Myomectomy and Cervical Reconstruction in an Unmarried Girl with Large Cervical Fibroid.

Leiomyomas are frequently encountered tumors in women and have a wide and varied spectrum of presentation. We report a case of large cervical fibroid in an unmarried girl, presenting with acute abnormal uterine bleeding. Such cases pose a dilemma for the doctor as fertility preservation is a significant conern for the patient.

Cervical reconstruction after anterior cervical decompression / 中国矫形外科杂志

It is of great importance for surgery efficacy and avoidance of complications to reconstruct cervical curve, intervertebral height and cervical stability. Anterior cervical decompression includes discectomy and subtotal corpectomy. The former reconstruction comprises simple bone graft, bone graft with plating, cage implantation, cage with plating and total disc replacement.The latter comprises simple bone graft, bone graft with plating, titanium mesh cage with plating, conbinding cage and titanium mesh cage with plating. The common problem is loss of intervertebral height or nonunion occurring in a part of patients.Total disc replacement may preserve motion of affected levels but narrow indication. Based in the decompression, the best method should be choosen to reconstruct cervical stability and intervertebral height.