Delancy Matthew M, Perdanasari Aurelia, Davis Matthew J, Abu-Ghname Amjed, Kaplan Jordan, Winocour Sebastian J, Reece Edward M, Sim Alfred Sutrisno
Cooper Medical School of Rowan University, Camden, New Jersey.
Division of Plastic Surgery, Michael E. Debakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Semin Plast Surg. 2021 Feb;35(1):41-49. doi: 10.1055/s-0041-1725987. Epub 2021 May 10.
Epidemiologic studies have demonstrated a growing global disease burden of pathologies affecting the vertebral column. Allograft or implant-based reconstruction and fusion surgeries have been the mainstay of treatment. The efficacy of various surgical methods and the reliability of instrumentation or implants to execute these surgeries continue to be debated in the literature. Advances such as the free-tissue transfer have improved postoperative measures; however, they add high operative risk. The advent of spinoplastics introduces a practical surgical model to augment these spinal surgeries using vascularized bone grafts. As this technique becomes more widespread, it can be utilized to ease the growing disease burden that spinal injury places on both patients and the health care system. Ultimately, it will ameliorate strains on health care resources, reduce health care costs, and improve patient outcomes and quality of life.
流行病学研究表明，影响脊柱的疾病在全球范围内造成的疾病负担日益加重。同种异体移植或基于植入物的重建和融合手术一直是主要的治疗方法。各种手术方法的疗效以及执行这些手术的器械或植入物的可靠性在文献中仍存在争议。诸如游离组织移植等进展改善了术后指标；然而，它们增加了高手术风险。脊柱成形术的出现引入了一种实用的手术模式，即使用带血管蒂骨移植来增强这些脊柱手术。随着这项技术越来越普及，它可用于减轻脊柱损伤给患者和医疗保健系统带来的日益加重的疾病负担。最终，它将减轻医疗保健资源的压力，降低医疗成本，并改善患者的治疗效果和生活质量。
