Vascularized bone grafting of the spine offers significant advantages in situations where previous attempts at union with conventional bone grafting has failed, especially when there are unfavorable host factors (radiation necrosis, osteomyelitis, previously operated areas) as well as in reconstruction of segmental defects that are secondary to tumor or infection. Vascularized bone grafts can be applied anteriorly or posteriorly and can be structural (fibular grafts) or can act as tension band constructs (posteriorly placed rib grafts). Despite being technically challenging, the benefits that they offer to patients are tremendous.
ASJC Scopus subject areas
- Orthopedics and Sports Medicine