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Vascularized Iliac Bone Graft for Complex Closure During Spinal Deformity Surgery
Edward M Reece1, Anjali C Raghuram1, Erica L Bartlett1
1Division of Plastic Surgery, Baylor College of Medicine, Houston, Tex.
Plastic and Reconstructive Surgery. Global Open
|January 17, 2020
Summary
Vascularized pedicled iliac crest bone graft (ICBG) successfully treated recurrent spinal pseudarthrosis. This technique promotes bony union, offering a stable and biocompatible solution for spinal fusion challenges.
Area of Science:
- Orthopedic Surgery
- Spinal Fusion
- Bone Grafting Techniques
Background:
- Spinal pseudarthrosis is a common complication following spinal fusion surgery.
- Existing treatments for spinal pseudarthrosis have varied success rates.
- Vascularized bone grafts are explored to enhance bony union.
Observation:
- This study reports the successful application of a vascularized pedicled iliac crest bone graft (ICBG) for recurrent lumbar and sacral pseudarthrosis.
- The vascularized ICBG was utilized to promote bony union in challenging spinal fusion scenarios.
Findings:
- Vascularized ICBG demonstrated biocompatibility, mechanical stability, and minimal antigenicity.
- Spinal bone transfers with vascularized ICBG achieved fusion without resorption, resisting compressive and rotatory forces.
- The technique facilitated expedient bony union due to accessibility and limited donor site morbidity.
Implications:
- Vascularized ICBG represents an effective orthobiologic strategy for treating spinal pseudarthrosis.
- This approach offers a reliable method to enhance spinal fusion success rates and expedite patient recovery.
