Complex cervical spine neoplastic disease: reconstruction after surgery byusing a vascularized fibular strut graft - Case report

The authors report a case of an aggressive chordoma in the cervical spine o f a 15-year-old girl who underwent radical resection followed by reconstruc tion using an anterior vascularized fibular strut graft and posterior arthr odesis prior to receiving immediate postoperative radiation therapy. The pa tient had successful graft incorporation 4 months postoperatively. The auth ors review the advantages of using vascularized fibular strut grafts for th e treatment of multilevel cervical spine neoplastic disease and discuss the theoretical advantages of using vascularized grafts that tolerate therapeu tic levels of radiation.