Vascularized Occipital Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives.
autograft
occipital graft
spinal fusion
spinoplastic reconstruction
vascularized bone graft
Journal
Seminars in plastic surgery
ISSN: 1535-2188
Titre abrégé: Semin Plast Surg
Pays: United States
ID NLM: 101131275
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
entrez:
17
5
2021
pubmed:
18
5
2021
medline:
18
5
2021
Statut:
ppublish
Résumé
Successful arthrodesis at the craniocervical junction and atlantoaxial joint can be more challenging than in other segments of the cervical spine. Different techniques for spinal fixation in this region have been well described, along with auxiliary methods to improve fusion rates. The occipital vascularized bone graft is a novel technique that can be used to augment bony arthrodesis in the supra-axial cervical spine. It provides the benefits of a vascularized autologous graft, such as accelerated healing, earlier fusion, and increased strength. This technique can be learned with relative ease and may be particularly helpful in cases with high risk of nonunion or pseudoarthrosis in the upper cervical spine.
Identifiants
pubmed: 33994873
doi: 10.1055/s-0041-1723834
pii: 01285
pmc: PMC8110347
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
14-19Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest Dr. Ropper receives consulting fees from Globus Medical and Stryker. All authors, including Dr. Ropper, have no financial interests in relation to the content of this article.
Références
Plast Reconstr Surg Glob Open. 2019 Apr 25;7(4):e2131
pubmed: 31321167
Plast Reconstr Surg. 2011 May;127(5):1932-1938
pubmed: 21228740
J Bone Joint Surg Br. 1969 Aug;51(3):423-31
pubmed: 5820784
J Bone Joint Surg Am. 1984 Mar;66(3):403-11
pubmed: 6699057
Pediatr Neurosurg. 2008;44(5):393-6
pubmed: 18703886
J Neurosurg. 2007 Jun;106(6 Suppl):480-3
pubmed: 17566406
J Neurosurg Spine. 2010 Jul;13(1):5-16
pubmed: 20594011
AMA Arch Surg. 1952 Aug;65(2):330-6
pubmed: 14943369
Ann Plast Surg. 1993 Dec;31(6):532-8
pubmed: 8297085
Eur Spine J. 2010 Jul;19 Suppl 2:S135-9
pubmed: 19876660
Spine (Phila Pa 1976). 1988 Oct;13(10):1150-4
pubmed: 3206274
Plast Reconstr Surg. 2005 Jul;116(1):1-7
pubmed: 15988237
J Clin Neurosci. 2020 Apr;74:205-209
pubmed: 31036507
Neurosurgery. 2008 May;62(5 Suppl 2):ONS423-31; discussion ONS431
pubmed: 18596525
J Bone Joint Surg Br. 1997 Jan;79(1):43-7
pubmed: 9020443
Eur Spine J. 2017 Sep;26(9):2303-2307
pubmed: 28466094
Oper Neurosurg (Hagerstown). 2018 Sep 1;15(3):318-324
pubmed: 29301014