带血管蒂肩胛部骨移植：适应症、技术、临床疗效及替代方案
Vascularized Scapular Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives.
作者信息
Reece Edward M, O'Neill Rebecca C, Davis Matthew J, Abu-Ghname Amjed, Ropper Alexander E, Bohl Michael, Xu David S, Winocour Sebastian J
机构信息
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas.
出版信息
Semin Plast Surg. 2021 Feb;35(1):25-30. doi: 10.1055/s-0041-1723833. Epub 2021 May 10.
Abstract
Spinal fusion can be challenging to obtain in patients with complex spinal pathology. Medial scapular vascularized bone grafts (S-VBGs) are a novel approach to supplement cervicothoracic arthrodesis in patients at high risk of failed spinal fusion. In this article, we discuss the benefits of using VBGs compared with both nonvascularized bone grafts and free vascularized bone flaps and the surgical technique, feasibility, and limitations specific to the S-VBG.
摘要
对于患有复杂脊柱病变的患者而言，实现脊柱融合可能具有挑战性。肩胛内侧带血管蒂骨移植（S-VBGs）是一种新型方法，用于辅助颈椎胸椎融合术，适用于脊柱融合失败风险较高的患者。在本文中，我们将探讨与非带血管蒂骨移植和游离带血管蒂骨瓣相比，使用带血管蒂骨移植的益处，以及S-VBG特有的手术技术、可行性和局限性。
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