Iliac crest reconstruction to reduce donor-site morbidity: technical note

Dusseldorp, Joseph R.; Mobbs, Ralph J.

doi:10.1007/s00586-009-1108-4

Cited by 21 publications

(12 citation statements)

References 35 publications

(47 reference statements)

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“…Persistent pain at the iliac crest donor site, reported extensively in patients undergoing spine surgery1,2,4,7,8), may also occur in patients undergoing OWHTO, causing postoperative morbidity9). Reconstruction of the iliac crest donor site can alleviate donor site pain and morbidity by reducing the formation of adhesive scars and preventing irritation caused by edges of the donor site10).…”

Section: Discussionmentioning

confidence: 99%

“…There are several options to reconstruct the iliac crest graft donor site. These include using bone graft substitutes4,13), calcium phosphate cement2), a ceramic spacer14), and iliac crest allograft10). However, all these options result in a higher cost to the patient compared to the easily available PMMA bone cement.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, acute severe pain at the iliac site is one of the major complications1) although most donor site pain usually resolves with time, and a small number of patients experience persisting pain. Early postoperative donor site pain causes reduced ambulation leading to prolonged hospital stay and delay in resumption of work and other activities2). Despite these disadvantages, iliac crest autograft remains the gold standard for numerous reasons including cost-effectiveness, immune compatibility, and reduced infection risk.…”

Section: Introductionmentioning

confidence: 99%

“…Several techniques have been suggested to reduce the incidence or severity of donor site pain using calcium phosphate cement, a tricalcium phosphate bone filler, or a restorable mesh in spine surgery2,4,5). In this study, we applied a new technique for bone cement filling in the large iliac tricortical bone defect in OWHTO.…”

Section: Introductionmentioning

confidence: 99%

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Modified Iliac Crest Reconstruction with Bone Cement for Reduction of Donor Site Pain and Morbidity after Open Wedge High Tibial Osteotomy: A Prospective Study

Lee

Park²,

Wang

et al. 2016

Knee Surg Relat Res

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PurposeThis study was to determine the efficacy of iliac crest reconstruction using bone cement in reducing pain and morbidity at the donor site in patients undergoing open wedge high tibial osteotomy (OWHTO) with tricortical iliac crest autologous graft.Materials and MethodsThirty-three patients who underwent iliac crest reconstruction using polymethyl methacrylate (PMMA) bone cement (group A) and thirty patients who had no iliac crest reconstruction (group B) were enrolled in this study. All patients were evaluated for pain and functional disability related to graft harvesting using the pain and functional visual analogue scale (VAS) score during hospital stay and at 6 weeks, 3 months, and 6 months postoperatively.ResultsThere was significant difference between the two groups in terms of pain and function. The pain VAS score was significantly lower in group A than group B during the first 2 weeks postoperatively (p=0.04) and the functional VAS score was also significantly lower in group A during the first 2 weeks postoperatively (p<0.001) in terms of breathing, sitting up from the supine position, and standing up with crutches from the sitting position.ConclusionsIliac crest donor site reconstruction using PMMA bone cement in patients undergoing OWHTO significantly decreased pain and improved function during the first 2 weeks postoperatively when compared to patients who underwent OWHTO without iliac crest reconstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Modified Iliac Crest Reconstruction with Bone Cement for Reduction of Donor Site Pain and Morbidity after Open Wedge High Tibial Osteotomy: A Prospective Study

Lee

Park²,

Wang

et al. 2016

Knee Surg Relat Res

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“…2 ANOVA analysis of EQ-5D over time in both groups extent reduced the need for bone graft, although cages are used by many surgeons together with autologous bone graft due to higher rates of solid fusion [12,23,24]. Pain from the donor site seems to be a problem and the first postoperative period and alternative surgical and pain reducing methods have been proposed [25][26][27][28]. Chronic pain and other complications have been reported but with very varying incidence.…”

Section: Discussionmentioning

confidence: 99%

Pain from donor site after anterior cervical fusion with bone graft: a prospective randomized study with 12 months of follow-up

Skeppholm

Olerud

2012

Eur Spine J

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Introduction Harvesting bone graft from the iliac crest in spinal fusion surgery is a widely used technique. However, complications can occur and there are also reports of patients with persistent graft site pain after surgery. The aim of this study was to evaluate pain from the donor site (DS) over time, and register associated complications and if it affected health-related quality of life (HRQoL). Material and methods One hundred and seven patients participating in an RCT between two different methods of reconstruction after cervical decompression were included in this study. One group underwent surgery with bone graft (BG) from the iliac crest and the other with no bone graft (NBG). All patients were evaluated concerning pain at DS and HRQoL preoperatively, at 4 weeks, 3 months and 1 year. Pain was evaluated with visual analog scale (VAS) and HRQoL with EQ-5D. Results A statistically significant difference was found at all times of follow-up in the BG group compared to preoperative levels and the NBG group. The VAS levels at follow-ups at 3 months and 1 year were however of questionable clinical importance. Two patients in the BG group had superficial wound infections postoperatively and five patients still had sensory disturbance in the area of graft site at 12 months. No major complications were registered. No difference could be seen in EQ-5D at any time of follow-up between the groups. Conclusion Harvesting of iliac crest bone graft is associated with significant pain. However, at 3 months postoperatively, the negative effect of clinical importance seemed to have disappeared compared to when no bone graft was harvested. The pain from bone graft harvesting does not seem to affect the quality of life at 4 weeks postoperatively and onward.

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6-Year follow-up of ventral monosegmental spondylodesis of incomplete burst fractures of the thoracolumbar spine using three cortical iliac crest bone grafts

Spiegl

Hauck

Merkel

et al. 2012

Arch Orthop Trauma Surg

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Iliac crest reconstruction to reduce donor-site morbidity: technical note

Cited by 21 publications

References 35 publications

Modified Iliac Crest Reconstruction with Bone Cement for Reduction of Donor Site Pain and Morbidity after Open Wedge High Tibial Osteotomy: A Prospective Study

Modified Iliac Crest Reconstruction with Bone Cement for Reduction of Donor Site Pain and Morbidity after Open Wedge High Tibial Osteotomy: A Prospective Study

Pain from donor site after anterior cervical fusion with bone graft: a prospective randomized study with 12 months of follow-up

6-Year follow-up of ventral monosegmental spondylodesis of incomplete burst fractures of the thoracolumbar spine using three cortical iliac crest bone grafts

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