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. 2024 Sep 23;30(9):e70020. doi: 10.1111/cns.70020

FIGURE 2.

FIGURE 2

Intraoperative operating photographs of vASCT. Sequential intraoperative images of the vASCT procedure are depicted. Firstly, the vascularized spinal cord tissue was separated from the donor (A). Subsequently, the vascular pedicle of the donor spinal cord graft was anastomosed with the muscular vessel perforator of the dorsal intercostal artery (DIA) at the T10 level of the recipient (B). Following the completion of vascular anastomosis, careful examination of the blood exudation from the stumps of the donor spinal cord graft was conducted to verify the successful reconstruction of its blood supply (C). The dura mater of the recipient spinal cord was then incised (D), and a 1.5 cm segment of spinal cord tissue was excised to create a spinal cord defect (E). Finally, an appropriately sized spinal cord graft was tailored to span the stumps of the recipient spinal cord, and the dura mater was meticulously sutured and closed (F).