Related Experiment Video
Updated: May 18, 2026
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Two-stage multilevel en bloc spondylectomy with resection and replacement of the aorta
Thomas Gösling1, Maximilian A Pichlmaier, Florian Länger
1Department of Trauma and Orthopaedic Surgery, General Hospital of Braunschweig, Holwedestrasse 16, 38118, Braunschweig, Germany. t.goesling@klinikum-braunschweig.de
Objective:
We report a case of multilevel spondylectomy in which resection and replacement of the adjacent aorta were done. Although spondylectomy is nowadays an established technique, no report on a combined aortic resection and replacement has been reported so far.
Methods:
The case of a 43-year-old man with a primary chondrosarcoma of the thoracic spine is presented. The local pathology necessitated resection of the aorta. We did a two-stage procedure with resection and replacement of the aorta using a heart-lung machine followed by secondary tumor resection and spinal reconstruction.
Results:
The procedure was successful. A tumor-free margin was achieved. The patient is free of disease 48 months after surgery.
Conclusion:
En bloc spondylectomy in combination with aortic resection is feasible and might expand the possibility of producing tumor-free margins in special situations.
