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[Use of a vascularized fibula for spinal reconstruction in neurofibromatosis].
Ann Chir Plast Esthet. 2008 Jun; 53(3):293-7.AC

Abstract

We report a case of reconstruction of a dysplasic thoracic spine with vascularized fibula in Recklinghausen's disease. We present the case of a thirteen-year-old lady with neurofibromatosis type 1 who developed a dystrophic thoracic kyphoscoliosis. A T9 compression due to a severe scaloping of the thoracic spine caused an important deformation and a medullar compression (with dorsal pain, right sciatica and a pyramidal syndrome). The surgery consisted in medullar liberation by a T9-T10 corporectomy and an osteosynthesis with arthrodesis T3-L3. A free vascularized fibula bone graft, with an end-to-end anastomosis on a thoracic pedicle, was realized to fill the T8-T11 spinal defect. All the symptoms decreased after surgery and the patient could walk normally few months later. At one-year follow-up the radiographs showed a stable montage and a solid bony fusion. Analysing the literature, vascularized bone graft can be recommended to fill the bony spinal defect due to surgery in cases of tumor, infection, trauma or severe scoliosis. Compared to non-vascularized grafts, which are exposed to resorption, fatigue fracture and then instability, the vascularized fibula grafts provide a rapid fusion, a biomechanically stable and long-standing support with low risks of infection.

Authors+Show Affiliations

Service de chirurgie plastique et de br슩lés, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 01, France. bourdaisludovic@aol.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

17949879

Citation

Bourdais, L, et al. "[Use of a Vascularized Fibula for Spinal Reconstruction in Neurofibromatosis]." Annales De Chirurgie Plastique Et Esthetique, vol. 53, no. 3, 2008, pp. 293-7.
Bourdais L, Hamel A, Hamel O, et al. [Use of a vascularized fibula for spinal reconstruction in neurofibromatosis]. Ann Chir Plast Esthet. 2008;53(3):293-7.
Bourdais, L., Hamel, A., Hamel, O., Pannier, M., & Duteille, F. (2008). [Use of a vascularized fibula for spinal reconstruction in neurofibromatosis]. Annales De Chirurgie Plastique Et Esthetique, 53(3), 293-7.
Bourdais L, et al. [Use of a Vascularized Fibula for Spinal Reconstruction in Neurofibromatosis]. Ann Chir Plast Esthet. 2008;53(3):293-7. PubMed PMID: 17949879.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Use of a vascularized fibula for spinal reconstruction in neurofibromatosis]. AU - Bourdais,L, AU - Hamel,A, AU - Hamel,O, AU - Pannier,M, AU - Duteille,F, Y1 - 2007/10/18/ PY - 2007/04/03/received PY - 2007/05/11/accepted PY - 2007/10/24/pubmed PY - 2008/7/17/medline PY - 2007/10/24/entrez SP - 293 EP - 7 JF - Annales de chirurgie plastique et esthetique JO - Ann Chir Plast Esthet VL - 53 IS - 3 N2 - We report a case of reconstruction of a dysplasic thoracic spine with vascularized fibula in Recklinghausen's disease. We present the case of a thirteen-year-old lady with neurofibromatosis type 1 who developed a dystrophic thoracic kyphoscoliosis. A T9 compression due to a severe scaloping of the thoracic spine caused an important deformation and a medullar compression (with dorsal pain, right sciatica and a pyramidal syndrome). The surgery consisted in medullar liberation by a T9-T10 corporectomy and an osteosynthesis with arthrodesis T3-L3. A free vascularized fibula bone graft, with an end-to-end anastomosis on a thoracic pedicle, was realized to fill the T8-T11 spinal defect. All the symptoms decreased after surgery and the patient could walk normally few months later. At one-year follow-up the radiographs showed a stable montage and a solid bony fusion. Analysing the literature, vascularized bone graft can be recommended to fill the bony spinal defect due to surgery in cases of tumor, infection, trauma or severe scoliosis. Compared to non-vascularized grafts, which are exposed to resorption, fatigue fracture and then instability, the vascularized fibula grafts provide a rapid fusion, a biomechanically stable and long-standing support with low risks of infection. SN - 1768-319X UR - https://www.unboundmedicine.com/medline/citation/17949879/[Use_of_a_vascularized_fibula_for_spinal_reconstruction_in_neurofibromatosis]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0294-1260(07)00080-5 DB - PRIME DP - Unbound Medicine ER -