Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery
Summary:. Spinal pseudarthrosis is failure of bony union across a segment where arthrodesis has been attempted. A variety of treatment approaches have been proposed to promote bony union, including use of vascularized bone graft. We report a successful application of vascularized pedicled iliac cres...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2019-07-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002345 |
| _version_ | 1818509868973162496 |
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| author | Edward M. Reece, MD, MBA Anjali C. Raghuram, BA Erica L. Bartlett, MD Tyler T. Lazaro, MD Robert Y. North, MD, PhD Michael A. Bohl, MD Alexander E. Ropper, MD |
| author_facet | Edward M. Reece, MD, MBA Anjali C. Raghuram, BA Erica L. Bartlett, MD Tyler T. Lazaro, MD Robert Y. North, MD, PhD Michael A. Bohl, MD Alexander E. Ropper, MD |
| author_sort | Edward M. Reece, MD, MBA |
| collection | DOAJ |
| description | Summary:. Spinal pseudarthrosis is failure of bony union across a segment where arthrodesis has been attempted. A variety of treatment approaches have been proposed to promote bony union, including use of vascularized bone graft. We report a successful application of vascularized pedicled iliac crest bone graft (ICBG) to treat recurrent lumbar and sacral pseudarthrosis. The vascularized ICBG offers the advantages of biocompatibility, mechanical stability, and minimal antigenicity. Vascularized bone transfers to the spine undergo fusion without resorption, even in the presence of compressive and rotatory forces. With its ease of access within the operative field and limited donor site morbidity, vascularized ICBG is an ideal orthobiologic that expedites time to bony union. |
| first_indexed | 2024-12-10T22:51:19Z |
| format | Article |
| id | doaj.art-2a8aaa7b0754496897552aec8ae22b8d |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-10T22:51:19Z |
| publishDate | 2019-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-2a8aaa7b0754496897552aec8ae22b8d2022-12-22T01:30:25ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-07-0177e234510.1097/GOX.0000000000002345201907000-00038Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity SurgeryEdward M. Reece, MD, MBA0Anjali C. Raghuram, BA1Erica L. Bartlett, MD2Tyler T. Lazaro, MD3Robert Y. North, MD, PhD4Michael A. Bohl, MD5Alexander E. Ropper, MD6From the *Division of Plastic Surgery, Baylor College of Medicine, Houston, Tex.From the *Division of Plastic Surgery, Baylor College of Medicine, Houston, Tex.From the *Division of Plastic Surgery, Baylor College of Medicine, Houston, Tex.†Department of Neurosurgery, Baylor College of Medicine, Houston, Tex.†Department of Neurosurgery, Baylor College of Medicine, Houston, Tex.‡Department of Neurosurgery, Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Ariz.†Department of Neurosurgery, Baylor College of Medicine, Houston, Tex.Summary:. Spinal pseudarthrosis is failure of bony union across a segment where arthrodesis has been attempted. A variety of treatment approaches have been proposed to promote bony union, including use of vascularized bone graft. We report a successful application of vascularized pedicled iliac crest bone graft (ICBG) to treat recurrent lumbar and sacral pseudarthrosis. The vascularized ICBG offers the advantages of biocompatibility, mechanical stability, and minimal antigenicity. Vascularized bone transfers to the spine undergo fusion without resorption, even in the presence of compressive and rotatory forces. With its ease of access within the operative field and limited donor site morbidity, vascularized ICBG is an ideal orthobiologic that expedites time to bony union.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002345 |
| spellingShingle | Edward M. Reece, MD, MBA Anjali C. Raghuram, BA Erica L. Bartlett, MD Tyler T. Lazaro, MD Robert Y. North, MD, PhD Michael A. Bohl, MD Alexander E. Ropper, MD Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery Plastic and Reconstructive Surgery, Global Open |
| title | Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery |
| title_full | Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery |
| title_fullStr | Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery |
| title_full_unstemmed | Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery |
| title_short | Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery |
| title_sort | vascularized iliac bone graft for complex closure during spinal deformity surgery |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002345 |
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