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Patient-Reported Long-Term Outcomes After Free Vascularized Fibula Graft in Spinal Reconstruction: a 24-year Cohort
S C M van den Heuvel1, F W Timmermans1, T H S Harmsen2
1Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands; Amsterdam Movement Sciences Research Institute, Amsterdam, The Netherlands.
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|November 5, 2021
Summary
Free vascularized fibula grafts (FVFG) offer long-term spinal stability and good outcomes in complex deformity surgery. This study confirms FVFG as a viable, satisfying solution for spinal reconstruction.
Area of Science:
- Orthopedics
- Spine Surgery
- Reconstructive Surgery
Background:
- Free vascularized fibula grafts (FVFG) are used in complex spinal deformity surgery for long-term stability.
- Long-term outcomes data for this technique are limited.
- This study evaluates the long-term viability and clinical outcomes of FVFG in spinal reconstruction.
Purpose of the Study:
- To report long-term postoperative outcomes of FVFG in spinal reconstruction.
- To establish the long-term viability of FVFG for complex spinal deformities.
- To assess patient satisfaction and clinical results after FVFG surgery.
Main Methods:
- Retrospective cohort study of patients undergoing spinal reconstructive surgery with FVFG.
- Data collected via questionnaires: NPRS, ODI, SRS-22r, EQ-5D-5L, and donor site/satisfaction survey.
- Analysis of patient-reported outcomes and complication-free survival.
Main Results:
- FVFG used in 31 patients over 24 years; 25 included in the study.
- Patient satisfaction averaged 6.8/10; SRS-22r score 3.6; EQ-5D-5L 0.725; ODI minimal disability.
- Average complication-free survival was 8.9 years; 9 patients required re-operation.
Conclusions:
- FVFG surgery for complex spinal deformities yields satisfactory long-term outcomes.
- The procedure offers a good long-term solution for spinal reconstruction.
- FVFG is a viable option for achieving lifelong spinal stability.
