Anterior Fibular Strut Grafting in the Treatment of Kyphosis

Evaluation of Spinal Fusion Using Autologous Anterior Strut Grafts and Posterior Instrumentation for Thoracic/Thoracolumbar Kyphosis

“…Anterior strut grafts with posterior fusion and instrumentation remain a valuable option for the treatment of severe kyphosis. 2,37,43,44 Key Points • Anterior autologous strut grafting and dorsal instrumentation with third-generation instrumentation for the surgical treatment of thoracic or thoracolumbar kyphosis was evaluated retrospectively. • Our indications for surgical intervention were pain, progression of deformity, and/or the development of neurologic symptoms.…”

Effectiveness of Titanium Mesh Cylindrical Cages in Anterior Column Reconstruction After Thoracic and Lumbar Vertebral Body Resection

“…The primary function of these devices is to provide structural support to the anterior spinal column, which is known to transmit 80% of the axial load applied to the spine. 12 Pathologic processes such as trauma, 13 malignancy, 14 infection, 2 and congenital/developmental abnormalities 15 can involve the vertebral bodies, rendering them incapable of providing anterior column support and stability. Following resection, an ideal anterior spinal column reconstruction provides a mechanically stable construct between vertebral endplates that can maintain spinal alignment while facilitating the development of a biologically stable fusion mass.…”

“…In general, a high rate of successful arthrodesis has been achieved with structural autograft bone 2,15,[25][26][27][28] and with structural allograft bone. 1,6,13,21,29 -31 Although the osteogenic properties of autograft bone are undeniable, such structural autografts are not immune from graft fracture and displacement 2,25,27 and are inherently associated with morbidity at the harvest site.…”

Use of folded vascularized rib graft in anterior fusion after treatment of thoracic and upper lumbar lesions

“…4,7,12,15,18,20) Usually autogenous bone grafts such as iliac bone or fibula are placed to fill the defect created by curetting the lesion. 3,9,11,31 However, unresolved problems remain such as collapse of the grafted bone and donor-site complications. 8,13,16 In addition, during the phase of creeping substitution, the grafted bone is mechanically weak and there is a risk of fatigue failure.…”