Abstract
In casuistry of 56-year-old patient with multicentric fibrous dysplasia of 5th and 6th rib the authors demonstrate treatment procedures conducted by thoracic surgeon and neurosurgeon. A tumour compressed the right lung and caused breathlessness by creating pleural effusions.
A part of the tumour grew into the vertebral column canal and compressed the spinal cord. The patient had been examined at various departments; a surgical solution was suggested after a spastic paraparesis of lower limbs emerged.
In the acute phase during laminectomy the spinal cord compression was released. In the second phase the tumour was extirpated from thoracic wall, with resection of affected parts of ribs and thoracic vertebrae.
In the third phase the spine was stabilized with thoracic wall plastic surgery. The tumour of size 60 × 110 × 80 mm was 1,200 g in weight.
A large resection area was a source of difficult-to-stop bleeding; after application of local haemostat Traumacel TAF the blood loss significantly reduced.