Free Vascularized Fibular Strut Autografts to the Lumbar Spine in Complex Revision Surgery: A Report of Two Cases
| العنوان: | Free Vascularized Fibular Strut Autografts to the Lumbar Spine in Complex Revision Surgery: A Report of Two Cases |
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| المؤلفون: | Venus Vakhshori, Christopher J. DeWald, David M. Levy, Bryan M. Saltzman |
| المصدر: | Korean Journal of Spine |
| بيانات النشر: | The Korean Spinal Neurosurgery Society, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | musculoskeletal diseases, Marfan syndrome, medicine.medical_specialty, Revision, Arthrodesis, medicine.medical_treatment, Case Report, Context (language use), Lumbar vertebrae, Burst fracture, Surgical, medicine, Fibula, Autografts, business.industry, Osteomyelitis, musculoskeletal system, medicine.disease, Surgery, Pseudarthrosis, surgical procedures, operative, medicine.anatomical_structure, business |
| الوصف: | This case report presents two patients who underwent fibular strut grafting for complex revisions of previous lumbar spine arthrodeses. A case review of the Electronic Medical Record at the index institution was performed to evaluate the timeline of events of the two patients who underwent fibular strut grafting for complex revisions of previous lumbar spine arthrodesis, including imaging studies, progress notes, and laboratory results. One patient had developed chronic L3 vertebral body osteomyelitis from a prior fibular allograft and instrumentation placed for a traumatic burst fracture. The second patient had a severe scoliosis recalcitrant to prior arthrodeses in the context of Marfan syndrome and a persistent L4-5 pseudarthrosis. Both patients underwent free vascularized fibular autograft revision arthrodeses. At most recent long-term follow-up, both patients had improved clinically and neither had required further revision. The use of free vascularized fibular grafting is an excellent option for a variety of spinal indications, and these two reports indicate that the technology may have an indication for use after multiple failed surgeries for osteomyelitis or correction of a multi-level large spinal deformity secondary to Marfan syndrome. |
| تدمد: | 2093-6729 1738-2262 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2aa1b361d6a939c721ec2952866ec73cTest https://doi.org/10.14245/kjs.2015.12.3.185Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2aa1b361d6a939c721ec2952866ec73c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20936729 17382262 |
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