Transverse Rectus Abdominis Muscle Flow-Through to Free Fibula Flap for Lumbar Spinal Reconstruction in a Pediatric Patient: A Case Report

Neal G. Moores; Jessica Luo; Giovanna Pires; Whitney Moss; Scott Short; Robert J. Bollo; R. Lor Randall; Jayant P. Agarwal

doi:10.2106/JBJS.CC.21.00122

Transverse Rectus Abdominis Muscle Flow-Through to Free Fibula Flap for Lumbar Spinal Reconstruction in a Pediatric Patient: A Case Report

Neal G. Moores, Jessica Luo, Giovanna Pires, Whitney Moss, Scott Short, Robert J. Bollo, R. Lor Randall, Jayant P. Agarwal

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Journal	JBJS Case Connector
Volume	12
Issue number	1
DOIs	https://doi.org/10.2106/JBJS.CC.21.00122
State	Published - Feb 24 2022
Externally published	Yes

Keywords

female
free vascularized fibular flap
infant
PMMTI
primitive myxoid mesenchymal tumor of infancy
spinal reconstruction
TRAM flow-through flap

ASJC Scopus subject areas

Medicine(all)

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10.2106/JBJS.CC.21.00122

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Transverse Rectus Abdominis Muscle Flow-Through to Free Fibula Flap for Lumbar Spinal Reconstruction in a Pediatric Patient : A Case Report. / Moores, Neal G.; Luo, Jessica; Pires, Giovanna; Moss, Whitney; Short, Scott; Bollo, Robert J.; Randall, R. Lor; Agarwal, Jayant P.

In: JBJS Case Connector, Vol. 12, No. 1, 24.02.2022.

Research output: Contribution to journal › Article › peer-review

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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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AU - Pires, Giovanna

AU - Moss, Whitney

AU - Short, Scott

AU - Bollo, Robert J.

AU - Randall, R. Lor

AU - Agarwal, Jayant P.

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N2 - 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.

AB - 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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KW - free vascularized fibular flap

KW - infant

KW - PMMTI

KW - primitive myxoid mesenchymal tumor of infancy

KW - spinal reconstruction

KW - TRAM flow-through flap

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Transverse Rectus Abdominis Muscle Flow-Through to Free Fibula Flap for Lumbar Spinal Reconstruction in a Pediatric Patient: A Case Report

Abstract

Keywords

ASJC Scopus subject areas

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