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Vertebral Body Replacement

  • Jürgen Nothwang
Chapter

Abstract

The anterior support in thoracolumbar spine fractures and in some special cases of tumour diseases is one of the most important steps for reconstructing the shape of the vertebral column to preserve satisfying long-term results. A lot of biomechanical and clinical investigations confirm the necessity of anterior reconstruction in bisegmental posterior stabilizations to avoid posterior implant failure. Potential of healing of a bisegmental corticocancellous graft is limited. With vertebral body replacements (VBR), the loss of correction after removal of the posterior stabilization device is small. VBRs with expandable components (see Fig. 33.1) allow an adapted anterior defect bridging and open the possibility of anterior reduction.

Keywords

Vertebral Body Endoscopic Technique Endoscopic Approach Cement Augmentation Adjacent Vertebral Body 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

ASA

American Society of Anesthesiologists

FSU

Functional spine unit

MRI

Magnetic resonance imaging

NYHA

New York Heart Association

VBR

Vertebral body replacement

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Traumatology and OrthopedicsRems-Murr-Kliniken gGmbHSchondorfGermany

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