The first cases of replacement of a resected vertebra by the proposed construction indicate the advisability of using this VG to restore the sagittal profile, stabilize the operated spinal motion segment, and create conditions for the formation of an adequate supporting bone block. The graft construction can be filled with a significant amount of a filler and makes it possible to add and tighten the filler after placing the graft into the operating position. The study demonstrated the construct efficacy. No postoperative complications associated with the use and placement of the telescopic constructions was observed.