Archive | 2019
Occipital cervical fusion with a vascularized free fibular graft
Abstract
Obtaining a solid bony fusion after an extensive skull base and upper cervical spine resection in a patient who has previously received radiation therapy is extremely diffi cult and usually results in a pseudoarthrosis. We report a technique that uses a free fi bular graft with an arteriovenous loop for a posterior occipital cervical fusion.