Multilevel cervical reconstruction with no remaining hardware: the potential of a vascularised fibular strut graft

We present a case of a cervical chordoma extending from C3 to C6, treated by surgical resection followed by reconstruction in two stages with a vascularised fibular strut graft anteriorly and fibular allografts posteriorly. The goal was to achieve a stable reconstruction without any metal hardware to allow for increased accuracy of the adjuvant radiotherapy. The advantages of a vascularised fibula flap to realise this are discussed.