The future of free vascularized fibular grafts in oncologic spinal and pelvic reconstruction

The free vascularized fibular graft (FVFG) was first described in 1975 as a solution for large bone defects in orthopedic trauma (1). Since its appearance, the FVFG emerged as the first-line option for a number of reconstructions, including intercalary defects of the upper and lower extremities, craniofacial defects, as well as pelvis and spine applications.