{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T21:15:00Z","timestamp":1783026900830,"version":"3.54.6"},"reference-count":13,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["PED"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:p>The authors report the case of a 14-year-old girl with a residual malignant peripheral nerve sheath tumor after thoracotomy, chemotherapy, and radiation therapy. The residual tumor, which involved the intercostal muscles, aorta, and neural foramina of T4\u201310, was completely resected through a costotransversectomy and multiple hemilaminotomies with the patient in the prone position and was stabilized using a T1\u201312 pedicle screw fusion. Postoperatively, the patient developed several infections requiring multiple washouts and prolonged antibiotics. Thirty months after surgery, she developed a bronchocutaneous fistula. The hardware was removed, and a vascularized latissimus dorsi free flap was placed over the lung. She continued to have an air leak and presented 3 weeks later with a 40\u00b0 left thoracic curve. She returned to the operating room for a T2\u2013L2 fusion with a vascularized fibular graft. On postoperative Day 1, she underwent a bronchoscopy and had her left lower lobe airways occluded with multiple novel one-way endobronchial valves. She is now 5 years out from her tumor resection and 3 years out from her definitive fusion. She has no evidence of residual tumor, infection, or pseudarthrosis and continues to remain asymptomatic.<\/jats:p>","DOI":"10.3171\/2011.2.peds1175","type":"journal-article","created":{"date-parts":[[2016,12,27]],"date-time":"2016-12-27T13:07:55Z","timestamp":1482844075000},"page":"543-548","source":"Crossref","is-referenced-by-count":9,"title":["Treatment of a malignant peripheral nerve sheath tumor and its complications through a multidisciplinary approach"],"prefix":"10.3171","volume":"7","author":[{"given":"Eamon J.","family":"McLaughlin","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, and"},{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory G.","family":"Heuer","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, and"},{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert G.","family":"Whitmore","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, and"},{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John K.","family":"Birknes","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Belasco","sequence":"additional","affiliation":[{"name":"Oncology,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Sterman","sequence":"additional","affiliation":[{"name":"Pulmonary, Allergy, and Critical Care, Children's Hospital of Philadelphia, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Low","sequence":"additional","affiliation":[{"name":"Plastic Surgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip B.","family":"Storm","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, and"},{"name":"Departments of Neurosurgery,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0070543","series-title":"Neurology","doi-asserted-by":"publisher","first-page":"696","DOI":"10.1212\/01.WNL.0000078813.05925.2C","article-title":"Malignant peripheral nerve sheath tumor: the clinical spectrum and outcome of treatment","volume":"61","author":"Baehring","year":"2003"},{"key":"b2-0070543","series-title":"Cancer","doi-asserted-by":"publisher","first-page":"2006","DOI":"10.1002\/1097-0142(19860515)57:10<2006::AID-CNCR2820571022>3.0.CO;2-6","article-title":"Malignant peripheral nerve sheath tumors. 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