Semin Plast Surg 2021; 35(01): 031-036
DOI: 10.1055/s-0041-1725985
Review Article

Vascularized Rib Bone Grafting: Indications, Techniques, and Clinical Outcomes

Sebastian J. Winocour
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Nikhil Agrawal
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Kathryn M. Wagner
2   Department of Neurosurgery, Baylor College of Medicine, Houston, Texas
,
Matthew J. Davis
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
3   Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas
,
Amjed Abu-Ghname
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
3   Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas
,
Rohil Shekher
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
,
Michael R. Raber
2   Department of Neurosurgery, Baylor College of Medicine, Houston, Texas
,
Michael A. Bohl
4   Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona
,
Alexander E. Ropper
2   Department of Neurosurgery, Baylor College of Medicine, Houston, Texas
,
Edward M. Reece
1   Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
2   Department of Neurosurgery, Baylor College of Medicine, Houston, Texas
3   Division of Plastic Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas
› Author Affiliations

Abstract

Pseudarthrosis is a difficult complication often seen in patients with complex spinal pathology. To supplement existing neurosurgical approaches to cervicothoracic spinal instrumentation and fusion, novel vascularized rib bone grafts can be utilized in patients at high risk for failed spinal fusion. In this article, we discuss the indications, benefits, surgical technique, feasibility, and limitations of using rib vascularized rib bone grafts to augment spinal fusion.



Publication History

Article published online:
10 May 2021

© 2021. Thieme. All rights reserved.

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