Analysis of Vascularized Bone Flap for Thoracic Spinal Reconstruction: An Institutional Based Study
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 8, Pages 1892-1895
Abstract
Background: Reconstruction of bony defects can be a challenging endeavor. Goals of surgical management include adequate debridement, reconstitution of structural integrity, and delivery of antibiotics to the area of interest. The present study was conducted to evaluate the outcomes of free vascularized fibula flaps and pedicled rib flaps used for thoracic spinal reconstruction.Materials and Methods: The present study was conducted evaluate the outcomes of free vascularized fibula flaps and pedicled rib flaps used for thoracic spinal reconstruction. This study reviewed 18 vascularized bone flaps. The follow-up data was obtained. Statistical analysis was conducted using statistical package for the social sciences (SPSS, version 20; SPSS Inc., Chicago, Illinois, USA) on an IBM compatible computer.
Results: In the present study union rate was 92 percent. The mean time to union taken by free vascularized fibula flaps was 9 ± 2 months; anterior pedicled rib flaps, 9 ± 5 months; and posterior pedicled rib flaps, 9 ± 3 months (p = 0.92). Less time was taken by free vascularized fibula flaps.
Conclusion: The present study concluded that free vascularized fibula flaps were better than pedicled rib flaps for thoracic spinal reconstruction as union was faster.
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