Breast cancer metastasis of C6 with a
pathological fracture in a 45–year–old woman with intractable pain.
The corpectomy defect was filled with methylmethacrylate and secured
with a non–locking Oroszco screw–plate. This paramedian sagittal
closeup section two years postoperatively shows that the cement in
the C6 vertebrectomy defect is firmly bonded to the remodelled
endplates. There is no recurrence of the metastasis after two years.
Note also the anterior bulging of the thickened dura and the sharp
outlines and the blue cast of the screw tracts. The screws have
transgressed the posterior vertebral wall with one tread, their tips
are covered by a thick layer of coalesced periosteum and dura. The
epidural space is obliterated. The segmental nerves are lying free
in the subarachnoid space and the spinal cord is not compressed.
©2000 Wolfgang Rauschning, M.D., Ph.D.
Professor of Clinical Anatomy
Department of Orthopaedic Surgery
Reproduction without permission is prohibited http://www.akademiska.se/