FREE VASCULARISED FIBULAR STRUT GRAFT FOR ANTERIOR SPINAL FUSION
| Autor: | Kiyoshi Kaneda, Kuniyoshi Abumi, Akio Minami, Keiji Kutsumi, Shigenobu Satoh |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Arthrodesis medicine.medical_treatment Kyphosis Postoperative Complications medicine Humans Orthopedics and Sports Medicine Fibula Child Aged Bone union business.industry Middle Aged medicine.disease Surgery Vertebra Spinal Fusion surgical procedures operative medicine.anatomical_structure Spinal fusion Female Laryngeal oedema business Strut graft |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :43-47 |
| ISSN: | 2044-5377 0301-620X |
| Popis: | A vascularised fibular strut graft was used for anterior spinal fusion in 16 patients with spinal kyphosis. The procedure was abandoned in three because of difficulty in establishing a vascular anastomosis and in one because the grafted fibula dislodged two days after operation. One patient died after five days. Of the 11 remaining patients, there were seven males and four females. Their ages at the time of operation averaged 30.9 years (12 to 71). The number of vertebrae fused averaged 6.7 (5 to 9) and the length of fibula grafted averaged 10.9 cm (6.5 to 18). Average follow-up was 54 months (27 to 84). Bone union occurred at both ends of the grafted fibula in all 11 patients, with an average time to union of 5.5 months (3 to 8). We did not see a fracture of the grafted fibula. Two patients had postoperative complications; the graft dislodged in one and laryngeal oedema occurred two days after operation in the other. A vascularised fibular strut graft provides a biomechanically stable and long-standing support in spinal fusion because the weak phase of creeping substitution does not take place in the graft. |
| Databáze: | OpenAIRE |
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