Martinez Casey, Abdulwadood Isra, Winocour Sebastian, Ropper Alexander E, Innocenti Marco, Bohl Michael, Kalani Maziyar, Reece Edward M
Mayo Clinic Alix School of Medicine, Phoenix, AZ 85054, USA.
Department of Plastic Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Cancers (Basel). 2024 Dec 6;16(23):4088. doi: 10.3390/cancers16234088.
Spino-plastic surgery describes a specialized, multidisciplinary approach to addressing various spinal pathologies. The field is the innovative product of a multidisciplinary collaboration between plastic and reconstructive, orthopedic, and neurosurgery. Over the last few decades, this collaboration has borne promising surgical techniques and treatment plans geared toward restoring form, function, and aesthetics in patients with a variety of spinal conditions, including failed fusions, pseudoarthrosis, and the need for oncologic reconstruction. This paper explores the application of spino-plastic surgery in the context of post-sarcoma resection reconstructions, focusing on the efficacy in addressing the unique challenges posed by extensive tissue loss and structural deformities. Our study reviews a series of cases wherein spino-plastic techniques were utilized in patients with sarcomas of the spine and adjacent structures. We also discuss the technical considerations, including preoperative planning, intraoperative challenges, and overall patient care, that are crucial for the success of spino-plastic procedures. The outcomes demonstrate significant improvements in patient mobility, pain reduction, and overall quality of life. Most notably, spino-plastic surgical techniques help facilitate the restoration of functional anatomy by leveraging vascularized bone grafts and muscle flaps, thereby enhancing long-term stability and reducing the risk of complications such as nonunion or infection. Spino-plastic collaboration represents a pivotal advancement in oncologic treatment, spinal care, and reconstructive surgery, offering new hope for patients undergoing post-sarcoma reconstruction. Further research and refinement of the techniques will only expand their application and improve outcomes for a broader range of patients in the future.
脊柱整形手术描述了一种针对各种脊柱疾病的专门的多学科治疗方法。该领域是整形与重建外科、骨科和神经外科多学科合作的创新成果。在过去几十年里，这种合作产生了有前景的手术技术和治疗方案，旨在恢复各种脊柱疾病患者的形态、功能和美观，这些疾病包括融合失败、假关节形成以及肿瘤重建的需求。本文探讨脊柱整形手术在肉瘤切除术后重建中的应用，重点关注其在应对广泛组织缺失和结构畸形所带来的独特挑战方面的疗效。我们的研究回顾了一系列病例，其中脊柱整形技术应用于患有脊柱和相邻结构肉瘤的患者。我们还讨论了技术要点，包括术前规划、术中挑战以及整体患者护理，这些对于脊柱整形手术的成功至关重要。结果显示患者的活动能力、疼痛减轻以及整体生活质量有显著改善。最值得注意的是，脊柱整形手术技术通过利用带血管蒂骨移植和肌皮瓣有助于促进功能解剖结构的恢复，从而增强长期稳定性并降低诸如骨不连或感染等并发症的风险。脊柱整形合作代表了肿瘤治疗、脊柱护理和重建外科的一项关键进展，为肉瘤切除术后重建的患者带来了新希望。对这些技术的进一步研究和完善只会在未来扩大其应用范围并改善更多患者的治疗效果。
