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Related Experiment Video

Updated: Jun 18, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

Fibula Free Flap Reconstruction of Cervical Spine Defects: A Multi-Institutional Study.

Sara Yang¹, Zoey Morton², Maddie Colcord¹

¹Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, U.S.A.

The Laryngoscope

|July 10, 2024

Summary

The fibula free flap offers a viable solution for cervical spine defects, ensuring stability and preventing neurological damage. This reconstructive technique shows promise, particularly for complex cases involving infection or extensive defects.

Keywords:

cervical spine fibula free flap head and neck malignancy microvascular reconstruction neck

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Published on: November 8, 2024

Area of Science:

Orthopedic Surgery
Neurosurgery
Plastic Surgery

Background:

Cervical spine defects can lead to instability, risking spinal cord and vertebral artery damage.
The fibula free flap is a reconstructive option for spinal defects, but literature on its use is limited.

Purpose of the Study:

To evaluate the efficacy and outcomes of using fibula free flaps for cervical spine reconstruction.
To identify patient demographics, defect characteristics, and complications associated with this technique.

Main Methods:

A multi-institutional retrospective case series was conducted.
Data from 1187 fibula free flaps were reviewed, focusing on 13 patients who underwent cervical spine reconstruction.
Patient demographics, comorbidities, defect etiology, and flap complications were collected.

Main Results:

Thirteen patients underwent cervical spine reconstruction with a fibula free flap.
Infection was the most common cause of defects (46.1%).
Most defects involved three or more cervical levels (69.2%), with C5 being the most frequent single level.

Conclusions:

Vascularized fibula flaps are a potential reconstructive option for cervical spine defects.
This technique is particularly effective for large defects, infections, and in previously irradiated patients.
No symptomatic or radiographic nonunion was observed in the study cohort.