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used treatment methods are conventional bone grafting, with or without internal fixation, and pedicled or free vascularized bone grafting. Conventional bone grafting is the most preferred method, but due to the limited osteogenic potential of non-vascular
Anatomy Institute and Orthopedics Department, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
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, 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ). Figure 1 Complete burst fracture surgical treatment by anterior approach – corporectomy and intersomatic fusion with structural bone graft or intersomatic cage and fixation with plate plus
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or clinically significant differences in union rates and complication rates. 18 - 20 The good clinical results suggest that autogenic bone grafts may not be required in the paediatric group, particularly in calcaneal procedures where vascularity
Department of Orthopedic Surgery, Spine Unit, Centre Hospitalier de l’Université de Montréal (CHUM), Canada.
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. Minimal access spinal technologies: state-of-the-art, indications, and techniques . Joint Bone Spine 2004 ; 71 : 459 - 469 . 16. Nakahara M Yasuhara T Inoue T . Accuracy of percutaneous pedicle screw insertion
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, there are several reconstructive surgical strategies that can be used. Some common strategies include soft tissue reconstructive strategies, massive bone grafting, autografting, free vascularized fibular graft, prosthetic replacement, arthrodesis, and
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when there is < 2 mm of head depression and < 30% of head involvement. 50 Vascularized fibular graft In this technique, the central portion of the fibular bone and its nutrient artery is used. The vascular pedicle is anastomosed to branches
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osteotomies are the Smith-Petersen osteotomy (SPO), pedicle subtraction osteotomy (PSO), bone-disc-bone osteotomy (BDBO) and vertebral column resection (VCR), in order of increasing complexity. Below is a review of each osteotomy type with indications
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respond well to non-operative treatment, there are a few indications for surgery, including non-union after a pathologic fracture, persistent pain and severely progressive deformity. Intralesional curettage and bone allograft or vascularized bone graft
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the pathogens, as well as by the host’s leucocytes, along with the compression and obliteration of the vascular network around the involved area, represent the main mechanisms of tissue necrosis and bone destruction. 2 The resulting avascular area
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1990s by Radermacher et al 10 for pedicle screw placement, total knee arthroplasty, decompression of the cervical spine and triple osteotomy of the pelvis. Several weeks prior to surgery, a CT or a MRI scan is taken of the patient’s bone. Using a
