Vascularized Scapular Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives.

Autor:	Reece EM; Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.; Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas., O'Neill RC; Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas., Davis MJ; Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.; Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas., Abu-Ghname A; Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.; Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas., Ropper AE; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas., Bohl M; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona., Xu DS; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas., Winocour SJ; Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Jazyk:	angličtina
Zdroj:	Seminars in plastic surgery [Semin Plast Surg] 2021 Feb; Vol. 35 (1), pp. 25-30. Date of Electronic Publication: 2021 May 10.
DOI:	10.1055/s-0041-1723833
Abstrakt:	Spinal fusion can be challenging to obtain in patients with complex spinal pathology. Medial scapular vascularized bone grafts (S-VBGs) are a novel approach to supplement cervicothoracic arthrodesis in patients at high risk of failed spinal fusion. In this article, we discuss the benefits of using VBGs compared with both nonvascularized bone grafts and free vascularized bone flaps and the surgical technique, feasibility, and limitations specific to the S-VBG. Competing Interests: Conflict of Interest Dr. Ropper receives consulting fees from Globus Medical and Stryker, but have no conflict with this article. (Thieme. All rights reserved.)
Databáze:	MEDLINE
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