal Oncology Department, Rizzoli Institute, Via Pupilli n1, Bologna, Italy. le12316 at iperbole.bologna.it)
JournalEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (Eur Spine J) Vol. 16 Issue 9 Pg. 1531-5 (Sep 2007) ISSN: 0940-6719 Germany
PMID17426986 (Publication Type: Case Reports, Journal Article)
Topics
  • Bone Cysts, Aneurysmal (radiography, surgery)
  • Child
  • Fascia Lata (transplantation)
  • Female
  • Humans
  • Lumbar Vertebrae (radiography, surgery)
  • Orthopedic Procedures (instrumentation, methods)
  • Thoracic Vertebrae (radiography, surgery)
  • Transplantation, Homologous