Osseous Reconstruction of Complex Defects of the Lumbar Spine

Dusseldorp, Joseph R.; Moradi, Pouria; Nicklin, Sean

doi:10.1097/gox.0000000000000164

Cited by 1 publication

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…FVFFs are used as in-line spanning grafts for spinal column defects because of their superior axial strength. Local spinal recipient vessels, such as intercostal vessels, lumbar vessels, common iliac vessels, or segmental branches of the aorta and inferior vena cava, are reliable options in adults 6 . Winters et al reported using an FVFF to reconstruct cervical, thoracic, thoracolumbar, and lumbar spine in 27 cases and described the available vessels for anastomosis at each spinal level 7 .…”

Section: Discussionmentioning

confidence: 99%

Transverse Rectus Abdominis Muscle Flow-Through to Free Fibula Flap for Lumbar Spinal Reconstruction in a Pediatric Patient

Moores

Luo

Pires

et al. 2022

JBJS Case Connector

View full text Add to dashboard Cite

Case: A 7-week-old girl presented with a recurrent primitive myxoid mesenchymal tumor of infancy requiring extensive resection of lower back musculature, L3-S2 vertebral bodies, and left L5 nerve root. Reconstruction consisted of transverse rectus abdominis muscle (TRAM) flow-through to free fibular flap to reconstruct the bony defect and fill the soft-tissue void. Oneyear postoperative imaging revealed a well-incorporated fibula graft. At the 30-month follow-up, the patient can bear weight on the autograft while sitting upright, allowing for efficient ambulation with a wheelchair. Conclusion:TRAM flow-through to free fibular flap is an efficacious reconstructive method for a multilevel vertebral spinal defect in a pediatric patient.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B808).

show abstract

Section: Discussionmentioning

confidence: 99%