PDF(Pubmed)
Abstract：
OBJECTIVE: Autologous iliac bone is commonly used as a bone graft material to achieve solid fusion in craniocervical junction (CVJ) surgery. However, the developing iliac bone of children is less than ideal as a bone graft material. The matured rib bone of children presents a potential substitute material for iliac bone. The aim of this study was to evaluate the efficacy of autologous rib grafts for craniocervical junction surgery in children.
METHODS: The outcomes of 10 children with abnormalities of the craniocervical junction who underwent craniocervical junction surgery between January 2020 and December 2022 were retrospectively reviewed. All patients underwent posterior fusion and internal fixation surgery with autologous rib grafts. Pre- and post-operative images were obtained and clinical follow-ups were conducted to evaluate neurological function, pain level, donor site complications, and bone fusion rates.
RESULTS: All surgeries were successful. During the 8- to 24-month follow-up period, all patients achieved satisfactory clinical results. Computed tomography at 3-6 months confirmed successful bone fusion and regeneration of the rib defect in all patients with no neurological or donor site complications.
CONCLUSIONS: Autologous rib bone is a safe and effective material for bone grafting in craniocervical junction fusion surgery for children that can reduce the risks of donor site complications and increase the amount of bone graft, thereby achieving a higher bone fusion rate.
METHODS: The outcomes of 10 children with abnormalities of the craniocervical junction who underwent craniocervical junction surgery between January 2020 and December 2022 were retrospectively reviewed. All patients underwent posterior fusion and internal fixation surgery with autologous rib grafts. Pre- and post-operative images were obtained and clinical follow-ups were conducted to evaluate neurological function, pain level, donor site complications, and bone fusion rates.
RESULTS: All surgeries were successful. During the 8- to 24-month follow-up period, all patients achieved satisfactory clinical results. Computed tomography at 3-6 months confirmed successful bone fusion and regeneration of the rib defect in all patients with no neurological or donor site complications.
CONCLUSIONS: Autologous rib bone is a safe and effective material for bone grafting in craniocervical junction fusion surgery for children that can reduce the risks of donor site complications and increase the amount of bone graft, thereby achieving a higher bone fusion rate.
摘要：
目的：自体髂骨通常用作骨移植材料，以在颅颈交界区（CVJ）手术中实现固体融合。然而,儿童发育中的髂骨作为植骨材料不太理想。儿童成熟的肋骨为髂骨提供了潜在的替代材料。这项研究的目的是评估自体肋骨移植物在儿童颅颈交界手术中的疗效。
方法：对2020年1月至2022年12月期间接受了颅颈交界手术的10例颅颈交界异常患儿的结果进行回顾性分析。所有患者均接受自体肋骨植骨后路融合内固定手术。获得术前、术后图像并进行临床随访以评估神经功能，疼痛程度,供体部位并发症,和骨融合率。
结果：所有手术均成功。在8至24个月的随访期间，所有患者均取得满意的临床效果。3-6个月的计算机断层扫描证实，所有无神经系统或供体部位并发症的患者均成功进行骨融合和肋骨缺损再生。
结论：自体肋骨是一种安全有效的儿童颅颈交界融合手术植骨材料，可降低供区并发症的风险，增加植骨量，从而实现更高的骨融合率。
方法：对2020年1月至2022年12月期间接受了颅颈交界手术的10例颅颈交界异常患儿的结果进行回顾性分析。所有患者均接受自体肋骨植骨后路融合内固定手术。获得术前、术后图像并进行临床随访以评估神经功能，疼痛程度,供体部位并发症,和骨融合率。
结果：所有手术均成功。在8至24个月的随访期间，所有患者均取得满意的临床效果。3-6个月的计算机断层扫描证实，所有无神经系统或供体部位并发症的患者均成功进行骨融合和肋骨缺损再生。
结论：自体肋骨是一种安全有效的儿童颅颈交界融合手术植骨材料，可降低供区并发症的风险，增加植骨量，从而实现更高的骨融合率。
