Autogenous Iliac Crest Bone Graft: Complications and Functional Assessment

@article{Goulet1997AutogenousIC,
  title={Autogenous Iliac Crest Bone Graft: Complications and Functional Assessment},
  author={James A. Goulet and Laura E. Senunas and Gregory L Desilva and Mary Lou Greenfield},
  journal={Clinical Orthopaedics and Related Research},
  year={1997},
  volume={\&NA;},
  pages={76-81}
}
Functional outcomes and complications experienced by adult patients who underwent iliac crest bone grafting were evaluated to assess the effect of bone grafts on patient function. In addition to retrospective chart reviews, patients completed the Sickness Impact Profile and a detailed questionnaire on pain. One hundred ninety-two patients met study inclusion criteria. Major complications were recorded in four (2.4%) patients in whom infections developed requiring readmission. Thirty-seven (21.8… 

An investigation of post-operative morbidity following iliac crest graft harvesting

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Research Summary: What do patients think of iliac crest graft harvesting?

Objective A study which examined the morbidity experienced by patients who underwent iliac crest bone graft procedures.Design A post-operative questionnaire was forwarded to patients who underwent

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Prospective observational study of donor-site morbidity following anterior iliac crest bone-grafting in orthopaedic trauma reconstruction patients.

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Patient Perceptions of Iliac Crest Bone Grafting in Minimally Invasive Transforaminal Lumbar Interbody Fusion

About half of patients undergoing MIS TLIF with ICBG are able to correctly identify which side of their iliac crest was harvested, however, the majority of patients reporting pain were unable to correctly identified the side of harvest.

Anterior vertebral body replacement with a titanium implant of adjustable height: a prospective clinical study

The Synex™ implant is recommended as an alternative for the fixation and stabilisation of thoracolumbar fractures and long-term results and a clinically random control study are still required.

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The intrafascial graft harvesting technique minimizes morbidity and increases patient satisfaction compared with the traditional bone harvesting technique and is recommended for posterior lumbar spinal fusion patients.

Iliac crest morbidity following maxillofacial bone grafting in children: a clinical and radiographic prospective study.

Persistent Iliac Crest Donor Site Pain: Independent Outcome Assessment

Independent outcome assessment values should be provided to patients in preoperative discussions regarding donor site morbidity, based on independent observations, for the most accurate interpretation of perceptions of iliac crest donor site pain.
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References

SHOWING 1-10 OF 26 REFERENCES

Iliac bone grafting: review of 160 consecutive cases.

  • E. KellerW. Triplett
  • Medicine
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
  • 1987

Morbidity at bone graft donor sites.

A review of the medical records of 239 patients with 243 autogenous bone grafts was undertaken to document the morbidity at the donor sites, finding that there was a much higher complication rate if the incision used for the surgery was also the sameincision used to harvest the bone graft.

Suitability of the iliac crest as a site for harvest of autogenous bone grafts.

The iliac crest donor site for alveolar bone grafting has been common practice in this institution for years under the assumption that little or no postoperative morbidity occurred, and no patients experienced serious or long-term complications at the surgical donor site.

Morbidity from bone harvest in major jaw reconstruction: a randomized trial comparing the lateral anterior and posterior approaches to the ilium.

  • R. MarxM. Morales
  • Medicine
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
  • 1988

Donor site pain from the ilium. A complication of lumbar spine fusion.

Chronic pain at the donor site was reported by 25% of 290 patients who had undergone anterior lumbar spine fusion for low back pain and patients with a clinically unsatisfactory result from the spine fusion also had a significantly higher prevalence of donor site pain.

Donor-site morbidity after harvesting rib and iliac bone.

Morbidity following 104 bone graft harvesting operations in 72 patients is documented and early morbidity of iliac donor sites was found to be far greater than that of rib donor sites.

Harvesting Autogenous Iliac Bone Grafts: A Review of Complications and Techniques

Autogenous bone grafts from the ilium are frequently harvested for purposes of bone union and/or stability, but awareness of the anatomy and complications may aid in planning the approach and minimizing the risks.

Complications following iliac crest bone grafting.

Bicortical grafts should be taken from areas as much as 5 cm posterior to the anterior superior iliac spine to avoid this complication.

MERALGIA PARESTHETICA: A COMPLICATION OF ILIAC BONE PROCUREMENT

A rare complication of iliac bone graft procurement is described, in which the lateral femoral cutaneous nerve can be injured during the procedure, or it can be entrapped in healing scar after the