Spinoplastic Reconstruction Using Iliac Crest Vascularized Bone Graft following Sacral Ependymoma Resection.

IF 1.5 Q3 SURGERY
Plastic and Reconstructive Surgery Global Open Pub Date : 2024-11-25 eCollection Date: 2024-11-01 DOI:10.1097/GOX.0000000000006341
Edward M Reece, Nicole Van Spronsen, Calogero Velluto, Jonathan L Jeger, Christopher Fullmer, Isra Abdulwadood, Jenna Meyer, Alexander E Ropper, Sebastian Winocour, Michael A Bohl, Maziyar A Kalani
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引用次数: 0

Abstract

Sacral reconstruction post tumor resection has historically been executed with the placement of hardware or free tissue transfer. Reconstruction using a vascularized bone graft is an alternative that avoids the complications associated with hardware placement or free tissue transfer. This article describes the first documented case of spinoplastic reconstruction using an iliac crest vascularized bone graft (IC-VBG) after the resection of a sacral ependymoma. This is a case of a 17-year-old boy with a history of a sacral myxopapillary ependymoma. He presented to a local emergency department complaining of 6 months of urinary incontinence and progressive paresthesias affecting the left lower extremity. Magnetic resonance imaging was significant for a lesion located in the extradural spinal canal. Biopsy confirmed a myxopapillary ependymoma, World Health Organization grade II. The initial intervention involved tumor resection with titanium hardware placement. He subsequently required replacement of the titanium hardware with carbon fiber, secondary to the need for surveillance imaging. He underwent harvesting and inset of the IC-VBG at the time of hardware replacement. IC-VBG is a safe and effective modality for spinoplastic reconstruction. It enhances the potential for solid bony union and offers a practical alternative to free bone transfer. This approach provides an asset to add to a reconstructive surgeon's armamentarium, making it an essential tool for reconstructive surgeons working in conjunction with spinal surgery colleagues.

骶骨癫癎瘤切除术后使用髂嵴血管化骨移植进行脊柱整形再造
肿瘤切除后的骶骨重建一直以来都是通过放置硬件或游离组织转移来实现的。使用血管化骨移植进行重建是一种替代方法,可避免放置硬件或游离组织转移带来的并发症。本文描述了第一例在切除骶骨上皮瘤后使用髂嵴血管化骨移植(IC-VBG)进行旋切整形重建的病例。这是一个 17 岁男孩的病例,他患有骶骨肌乳头状上皮瘤。他到当地急诊科就诊,主诉小便失禁 6 个月,左下肢出现进行性麻痹。磁共振成像显示,硬脊膜外椎管内有一个明显的病灶。活检证实为世界卫生组织II级肌乳头状上皮瘤。最初的介入治疗包括肿瘤切除和钛金属硬件置入。随后,由于需要进行监控成像,他需要用碳纤维替换钛金属。在更换硬件时,他接受了 IC-VBG 的采集和嵌入。IC-VBG 是一种安全有效的脊柱整形重建方式。它提高了实体骨结合的可能性,为游离骨移植提供了一种实用的替代方法。这种方法为重建外科医生提供了新的手段,使其成为重建外科医生与脊柱外科同行合作的重要工具。
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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