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带血管蒂肋骨移植术:适应症、技术及临床疗效

Vascularized Rib Bone Grafting: Indications, Techniques, and Clinical Outcomes.

作者信息

Winocour Sebastian J, Agrawal Nikhil, Wagner Kathryn M, Davis Matthew J, Abu-Ghname Amjed, Shekher Rohil, Raber Michael R, Bohl Michael A, Ropper Alexander E, Reece Edward M

机构信息

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Department of Neurosurgery, Baylor College of Medicine, Houston, Texas.

出版信息

Semin Plast Surg. 2021 Feb;35(1):31-36. doi: 10.1055/s-0041-1725985. Epub 2021 May 10.

Abstract

Pseudarthrosis is a difficult complication often seen in patients with complex spinal pathology. To supplement existing neurosurgical approaches to cervicothoracic spinal instrumentation and fusion, novel vascularized rib bone grafts can be utilized in patients at high risk for failed spinal fusion. In this article, we discuss the indications, benefits, surgical technique, feasibility, and limitations of using rib vascularized rib bone grafts to augment spinal fusion.

摘要

假关节是复杂脊柱病变患者中常见的一种棘手并发症。为补充现有的颈胸段脊柱内固定和融合的神经外科手术方法,新型带血管蒂肋骨骨移植可用于脊柱融合失败风险较高的患者。在本文中,我们讨论了使用带血管蒂肋骨骨移植增强脊柱融合的适应症、益处、手术技术、可行性和局限性。

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