Use of autologous scapula for cranioplasty

Cadaveric feasibility study

R. Shane Tubbs, Marios Loukas, Mohammadali Mohajel Shoja, Frank Salter, E. George Salter, W. Jerry Oakes

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Introduction: Replacement sources for calvarial defects include synthetic materials, donor grafts, and autologous bones such as ribs or split-thickness calvarial cranioplasty. When these sources are not available or are inadequate, other structures or sites would be desirable. However, and to our knowledge, the scapula has not been explored as a potential source for calvarial reconstruction. Therefore, the following study was performed to verify the utility of this bone for cranioplasty. Materials and Methods: Six adult (mean age 71 years) cadavers (four formalin-fixed and two fresh specimens) were used in this study. In the prone position, an incision was made over the midpart of the infraspinous fossa. Soft tissues were then removed from the anterior and posterior aspects of the scapula in this region avoiding the glenohumeral articulation superiorly. Previously made cranial defects were then filled using available scapula as a bony replacement. Results: An average of 9 × 12 × 7 cm of scapula was available for harvest inferior to the glenohumeral joint. Lateral and medial borders of the scapula were found to have a mean thickness of 9 mm. No obvious injury to surrounding vessels or nerves was found using this procedure and good coverage of calvarial defects was afforded by this bony replacement. Conclusions: Such a bony substitute as autologous scapula might be of utility when other replacements are not available or are of a limited size. Examples of such a use would include patients in whom a hemispheric bone flap is lost. Following clinical confirmation, the neurosurgeon may wish to consider the scapula as an alternative site for bone harvest for cranioplasty as this was a feasible technique in the cadaver.

Original languageEnglish (US)
Pages (from-to)955-959
Number of pages5
JournalChild's Nervous System
Volume24
Issue number8
DOIs
StatePublished - Aug 1 2008
Externally publishedYes

Fingerprint

Scapula
Feasibility Studies
Bone and Bones
Cadaver
Prone Position
Shoulder Joint
Ribs
Formaldehyde
Tissue Donors
Transplants
Wounds and Injuries

Keywords

  • Anatomy
  • Calvaria
  • Cranium
  • Reconstruction
  • Skull

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Cite this

Tubbs, R. S., Loukas, M., Mohajel Shoja, M., Salter, F., Salter, E. G., & Oakes, W. J. (2008). Use of autologous scapula for cranioplasty: Cadaveric feasibility study. Child's Nervous System, 24(8), 955-959. https://doi.org/10.1007/s00381-008-0592-x

Use of autologous scapula for cranioplasty : Cadaveric feasibility study. / Tubbs, R. Shane; Loukas, Marios; Mohajel Shoja, Mohammadali; Salter, Frank; Salter, E. George; Oakes, W. Jerry.

In: Child's Nervous System, Vol. 24, No. 8, 01.08.2008, p. 955-959.

Research output: Contribution to journalArticle

Tubbs, RS, Loukas, M, Mohajel Shoja, M, Salter, F, Salter, EG & Oakes, WJ 2008, 'Use of autologous scapula for cranioplasty: Cadaveric feasibility study', Child's Nervous System, vol. 24, no. 8, pp. 955-959. https://doi.org/10.1007/s00381-008-0592-x
Tubbs RS, Loukas M, Mohajel Shoja M, Salter F, Salter EG, Oakes WJ. Use of autologous scapula for cranioplasty: Cadaveric feasibility study. Child's Nervous System. 2008 Aug 1;24(8):955-959. https://doi.org/10.1007/s00381-008-0592-x
Tubbs, R. Shane ; Loukas, Marios ; Mohajel Shoja, Mohammadali ; Salter, Frank ; Salter, E. George ; Oakes, W. Jerry. / Use of autologous scapula for cranioplasty : Cadaveric feasibility study. In: Child's Nervous System. 2008 ; Vol. 24, No. 8. pp. 955-959.
@article{1f105cacd1b14b14a64b4f2416ccf11f,
title = "Use of autologous scapula for cranioplasty: Cadaveric feasibility study",
abstract = "Introduction: Replacement sources for calvarial defects include synthetic materials, donor grafts, and autologous bones such as ribs or split-thickness calvarial cranioplasty. When these sources are not available or are inadequate, other structures or sites would be desirable. However, and to our knowledge, the scapula has not been explored as a potential source for calvarial reconstruction. Therefore, the following study was performed to verify the utility of this bone for cranioplasty. Materials and Methods: Six adult (mean age 71 years) cadavers (four formalin-fixed and two fresh specimens) were used in this study. In the prone position, an incision was made over the midpart of the infraspinous fossa. Soft tissues were then removed from the anterior and posterior aspects of the scapula in this region avoiding the glenohumeral articulation superiorly. Previously made cranial defects were then filled using available scapula as a bony replacement. Results: An average of 9 × 12 × 7 cm of scapula was available for harvest inferior to the glenohumeral joint. Lateral and medial borders of the scapula were found to have a mean thickness of 9 mm. No obvious injury to surrounding vessels or nerves was found using this procedure and good coverage of calvarial defects was afforded by this bony replacement. Conclusions: Such a bony substitute as autologous scapula might be of utility when other replacements are not available or are of a limited size. Examples of such a use would include patients in whom a hemispheric bone flap is lost. Following clinical confirmation, the neurosurgeon may wish to consider the scapula as an alternative site for bone harvest for cranioplasty as this was a feasible technique in the cadaver.",
keywords = "Anatomy, Calvaria, Cranium, Reconstruction, Skull",
author = "Tubbs, {R. Shane} and Marios Loukas and {Mohajel Shoja}, Mohammadali and Frank Salter and Salter, {E. George} and Oakes, {W. Jerry}",
year = "2008",
month = "8",
day = "1",
doi = "10.1007/s00381-008-0592-x",
language = "English (US)",
volume = "24",
pages = "955--959",
journal = "Child's Nervous System",
issn = "0256-7040",
publisher = "Springer Verlag",
number = "8",

}

TY - JOUR

T1 - Use of autologous scapula for cranioplasty

T2 - Cadaveric feasibility study

AU - Tubbs, R. Shane

AU - Loukas, Marios

AU - Mohajel Shoja, Mohammadali

AU - Salter, Frank

AU - Salter, E. George

AU - Oakes, W. Jerry

PY - 2008/8/1

Y1 - 2008/8/1

N2 - Introduction: Replacement sources for calvarial defects include synthetic materials, donor grafts, and autologous bones such as ribs or split-thickness calvarial cranioplasty. When these sources are not available or are inadequate, other structures or sites would be desirable. However, and to our knowledge, the scapula has not been explored as a potential source for calvarial reconstruction. Therefore, the following study was performed to verify the utility of this bone for cranioplasty. Materials and Methods: Six adult (mean age 71 years) cadavers (four formalin-fixed and two fresh specimens) were used in this study. In the prone position, an incision was made over the midpart of the infraspinous fossa. Soft tissues were then removed from the anterior and posterior aspects of the scapula in this region avoiding the glenohumeral articulation superiorly. Previously made cranial defects were then filled using available scapula as a bony replacement. Results: An average of 9 × 12 × 7 cm of scapula was available for harvest inferior to the glenohumeral joint. Lateral and medial borders of the scapula were found to have a mean thickness of 9 mm. No obvious injury to surrounding vessels or nerves was found using this procedure and good coverage of calvarial defects was afforded by this bony replacement. Conclusions: Such a bony substitute as autologous scapula might be of utility when other replacements are not available or are of a limited size. Examples of such a use would include patients in whom a hemispheric bone flap is lost. Following clinical confirmation, the neurosurgeon may wish to consider the scapula as an alternative site for bone harvest for cranioplasty as this was a feasible technique in the cadaver.

AB - Introduction: Replacement sources for calvarial defects include synthetic materials, donor grafts, and autologous bones such as ribs or split-thickness calvarial cranioplasty. When these sources are not available or are inadequate, other structures or sites would be desirable. However, and to our knowledge, the scapula has not been explored as a potential source for calvarial reconstruction. Therefore, the following study was performed to verify the utility of this bone for cranioplasty. Materials and Methods: Six adult (mean age 71 years) cadavers (four formalin-fixed and two fresh specimens) were used in this study. In the prone position, an incision was made over the midpart of the infraspinous fossa. Soft tissues were then removed from the anterior and posterior aspects of the scapula in this region avoiding the glenohumeral articulation superiorly. Previously made cranial defects were then filled using available scapula as a bony replacement. Results: An average of 9 × 12 × 7 cm of scapula was available for harvest inferior to the glenohumeral joint. Lateral and medial borders of the scapula were found to have a mean thickness of 9 mm. No obvious injury to surrounding vessels or nerves was found using this procedure and good coverage of calvarial defects was afforded by this bony replacement. Conclusions: Such a bony substitute as autologous scapula might be of utility when other replacements are not available or are of a limited size. Examples of such a use would include patients in whom a hemispheric bone flap is lost. Following clinical confirmation, the neurosurgeon may wish to consider the scapula as an alternative site for bone harvest for cranioplasty as this was a feasible technique in the cadaver.

KW - Anatomy

KW - Calvaria

KW - Cranium

KW - Reconstruction

KW - Skull

UR - http://www.scopus.com/inward/record.url?scp=47249153301&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=47249153301&partnerID=8YFLogxK

U2 - 10.1007/s00381-008-0592-x

DO - 10.1007/s00381-008-0592-x

M3 - Article

VL - 24

SP - 955

EP - 959

JO - Child's Nervous System

JF - Child's Nervous System

SN - 0256-7040

IS - 8

ER -