Single-Stage Craniectomy and Cranioplasty for Multilobular Osteochondrosarcoma Managed with a Custom Additive Manufactured Titanium Plate in a Dog.

Abstract

A 9-year-old spayed female dachshund presented with a large multilobular osteochondrosarcoma of the crania, with obliteration of approximately 70% of the surface area of the dorsal calvaria and intracranial extension. The mass was excised with histologically clean lateral bone margins (2-4 mm) and invasion at the deep margin. The resulting defect was reconstructed with a custom titanium plate. The patient recovered routinely and was asymptomatic until 7 months postoperatively. The patient developed intractable seizures 7 months postoperatively and was euthanized. Post-mortem examination showed tumor regrowth within the brain parenchyma. No abnormalities were seen associated with the plate. The patient-specific, custom additive manufactured titanium plate provided an excellent option for anatomic reconstruction and protection of the brain over a relatively large area with no complications noted.