98%
921
2 minutes
20
Skeletal reconstruction after tumour resection in paediatric patients is challenging. The resultant reconstruction needs to meet the demands of graft incorporation as well as the potential for growth. The vascularised fibular epiphyseal transfer (VFET) offers the potential for both. We retrospectively reviewed eight paediatric patients treated with VFET after bony tumour resection. All patients underwent a dual pedicle transfer with the peroneal artery for the diaphyseal blood supply and the recurrent branch of the anterior tibial artery for the physis. This is the largest series in literature for dual pedicle transfers for bony reconstruction. We present our surgical technique and outcomes in terms of functional limb salvage and growth.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1016/j.bjps.2021.08.044 | DOI Listing |
Front Surg
August 2025
Department of Neurosurgery, Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine (Zhuhai Hospital Affiliated to Faculty of Chinese Medicine, Macau University of Science and Technology) Zhuhai City, China.
Background And Importance: Spinal cord hemorrhage (SCH), particularly involving the bulbar-cervical segment (medulla oblongata to C7), is a rare and life-threatening neurological emergency. Due to its anatomical proximity to respiratory, motor, and sensory centers, it often leads to catastrophic neurological deficits. Etiologies include vascular malformations, coagulopathy, or idiopathic causes, yet its low incidence (<1%) poses significant challenges in early diagnosis and management.
View Article and Find Full Text PDFJ Clin Med
August 2025
Department of Orthopedic Surgery, Samsung Medical Center, Seoul 06351, Republic of Korea.
: Given the different biomechanical properties and surgical techniques between the L5-S1 and ≥L4-5 levels, it is necessary to explore RF risk factors at ≥L4-5 levels separately from the lumbosacral junction. This study aims to investigate the risk factors for rod fracture (RF) occurring at ≥L4-5 levels following adult spinal deformity (ASD) surgery. RF occurrence was assessed at the segment level.
View Article and Find Full Text PDFSpine (Phila Pa 1976)
August 2025
Department of Orthopedic Surgery, Stanford University, Stanford, CA, USA.
Study Design: Cadaveric biomechanical analysis.
Objective: To compare the fatigue resistance and failure behavior of cortical bone trajectory (CBT) and traditional pedicle screw (TPS) constructs in severely destabilized lumbar segments under cyclic flexion-compression loading.
Summary Of Background Data: CBT screw fixation is increasingly used for lumbar stabilization and offers theoretical biomechanical advantages over TPS, including higher insertional torque and increased cortical engagement.
J Neurosurg Spine
August 2025
1Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, New York.
Objective: The MRI-based vertebral bone quality (VBQ) score has emerged as a safe, convenient alternative to dual energy x-ray absorptiometry (DEXA) and CT for preoperative bone health assessment, which correlates with the outcomes of spine surgery. In this study, the authors aimed to systematically review the literature characterizing the utility of the VBQ score in predicting postoperative complications to inform operative planning and patient management.
Methods: This systematic review was prospectively registered with the International Prospective Register of Systematic Reviews (PROSPERO; registration no.
Eur Spine J
August 2025
Department of Neurological Surgery, UCSF, San Francisco, USA.
Purpose: To introduce and report early outcomes of an innovative surgical strategy to stabilize L5 PSOs with minimum 6 rods utilizing bilateral dual pelvic fixation consisting of both traditional iliac screws and osseointegrative S2AI screws.
Methods: Adult patients at a single institution who underwent a L5 PSO reconstructed with a minimum of 6 rods using dual pelvic fixation were reviewed. Accompanying a description of the surgical technique is patient demographics, perioperative sagittal radiographic alignment parameters, and early surgical and clinical outcomes, including incidences of mechanical complications.