CASE 32: Thoracic Vertebra Recurrent Osteosarcoma

• 25-year-old female patient
• The history of the operations is as follows: 2021 (first), 2022 (second), 2023 (third).
• She has undergone 6 rounds of chemotherapy treatment.
• No metastasis.
• When the patient arrived, the paraplegia was complete, meaning there was total paralysis in the legs.
• Since the patient had no metastases and had completed chemotherapy, the reconstruction of the cavity created after multi-level en bloc corpectomy with fibula + titanium cage and posterior instrumentation, in conjunction with cardiovascular surgery, thoracic surgery and spinal surgery, was successfully performed.
• The patient experienced no complications during or after surgery and was referred to medical oncology following wound healing.

Before the surgery: The X-ray shows the soft tissue shadow of the recurrent tumor, along with the instrumentation and cage used in previous surgeries.

Before the surgery: CT scans show tumor recurrence along with previously applied cage and instrumentation.

Before the surgery: The MRI shows a large tumor recurrence.

During the operation: The image shows fibula, cage and instrumentation application and wound closure after corpectomy.

During the operation: Clinical and fluoroscopy images of the extracted vertebrae.

Post-surgery: The X-ray shows fibula, cage, and instrumentation placement after corpectomy.