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Introduction: We present a rare case of long-term survival following metastasectomy for lumbar metastasis with growing teratoma syndrome.

Case Presentation: An 18-year-old man presented with left scrotal mass and lumbago. Alpha-fetoprotein was elevated to 648.

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Background: Lumbar total en bloc spondylectomy and internal fixation allows the removal of spinal tumors and the reconstruction of spinal stability. However, postoperative internal fixation failure due to unmatched spinal biomechanics remains obscure.

Purpose: This study aimed to assess the biomechanical characteristics of additive manufactured (AM) porous polyetheretherketone (PEEK) artificial vertebral body for total en bloc spondylectomy and internal fixation.

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Background: Total en bloc spondylectomy (TES) is a recognized surgical approach for managing spinal tumors. With advancements in three-dimensional (3D) printing technology, the use of 3D-printed prosthetics for vertebral reconstruction post-tumor resection has gained traction. However, research on the clinical implications of these prosthetics remains limited.

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Article Synopsis
  • * Involving 344 patients, the research found that 7.1% required revision surgery mainly due to tumor recurrence, with different techniques showing varying revision rates.
  • * The findings suggest that long-segment fixation and radiotherapy can reduce the need for revisions, while revision surgeries can improve patient pain and neurological function, resulting in longer survival times.
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Background: Mechanical failure following total spondylectomy is a surgical challenge. The cervicothoracic junction region is a special anatomical site with complex biomechanics, and few studies have reported a detailed surgical management strategy for cases where the mesh cage subsides and compresses the spinal cord in the cervicothoracic junction region after total spondylectomy.

Case Presentation: A 56-year-old male patient experienced screw and rod fracture and mesh cage retropulsion into the spinal canal 5 years after total spondylectomy for osteochondroma in the first to third thoracic vertebrae.

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