CASE 4: 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, 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.