Transverse Rectus Abdominis Muscle Flow-Through to Free Fibula Flap for Lumbar Spinal Reconstruction in a Pediatric Patient: A Case Report.
JBJS Case Connect
; 12(1)2022 02 24.
Article
em En
| MEDLINE
| ID: mdl-35202034
ABSTRACT
CASE A 7-week-old girl presented with a recurrent primitive myxoid mesenchymal tumor of infancy requiring extensive resection of lower back musculature, L3-S2 vertebral bodies, and left L5 nerve root. Reconstruction consisted of transverse rectus abdominis muscle (TRAM) flow-through to free fibular flap to reconstruct the bony defect and fill the soft-tissue void. One-year postoperative imaging revealed a well-incorporated fibula graft. At the 30-month follow-up, the patient can bear weight on the autograft while sitting upright, allowing for efficient ambulation with a wheelchair. CONCLUSION:
TRAM flow-through to free fibular flap is an efficacious reconstructive method for a multilevel vertebral spinal defect in a pediatric patient.
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Base de dados:
MEDLINE
Assunto principal:
Reto do Abdome
/
Retalhos de Tecido Biológico
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article