Osteocutaneous free transfer of vascularized fibula in cervico-thoracic spinal reconstruction with filling of an esophageal fistula: A case report

The case under review is a 60-year-old patient with a vertebral plasmocytoma treated by cervico-thoracic fusion 2 years previously. He presented a thoracic spinal septic non-union complicated by esophagospinal fistula. We performed vascularized fibula transplant with cutaneous pad to fill the esopha...

Full description

Saved in:
Bibliographic Details
Published in:Neuro-chirurgie 2018-12, Vol.64 (6), p.434-438
Main Authors: Abellan Lopez, M., Iniesta, A., Brioude, G., Farah, K., Fuentes, S.
Format: Article
Language:English
Subjects:
Anastomosis, Surgical - methods
Bone Transplantation - methods
Esophageal
Esophageal Fistula - diagnosis
Esophageal Fistula - surgery
Fibula
Fistula
Humans
Middle Aged
Osteocutaneous
Recipient vessels
Reconstructive Surgical Procedures - methods
Spine
Surgical approach
Thoracic Vertebrae - diagnostic imaging
Thoracic Vertebrae - surgery
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The case under review is a 60-year-old patient with a vertebral plasmocytoma treated by cervico-thoracic fusion 2 years previously. He presented a thoracic spinal septic non-union complicated by esophagospinal fistula. We performed vascularized fibula transplant with cutaneous pad to fill the esophageal fistula. Control CT at day 5 confirmed vascular anastomosis permeability and bone transplant position. Osseointegration was achieved at 18 months postoperatively. The patient was alive 3 years after the last procedure (5 years after tumorectomy). A systematic review of the literature on spinal reconstruction by vascularized fibula transplant showed the diversity of surgical techniques available. In view of the multiplicity of possible organ and soft tissue defects involving the spine, reminders are provided of the different approaches and recipient vessels in this type of reconstruction depending on location.
ISSN:0028-3770
1773-0619
DOI:10.1016/j.neuchi.2018.06.001