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題 名 | Fusion of the Lumbar Spine with a Free Vascularized Fibular Bone Graft: Case Report=以顯微游離腓骨瓣重建外傷性腰椎骨折:病例報告 |
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作 者 | 陳潤茺; 范國豐; 吳武璋; 陳宏基; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁463-468 |
分類號 | 416.61 |
關鍵詞 | 腰椎; 顯微游離腓骨瓣; 顯微重建; Lumbar spine; Free vascularized bone graft; Microsurgical reconstruction; |
語 文 | 英文(English) |
中文摘要 | 在脊椎體因外傷感染、腫瘤、或是退化性疾病需要作椎體支撐時,以骨移植作支撐 是一個經敘施行的手術法。帶血液椒環的骨移植比起不帶血液椒環的骨移值可得到更快癒合 得到更好結果。顯微游離腓骨瓣用於脊椎的重建文獻上報告有應用於頸椎及胸椎,雖然數目 不多,臨床結果相當良好。我們報告一例病人以顯微游離腓骨瓣做腰椎重建得到良好結果。 顯微游離腓骨瓣可應用於從頸椎到胸椎腰及薦椎的重建,在某些困難的病人像是腸胃不適合 或使用過已失敗,某些須要長段良好血液椒環骨頭重建,經由適當的病人選擇及技術,顯微 游離腓骨瓣可應用於各部位之脊椎重建而得到良好的結果。 |
英文摘要 | Spinal fusion with either non-vascularized or vascularized bone grafts has been well documented for inflammatory, degenerative, post-oncological and post-traumatic reconstruction Vascularized bone graft has been proven to have more rapid heading and better clinical results. A few reports have indicated that free vascularized fibular bone grafts have been used for reconstruction of the cervical and thoracic spine with good clinical results. We report a case of a third lumbar vertebra burst fracture successfully treated with a free vascularized fibula graft after failure of an initial conventional bone graft. The neurological symptoms improved significantly. The strong and straight bone quality makes the vascularized fibula an ideal choice for reconstruction of the spine. Vascularized fibula bone graft is an option in cases with failed nonvascularized bone grafts, in cases where an iliac bone is not suitable for reconstruction, or in cases where a poor recipient bed makes having well-vascularized bone necessary. This report describes our surgical approach and demonstrates the versatility of the free fibular osteoseptocutaneous flap for reconstruction of any portion of the spine. |
本系統中英文摘要資訊取自各篇刊載內容。